Academic Journal
Patient-reported symptom tracking and intervention in real time after pancreatic surgery: A quality improvement project.
| Τίτλος: | Patient-reported symptom tracking and intervention in real time after pancreatic surgery: A quality improvement project. |
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| Συγγραφείς: | Khomiak A; Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Aurora, CO., Fajolu O; Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Aurora, CO., Abud VL; Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Aurora, CO., Ziogas IA; Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Aurora, CO., Johnson J; Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Aurora, CO., Patel H; University of Colorado Hospital, Aurora, CO; Department of Medicine, University of Colorado School of Medicine, Aurora, CO., Hassel A; University of Colorado Hospital, Aurora, CO., Jones C; University of Colorado Hospital, Aurora, CO., Cyriacks B; University of Colorado Hospital, Aurora, CO., Battreall K; University of Colorado Hospital, Aurora, CO., Lewis S; University of Colorado Hospital, Aurora, CO., Bata K; Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Aurora, CO., Thornton O; University of Colorado Hospital, Aurora, CO., Del Chiaro M; Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Aurora, CO., Schulick R; Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Aurora, CO., Cumbler E; Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Aurora, CO., Tevis SEA; Division of Surgical Oncology, Department of Surgery, University of Colorado School of Medicine, Aurora, CO. Electronic address: Sarah.Tevis@cuanschutz.edu. |
| Πηγή: | Surgery [Surgery] 2026 Aug; Vol. 196, pp. 110321. Date of Electronic Publication: 2026 May 14. |
| Τύπος έκδοσης: | Evaluation Study; Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: Mosby Country of Publication: United States NLM ID: 0417347 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-7361 (Electronic) Linking ISSN: 00396060 NLM ISO Abbreviation: Surgery Subsets: MEDLINE |
| Imprint Name(s): | Publication: St. Louis, MO : Mosby Original Publication: St. Louis. |
| Ιατρικοί όροι (MeSH): | Symptom Assessment*/instrumentation , Symptom Assessment*/methods , Symptom Assessment*/psychology , Symptom Assessment*/standards , Postoperative Complications*/diagnosis , Postoperative Complications*/etiology , Postoperative Complications*/prevention & control , Remote Patient Monitoring*/instrumentation , Remote Patient Monitoring*/methods , Remote Patient Monitoring*/standards , Postoperative Care*/instrumentation , Postoperative Care*/methods , Postoperative Care*/psychology , Postoperative Care*/standards , Pancreatectomy*/adverse effects , Pancreatectomy*/psychology , Pancreatectomy*/rehabilitation, Pancreas/surgery ; Pancreatic Neoplasms/psychology ; Pancreatic Neoplasms/rehabilitation ; Pancreatic Neoplasms/surgery ; Quality Improvement ; Feasibility Studies ; Program Evaluation ; Patient Reported Outcome Measures ; Smartphone ; Patient Satisfaction ; Mobile Applications ; Patient Discharge ; Prospective Studies ; Humans ; Male ; Female ; Middle Aged ; Aged ; Pilot Projects ; Process Assessment, Health Care |
| Περίληψη: | Background: Pancreatic surgeries carry high post-discharge complication and readmission rates, often due to delayed recognition of symptoms. This study evaluates feasibility of an application-based patient-reported symptoms system following hospital discharge to track recovery after major oncologic surgery. Methods: A QI initiative was launched in an academic setting for pancreatic surgery patients, recruiting patients to participate in a real-time symptom monitoring program via a smartphone application. Daily surveys for 2 weeks following discharge assessed 10 symptoms potentially signaling complications. Recovery trajectory was tracked, with algorithmically triggered alerts to Virtual Health Center (VHC) using pre-specified thresholds. Alerts prompted tiered response from VHC technician to nurse or physician, who contacted the patient for symptom verification, intervention, or escalation to the surgical team. After program completion, patients evaluated satisfaction with the application/survey and VHC, using a 0-10 scale, 10 indicating maximum satisfaction. Results: Between August 2023 and February 2024, 21 patients were enrolled to the program at pre-operative visit. Thirteen patients have successfully completed the program, 5 await surgery/discharge, 3 did not participate after discharge. Whipple procedure was most common-8 (61.5%). Median days for patients to enroll after discharge was 1 (0.5-1.5 IQR) and median number of days in program was 14 (13.5-14.5 IQR). On average, patients responded to 81.5% of surveys (11.9 out of 14.6). Alerts to VHC were triggered 138 times, requiring escalation to VHC physician 11 times. Median post-program patient satisfaction was 10/10 (IQR, 7.5-10) with the application/survey and 10/10 (IQR, 10-10) with the VHC. Conclusion: The study suggests the feasibility of an application-based system for real-time monitoring of patient-reported symptoms after pancreatic surgery, demonstrating promising early levels of patient compliance and satisfaction. (Copyright © 2026 Elsevier Inc. All rights reserved.) |
| Competing Interests: | Conflict of Interest/Disclosure Dr Del Chiaro reported receiving an industry grant (Haemonetics, Inc) to conduct a multicenter study to evaluate the prognostic implications of TEG in pancreatic cancer and being a co-principal investigator of a Boston Scientific sponsored international multicenter study on the use of intraoperative pancreatoscopy of patients with IPMN. |
| Entry Date(s): | Date Created: 20260603 Date Completed: 20260722 Latest Revision: 20260722 |
| Update Code: | 20260722 |
| DOI: | 10.1016/j.surg.2026.110321 |
| PMID: | 42235126 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1532-7361 |
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| DOI: | 10.1016/j.surg.2026.110321 |