Place of Connected Tools in Bariatric Patients Follow-up.
Place of Connected Tools in the Follow-up of the Bariatric Patient: Can They Allow Rapid Management of Complications and Reduce Lost of Follow-up During Postoperative Period?
2 other identifiers
interventional
200
1 country
1
Brief Summary
The aim of this study is to assess the safety (in terms of post-operative complications) of the use of connected devices for the monitoring of patients operated on by longitudinal laparoscopic gastrectomy (LSG) and discharged 24 hours after surgery according to the protocol Enhanced Recovery After Surgery (ERAS).
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 2020
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 5, 2020
CompletedFirst Submitted
Initial submission to the registry
April 14, 2021
CompletedFirst Posted
Study publicly available on registry
April 15, 2021
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 5, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
March 5, 2025
CompletedMay 18, 2023
May 1, 2023
2.1 years
April 14, 2021
May 17, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Complication Rate measured at 30 days.
The complication rate will be compared in the both treatment groups.
30 days after gastrectomy intervention.
Secondary Outcomes (11)
Rate of lost to follow-up at 3 years.
3 years after gastrectomy intervention/
Change in the lost to follow-up rate at 1 year.
1 year after gastrectomy intervention.
Change in the lost to follow-up rate at 2 years.
2 years after gastrectomy intervention.
Change in the loss to follow-up rate at 3 years.
3 years after gastrectomy intervention.
Patient satisfaction regarding the use of tools.
15 days after gastrectomy intervention.
- +6 more secondary outcomes
Study Arms (2)
Connected Tools
EXPERIMENTALFor the experimental group, the postoperative procedure requires the use of personal connected tools: a smartphone, a digital tablet or a computer with internet connection. A scale and a connected watch will also be loaned to patients so that they can take the necessary measures. Before returning home, patients must be trained to take correct measures and inform them on the dedicated platform.
No Connected Tools
NO INTERVENTIONPatients randomized to the control group will be operated according to the same protocol as the experimental group. For them, there will be no home follow-up, so no special procedure to follow.
Interventions
Use of connected tools in postoperative bariatric follow-up vs no use of connected tools.
Eligibility Criteria
You may qualify if:
- Patients with a BMI between 35 and 40 and comorbidity (type II diabetes, arterial hypertension, sleep apnea syndrome, dyslipidemia, fatty liver disease, arthropathy linked to overweight) related to obesity
- Patients with a BMI greater than 40 with or without comorbidity
- Patients affiliated to the social security scheme, with or without mutual health insurance
- Collection of signed informed consent
- Patients with one of the following sets of tools:
- Computer tablet and computer with an internet connection
- Computer tablet and smartphone with an internet connection
- Smartphone and computer with an internet connection
- Patients without a history of bariatric surgery
- Patients with surgical indication for a sleeve gastrectomy
You may not qualify if:
- Patients who have had obesity surgery
- Patients who have the indication but want another surgery such as the sleeve
- Patients who do not have an internet connection and / or an email address
- Patients with a BMI less than 35
- Patients with a major contraindication to surgery and / or American Society of Anesthesiologists (ASA) 4
- Patients without social security
- Patients refusing to sign consent
- Patients living abroad and / or living more than two hours from the hospital
- Minors or patients over 70 years old
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Elsanlead
Study Sites (1)
Centre Chirurgical d'Obesité
Toulon, 83100, France
Related Publications (32)
Stevens GA, Singh GM, Lu Y, Danaei G, Lin JK, Finucane MM, Bahalim AN, McIntire RK, Gutierrez HR, Cowan M, Paciorek CJ, Farzadfar F, Riley L, Ezzati M; Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Body Mass Index). National, regional, and global trends in adult overweight and obesity prevalences. Popul Health Metr. 2012 Nov 20;10(1):22. doi: 10.1186/1478-7954-10-22.
PMID: 23167948BACKGROUNDBult MJ, van Dalen T, Muller AF. Surgical treatment of obesity. Eur J Endocrinol. 2008 Feb;158(2):135-45. doi: 10.1530/EJE-07-0145.
PMID: 18230819BACKGROUNDNguyen NT, Nguyen B, Gebhart A, Hohmann S. Changes in the makeup of bariatric surgery: a national increase in use of laparoscopic sleeve gastrectomy. J Am Coll Surg. 2013 Feb;216(2):252-7. doi: 10.1016/j.jamcollsurg.2012.10.003. Epub 2012 Nov 21.
PMID: 23177371BACKGROUNDSimonelli V, Goergen M, Orlando GG, Arru L, Zolotas CA, Geeroms M, Poulain V, Azagra JS. Fast-Track in Bariatric and Metabolic Surgery: Feasibility and Cost Analysis Through a Matched-Cohort Study in a Single Centre. Obes Surg. 2016 Aug;26(8):1970-7. doi: 10.1007/s11695-016-2255-4.
PMID: 27272321BACKGROUNDMalczak P, Pisarska M, Piotr M, Wysocki M, Budzynski A, Pedziwiatr M. Enhanced Recovery after Bariatric Surgery: Systematic Review and Meta-Analysis. Obes Surg. 2017 Jan;27(1):226-235. doi: 10.1007/s11695-016-2438-z.
PMID: 27817086BACKGROUNDKhorgami Z, Petrosky JA, Andalib A, Aminian A, Schauer PR, Brethauer SA. Fast track bariatric surgery: safety of discharge on the first postoperative day after bariatric surgery. Surg Obes Relat Dis. 2017 Feb;13(2):273-280. doi: 10.1016/j.soard.2016.01.034. Epub 2016 Feb 2.
PMID: 27986577BACKGROUNDRebibo L, Dhahri A, Badaoui R, Dupont H, Regimbeau JM. Laparoscopic sleeve gastrectomy as day-case surgery (without overnight hospitalization). Surg Obes Relat Dis. 2015 Mar-Apr;11(2):335-42. doi: 10.1016/j.soard.2014.08.017. Epub 2014 Sep 16.
PMID: 25614354BACKGROUNDVaradhan KK, Neal KR, Dejong CH, Fearon KC, Ljungqvist O, Lobo DN. The enhanced recovery after surgery (ERAS) pathway for patients undergoing major elective open colorectal surgery: a meta-analysis of randomized controlled trials. Clin Nutr. 2010 Aug;29(4):434-40. doi: 10.1016/j.clnu.2010.01.004. Epub 2010 Jan 29.
PMID: 20116145BACKGROUNDSpanjersberg WR, Reurings J, Keus F, van Laarhoven CJ. Fast track surgery versus conventional recovery strategies for colorectal surgery. Cochrane Database Syst Rev. 2011 Feb 16;(2):CD007635. doi: 10.1002/14651858.CD007635.pub2.
PMID: 21328298BACKGROUNDBerg K, Arestedt K, Kjellgren K. Postoperative recovery from the perspective of day surgery patients: a phenomenographic study. Int J Nurs Stud. 2013 Dec;50(12):1630-8. doi: 10.1016/j.ijnurstu.2013.05.002. Epub 2013 May 30.
PMID: 23726224BACKGROUNDSvensson M, Nilsson U, Svantesson M. Patients' experience of mood while waiting for day surgery. J Clin Nurs. 2016 Sep;25(17-18):2600-8. doi: 10.1111/jocn.13304. Epub 2016 Jun 27.
PMID: 27349201BACKGROUNDMichard F. Smartphones and e-tablets in perioperative medicine. Korean J Anesthesiol. 2017 Oct;70(5):493-499. doi: 10.4097/kjae.2017.70.5.493. Epub 2017 Sep 28.
PMID: 29046768BACKGROUNDJaensson M, Dahlberg K, Eriksson M, Nilsson U. Evaluation of postoperative recovery in day surgery patients using a mobile phone application: a multicentre randomized trial. Br J Anaesth. 2017 Nov 1;119(5):1030-1038. doi: 10.1093/bja/aex331.
PMID: 29077818BACKGROUNDTopol EJ. Transforming medicine via digital innovation. Sci Transl Med. 2010 Jan 27;2(16):16cm4. doi: 10.1126/scitranslmed.3000484.
PMID: 20371472BACKGROUNDNoar SM, Black HG, Pierce LB. Efficacy of computer technology-based HIV prevention interventions: a meta-analysis. AIDS. 2009 Jan 2;23(1):107-15. doi: 10.1097/QAD.0b013e32831c5500.
PMID: 19050392BACKGROUNDWhittaker R, McRobbie H, Bullen C, Rodgers A, Gu Y. Mobile phone-based interventions for smoking cessation. Cochrane Database Syst Rev. 2016 Apr 10;4(4):CD006611. doi: 10.1002/14651858.CD006611.pub4.
PMID: 27060875BACKGROUNDOosterveen E, Tzelepis F, Ashton L, Hutchesson MJ. A systematic review of eHealth behavioral interventions targeting smoking, nutrition, alcohol, physical activity and/or obesity for young adults. Prev Med. 2017 Jun;99:197-206. doi: 10.1016/j.ypmed.2017.01.009. Epub 2017 Jan 25.
PMID: 28130046BACKGROUNDBroekhuizen K, Kroeze W, van Poppel MN, Oenema A, Brug J. A systematic review of randomized controlled trials on the effectiveness of computer-tailored physical activity and dietary behavior promotion programs: an update. Ann Behav Med. 2012 Oct;44(2):259-86. doi: 10.1007/s12160-012-9384-3.
PMID: 22767052BACKGROUNDStephenson A, McDonough SM, Murphy MH, Nugent CD, Mair JL. Using computer, mobile and wearable technology enhanced interventions to reduce sedentary behaviour: a systematic review and meta-analysis. Int J Behav Nutr Phys Act. 2017 Aug 11;14(1):105. doi: 10.1186/s12966-017-0561-4.
PMID: 28800736BACKGROUNDSubbe CP, Duller B, Bellomo R. Effect of an automated notification system for deteriorating ward patients on clinical outcomes. Crit Care. 2017 Mar 14;21(1):52. doi: 10.1186/s13054-017-1635-z.
PMID: 28288655BACKGROUNDAngrisani L, Santonicola A, Iovino P, Vitiello A, Higa K, Himpens J, Buchwald H, Scopinaro N. IFSO Worldwide Survey 2016: Primary, Endoluminal, and Revisional Procedures. Obes Surg. 2018 Dec;28(12):3783-3794. doi: 10.1007/s11695-018-3450-2.
PMID: 30121858BACKGROUNDAkkary E, Duffy A, Bell R. Deciphering the sleeve: technique, indications, efficacy, and safety of sleeve gastrectomy. Obes Surg. 2008 Oct;18(10):1323-9. doi: 10.1007/s11695-008-9551-6. Epub 2008 Jun 6.
PMID: 18535867BACKGROUNDNocca D, Krawczykowsky D, Bomans B, Noel P, Picot MC, Blanc PM, de Seguin de Hons C, Millat B, Gagner M, Monnier L, Fabre JM. A prospective multicenter study of 163 sleeve gastrectomies: results at 1 and 2 years. Obes Surg. 2008 May;18(5):560-5. doi: 10.1007/s11695-007-9288-7.
PMID: 18317859BACKGROUNDLalor PF, Tucker ON, Szomstein S, Rosenthal RJ. Complications after laparoscopic sleeve gastrectomy. Surg Obes Relat Dis. 2008 Jan-Feb;4(1):33-8. doi: 10.1016/j.soard.2007.08.015. Epub 2007 Nov 5.
PMID: 17981515BACKGROUNDSethi M, Patel K, Zagzag J, Parikh M, Saunders J, Ude-Welcome A, Somoza E, Schwack B, Kurian M, Fielding G, Ren-Fielding C. Thirty-Day Readmission After Laparoscopic Sleeve Gastrectomy-a Predictable Event? J Gastrointest Surg. 2016 Feb;20(2):244-52. doi: 10.1007/s11605-015-2978-x.
PMID: 26487330BACKGROUNDJonsson A, Lin E, Patel L, Patel AD, Stetler JL, Prayor-Patterson H, Singh A, Srinivasan JK, Sweeney JF, Davis SS Jr. Barriers to Enhanced Recovery after Surgery after Laparoscopic Sleeve Gastrectomy. J Am Coll Surg. 2018 Apr;226(4):605-613. doi: 10.1016/j.jamcollsurg.2017.12.028. Epub 2018 Jan 5.
PMID: 29309941BACKGROUNDLalezari S, Musielak MC, Broun LA, Curry TW. Laparoscopic sleeve gastrectomy as a viable option for an ambulatory surgical procedure: our 52-month experience. Surg Obes Relat Dis. 2018 Jun;14(6):748-750. doi: 10.1016/j.soard.2018.02.015. Epub 2018 Feb 17.
PMID: 29567060BACKGROUNDte Riele WW, Boerma D, Wiezer MJ, Borel Rinkes IH, van Ramshorst B. Long-term results of laparoscopic adjustable gastric banding in patients lost to follow-up. Br J Surg. 2010 Oct;97(10):1535-40. doi: 10.1002/bjs.7130.
PMID: 20564686BACKGROUNDAlthoff T, White RW, Horvitz E. Influence of Pokemon Go on Physical Activity: Study and Implications. J Med Internet Res. 2016 Dec 6;18(12):e315. doi: 10.2196/jmir.6759.
PMID: 27923778BACKGROUNDThorell A, MacCormick AD, Awad S, Reynolds N, Roulin D, Demartines N, Vignaud M, Alvarez A, Singh PM, Lobo DN. Guidelines for Perioperative Care in Bariatric Surgery: Enhanced Recovery After Surgery (ERAS) Society Recommendations. World J Surg. 2016 Sep;40(9):2065-83. doi: 10.1007/s00268-016-3492-3.
PMID: 26943657BACKGROUNDMoorehead MK, Ardelt-Gattinger E, Lechner H, Oria HE. The validation of the Moorehead-Ardelt Quality of Life Questionnaire II. Obes Surg. 2003 Oct;13(5):684-92. doi: 10.1381/096089203322509237.
PMID: 14627461BACKGROUNDNini E, Slim K, Scesa JL, Chipponi J. [Evaluation of laparoscopic bariatric surgery using the BAROS score]. Ann Chir. 2002 Feb;127(2):107-14. doi: 10.1016/s0003-3944(01)00688-5. French.
PMID: 11885369BACKGROUND
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Masking Details
- The experimental group which will use the connected tools will be compared with the control group according to the usual procedure.
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 14, 2021
First Posted
April 15, 2021
Study Start
March 5, 2020
Primary Completion
April 5, 2022
Study Completion
March 5, 2025
Last Updated
May 18, 2023
Record last verified: 2023-05