Comparative Study Between Conventional and Telematic Patients Follow-up
TLM-CGD
1 other identifier
interventional
200
1 country
1
Brief Summary
This is a parallel group clinical trial comparing two types of follow-up in patients operated and treated in a General and GI surgery department. Face-to-face vs telematic follow-up by using a platform that offers videoconferencing will be compared. Patients will be included and assigned randomly to each group using an informatics program until 100 patients are reached in each arm of the study ("n" total = 200 patients) The main and secondary outcomes will be evaluated 30 days after the date of the follow-up.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Mar 2017
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 19, 2017
CompletedFirst Submitted
Initial submission to the registry
September 30, 2017
CompletedFirst Posted
Study publicly available on registry
October 9, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 10, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
August 23, 2018
CompletedAugust 24, 2018
August 1, 2018
1.1 years
September 30, 2017
August 23, 2018
Conditions
Outcome Measures
Primary Outcomes (1)
Follow-up accomplishment
Percentage of patients that can finish the follow-up in the assigned group
From date of discharge until the date of follow-up, 30 days after discharge
Secondary Outcomes (2)
Emergency department consultation
From discharge until 30 days after the follow-up date
Patient satisfaction
30 days after the follow-up date
Study Arms (2)
Face-to-face follow-up
NO INTERVENTIONFace-to-face follow-up after hospital discharge
Telematic follow-up
EXPERIMENTALTelematic follow-up after hospital discharge
Interventions
Telematic follow-up by using a platform with videoconference
Eligibility Criteria
You may qualify if:
- Patients treated or operated in the General and GI Surgery department in "Hospital Germans Trias i Pujol"
You may not qualify if:
- Proctological Surgery
- Personal conditions that not allow a correct comprehension or developement of the study
- Patients with postoperative complications greater than Clavien-Dindo grade II
- Not being in possession of the necessary informatic devices in case of telematic follow-up
- Not having a basic informatic knowledge in case of telematic follow-up
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Hospital Germans Trias i Pujol
Badalona, Barcelona, 08916, Spain
Related Publications (19)
Johnston MJ, King D, Arora S, Behar N, Athanasiou T, Sevdalis N, Darzi A. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Am J Surg. 2015 Jan;209(1):45-51. doi: 10.1016/j.amjsurg.2014.08.030. Epub 2014 Oct 22.
PMID: 25454952BACKGROUNDKhanna V, Sambandam SN, Gul A, Mounasamy V. "WhatsApp"ening in orthopedic care: a concise report from a 300-bedded tertiary care teaching center. Eur J Orthop Surg Traumatol. 2015 Jul;25(5):821-6. doi: 10.1007/s00590-015-1600-y. Epub 2015 Jan 30.
PMID: 25633127BACKGROUNDKvedar J, Coye MJ, Everett W. Connected health: a review of technologies and strategies to improve patient care with telemedicine and telehealth. Health Aff (Millwood). 2014 Feb;33(2):194-9. doi: 10.1377/hlthaff.2013.0992.
PMID: 24493760BACKGROUNDArmstrong KA, Coyte PC, Bhatia RS, Semple JL. The effect of mobile app home monitoring on number of in-person visits following ambulatory surgery: protocol for a randomized controlled trial. JMIR Res Protoc. 2015 Jun 3;4(2):e65. doi: 10.2196/resprot.4352.
PMID: 26040252BACKGROUNDDobke MK, Bhavsar D, Gosman A, De Neve J, De Neve B. Pilot trial of telemedicine as a decision aid for patients with chronic wounds. Telemed J E Health. 2008 Apr;14(3):245-9. doi: 10.1089/tmj.2007.0038.
PMID: 18570547BACKGROUNDWeinstein RS, Lopez AM, Joseph BA, Erps KA, Holcomb M, Barker GP, Krupinski EA. Telemedicine, telehealth, and mobile health applications that work: opportunities and barriers. Am J Med. 2014 Mar;127(3):183-7. doi: 10.1016/j.amjmed.2013.09.032. Epub 2013 Oct 29.
PMID: 24384059BACKGROUNDShah MN, Wasserman EB, Gillespie SM, Wood NE, Wang H, Noyes K, Nelson D, Dozier A, McConnochie KM. High-Intensity Telemedicine Decreases Emergency Department Use for Ambulatory Care Sensitive Conditions by Older Adult Senior Living Community Residents. J Am Med Dir Assoc. 2015 Dec;16(12):1077-81. doi: 10.1016/j.jamda.2015.07.009. Epub 2015 Aug 17.
PMID: 26293419BACKGROUNDEisenberg D, Hwa K, Wren SM. Telephone follow-up by a midlevel provider after laparoscopic inguinal hernia repair instead of face-to-face clinic visit. JSLS. 2015 Jan-Mar;19(1):e2014.00205. doi: 10.4293/JSLS.2014.00205.
PMID: 25848178BACKGROUNDCharles BL. Telemedicine can lower costs and improve access. Healthc Financ Manage. 2000 Apr;54(4):66-9.
PMID: 10915354BACKGROUNDPericas JM, Aibar J, Soler N, Lopez-Soto A, Sanclemente-Anso C, Bosch X. Should alternatives to conventional hospitalisation be promoted in an era of financial constraint? Eur J Clin Invest. 2013 Jun;43(6):602-15. doi: 10.1111/eci.12087. Epub 2013 Apr 17.
PMID: 23590593BACKGROUNDBator EX, Gleason JM, Lorenzo AJ, Kanaroglou N, Farhat WA, Bagli DJ, Koyle MA. The burden of attending a pediatric surgical clinic and family preferences toward telemedicine. J Pediatr Surg. 2015 Oct;50(10):1776-82. doi: 10.1016/j.jpedsurg.2015.06.005. Epub 2015 Jun 20.
PMID: 26195452BACKGROUNDRasmussen BS, Froekjaer J, Bjerregaard MR, Lauritsen J, Hangaard J, Henriksen CW, Halekoh U, Yderstraede KB. A Randomized Controlled Trial Comparing Telemedical and Standard Outpatient Monitoring of Diabetic Foot Ulcers. Diabetes Care. 2015 Sep;38(9):1723-9. doi: 10.2337/dc15-0332. Epub 2015 Jun 26.
PMID: 26116717BACKGROUNDSathiyakumar V, Apfeld JC, Obremskey WT, Thakore RV, Sethi MK. Prospective randomized controlled trial using telemedicine for follow-ups in an orthopedic trauma population: a pilot study. J Orthop Trauma. 2015 Mar;29(3):e139-45. doi: 10.1097/BOT.0000000000000189.
PMID: 24983434BACKGROUNDSharareh B, Schwarzkopf R. Effectiveness of telemedical applications in postoperative follow-up after total joint arthroplasty. J Arthroplasty. 2014 May;29(5):918-922.e1. doi: 10.1016/j.arth.2013.09.019. Epub 2013 Dec 15.
PMID: 24342278BACKGROUNDPiqueras M, Marco E, Coll M, Escalada F, Ballester A, Cinca C, Belmonte R, Muniesa JM. Effectiveness of an interactive virtual telerehabilitation system in patients after total knee arthoplasty: a randomized controlled trial. J Rehabil Med. 2013 Apr;45(4):392-6. doi: 10.2340/16501977-1119.
PMID: 23474735BACKGROUNDRobaldo A, Rousas N, Pane B, Spinella G, Palombo D. Telemedicine in vascular surgery: clinical experience in a single centre. J Telemed Telecare. 2010;16(7):374-7. doi: 10.1258/jtt.2010.091011. Epub 2010 Aug 2.
PMID: 20679407BACKGROUNDFallaize RC, Tinline-Purvis C, Dixon AR, Pullyblank AM. Telephone follow-up following office anorectal surgery. Ann R Coll Surg Engl. 2008 Sep;90(6):464-6. doi: 10.1308/003588408X300975. Epub 2008 Jul 2.
PMID: 18598594BACKGROUNDHaukipuro K, Ohinmaa A, Winblad I, Linden T, Vuolio S. The feasibility of telemedicine for orthopaedic outpatient clinics--a randomized controlled trial. J Telemed Telecare. 2000;6(4):193-8. doi: 10.1258/1357633001935347.
PMID: 11027118BACKGROUNDWallace P, Haines A, Harrison R, Barber J, Thompson S, Jacklin P, Roberts J, Lewis L, Wainwright P; Virtual Outreach Project Group. Joint teleconsultations (virtual outreach) versus standard outpatient appointments for patients referred by their general practitioner for a specialist opinion: a randomised trial. Lancet. 2002 Jun 8;359(9322):1961-8. doi: 10.1016/s0140-6736(02)08828-1.
PMID: 12076550BACKGROUND
Study Officials
- PRINCIPAL INVESTIGATOR
Manel Cremades, MD
General and GI Surgical Department Staff
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- HEALTH SERVICES RESEARCH
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- MD
Study Record Dates
First Submitted
September 30, 2017
First Posted
October 9, 2017
Study Start
March 19, 2017
Primary Completion
May 10, 2018
Study Completion
August 23, 2018
Last Updated
August 24, 2018
Record last verified: 2018-08
Data Sharing
- IPD Sharing
- Will not share
All the study will be carried out in our institution and no individual data will be shared with other researchers or investigation centers unless if needed to support our study results