Evidence map›Paper›PMID 40877442›Full record

ArticleNPJ digital medicine2025

Comparative effectiveness of remote perioperative telemonitoring in cancer surgery: a randomized trial.

Virginia Sun, Yi Xiao, Shanpeng Li, Joycelynne Palmer, Calvin P Tribby, Tracy E Crane, Laleh Melstrom, Thanh Dellinger, Bertram Yuh, Dan Raz and 5 more

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in NPJ digital medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04596384 (Comparative Effectiveness Trial of Perioperative Telemonitoring for Functional Recovery and Symptoms), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04596384 naactive not recruitingnot on this map

Comparative Effectiveness Trial of Perioperative Telemonitoring for Functional Recovery and Symptoms

TypeinterventionalSponsorCity of Hope Medical CenterRan2021 to 2026Enrolled398ConditionsDigestive System Carcinoma, Genitourinary System Carcinoma, Malignant Female Reproductive System Neoplasm, Malignant Solid NeoplasmArmsBest Practice, Functional Assessment, Medical Device Usage and Evaluation, Nutritional Assessment, Quality-of-Life Assessment
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Virginia SunDepartment of Population Sciences, City of Hope, Duarte, CA, USA. vsun@coh.org.
Yi XiaoDepartment of Population Sciences, City of Hope, Duarte, CA, USA.
Shanpeng LiDivision of Biostatistics, Department of Computational and Quantitative Medicine, City of Hope, Duarte, CA, USA.
Joycelynne PalmerDivision of Biostatistics, Department of Computational and Quantitative Medicine, City of Hope, Duarte, CA, USA.
Calvin P TribbyDepartment of Population Sciences, City of Hope, Duarte, CA, USA.
Tracy E CraneDivision of Medical Oncology, Miller School of Medicine, University of Miami Sylvester Comprehensive Cancer Center, Miami, FL, USA.
Laleh MelstromDepartment of Surgery, City of Hope, Duarte, CA, USA.
Thanh DellingerDepartment of Surgery, City of Hope, Duarte, CA, USA.
Bertram YuhDepartment of Surgery, City of Hope, Duarte, CA, USA.
Dan RazDepartment of Surgery, City of Hope, Duarte, CA, USA.
Enrique Cota-RoblesPatient Partner, Temescal Valley, CA, USA.
Linda Cota-RoblesFamily Caregiver Partner, Temescal Valley, CA, USA.
Margaret NoldePatient Partner, Carlsbad, CA, USA.
Betty FerrellDepartment of Population Sciences, City of Hope, Duarte, CA, USA.
Yuman FongDepartment of Surgery, City of Hope, Duarte, CA, USA.

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI John Charles Williams · 1985 to 2026
$86.3M
NCI NIH HHS P30 CA033572Patient-Centered Outcomes Research Institute IHS-2019C3-18215
6 · The paper itself

Abstract

This randomized trial compared remote perioperative telemonitoring (RPM) care versus surgeon only care in patients with gastrointestinal (GI), genitourinary (GU), or gynecological (GYN) cancers (N = 293). The RPM care arm wore a wristband accelerometer and reported symptoms via a mobile application (app) before surgery and at days 7, 14, 30, 60, 90 post-discharge. Triage nurses telephoned patients when data deviated from predetermined thresholds. Participants in the surgeon only care arm used the device and app but received a standard institutional message when threshold deviations occurred. A 6% greater functional recovery rate was observed for participants in the RPM care arm (p = 0.036). Change in symptom severity scores was statistically significant at day 90 and for symptom interference with daily activities at days 14 and 90, favoring the RPM care arm. The RPM care arm experienced fewer major postoperative complications (p = 0.004). RPM care produced statistically significant benefits in postoperative functional recovery and symptoms. Trial Registration: ClinicalTrials.gov, NCT04596384, 10/22/2020.

Identifiers

PMID40877442
PMCPMC12394556

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.