Perioperative medicine & outcomes
Effect of Smartphone App Postoperative Home Monitoring After Oncologic Surgery on Quality of Recovery: A Randomized Clinical Trial
Authors' conclusion
In this randomized clinical trial, postoperative follow-up for patients undergoing breast reconstruction and gynecologic oncology surgery using smartphone app-assisted monitoring led to improved quality of recovery and equal satisfaction with care compared with conventional in-person follow-up.
Study context
- Population
- Women >18 years undergoing oncologic breast reconstruction or major gynecologic oncology surgery following ERAS protocols3 dropped out
- Participants
- 72 women
- Comparison
- Smartphone app-assisted follow-up vs conventional in-person follow-up
- Primary endpoint
- Quality of recovery (QoR15) and patient satisfaction (PSQ-III)
- Follow-up
- 2 and 6 weeks postoperatively
Methodological details1:1 randomisation, single-centre (academic tertiary care center), June 2019 to April 2021
- 1:1 randomisation
- Single-centre (academic tertiary care center)
- June 2019 to April 2021
Primary result
As reported in the abstract
QoR15 score
- Patients equally satisfied between groups in all Patient Satisfaction Questionnaire III (PSQ-III) subsets at 2 and 6 weeks
- App vs Control: P = 0.02
- App vs Control: P = 0.03
Secondary outcomes
Mean
| Outcome | App | Control | P value |
|---|---|---|---|
| Surgeon contacts per patient | 1.6 (SD 1.2) | 2.1 (SD 2.0) | P = 0.16 |
Surgeons' perceptions
- Surgeons appreciated early identification of complications with the app
Safety
Number of complications
- Similar in both groups
Original publication
Effect of Smartphone App Postoperative Home Monitoring After Oncologic Surgery on Quality of Recovery: A Randomized Clinical Trial. JAMA Surg. Published 1 July 2023. doi:10.
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