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Digital Follow-Up After Elective Laparoscopic Cholecystectomy: A Feasibility Study
BACKGROUND: Although recommendations exist for patients to be offered a post-operative helpline or telephone follow-up appointment at discharge after cholecystectomy, implementation of these is resource-intensive. Whilst the benefits of telephone follow-up are well documented, the use of digital mod...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer International Publishing
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9371370/ https://www.ncbi.nlm.nih.gov/pubmed/35953737 http://dx.doi.org/10.1007/s00268-022-06684-w |
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author | Daliya, Prita Carvell, Jody Rozentals, Judith Lobo, Dileep N. Parsons, Simon L. |
author_facet | Daliya, Prita Carvell, Jody Rozentals, Judith Lobo, Dileep N. Parsons, Simon L. |
author_sort | Daliya, Prita |
collection | PubMed |
description | BACKGROUND: Although recommendations exist for patients to be offered a post-operative helpline or telephone follow-up appointment at discharge after cholecystectomy, implementation of these is resource-intensive. Whilst the benefits of telephone follow-up are well documented, the use of digital modalities is less so. We aimed to identify if digital follow-up (DFU) was equivalent to routine care with telephone follow-up (TFU), for patients undergoing elective laparoscopic cholecystectomy. METHODS: All patients listed for elective laparoscopic cholecystectomy between August 2016 and March 2018 were offered routine post-operative care (TFU or no follow-up) or DFU at a tertiary referral centre in Nottingham. RESULTS: Of 597 patients undergoing laparoscopic cholecystectomy, 199 (33.3%) opted for TFU, and 98 (16.4%) for DFU. DFU was completed for 85 (86.7%) participants and TFU for 125 (62.8%), p < 0.0001. Over 5 times as many patients who chose TFU missed their appointment compared to DFU (5.6% vs. 30.9%, p < 0.001). At 30-days post-operatively, patients undergoing TFU had significantly more post-operative wound infections identified then those undergoing DFU (17.6% vs 5.9%, p = 0.01). However, this did not impact the incidence of 30-day readmissions between groups (7.2% TFU vs. 7.1% DFU). No complications were missed by either the DFU or TFU modalities. DFU was completed significantly earlier than TFU (median 6 days vs. 13.5 days, p = 0.001) with high patient acceptability, identifying complications and alerting clinicians to those patients requiring an early review. CONCLUSION: This feasibility study has demonstrated that digital follow-up is an acceptable alternative to telephone follow-up after elective laparoscopic cholecystectomy. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00268-022-06684-w. |
format | Online Article Text |
id | pubmed-9371370 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer International Publishing |
record_format | MEDLINE/PubMed |
spelling | pubmed-93713702022-08-12 Digital Follow-Up After Elective Laparoscopic Cholecystectomy: A Feasibility Study Daliya, Prita Carvell, Jody Rozentals, Judith Lobo, Dileep N. Parsons, Simon L. World J Surg Original Scientific Report BACKGROUND: Although recommendations exist for patients to be offered a post-operative helpline or telephone follow-up appointment at discharge after cholecystectomy, implementation of these is resource-intensive. Whilst the benefits of telephone follow-up are well documented, the use of digital modalities is less so. We aimed to identify if digital follow-up (DFU) was equivalent to routine care with telephone follow-up (TFU), for patients undergoing elective laparoscopic cholecystectomy. METHODS: All patients listed for elective laparoscopic cholecystectomy between August 2016 and March 2018 were offered routine post-operative care (TFU or no follow-up) or DFU at a tertiary referral centre in Nottingham. RESULTS: Of 597 patients undergoing laparoscopic cholecystectomy, 199 (33.3%) opted for TFU, and 98 (16.4%) for DFU. DFU was completed for 85 (86.7%) participants and TFU for 125 (62.8%), p < 0.0001. Over 5 times as many patients who chose TFU missed their appointment compared to DFU (5.6% vs. 30.9%, p < 0.001). At 30-days post-operatively, patients undergoing TFU had significantly more post-operative wound infections identified then those undergoing DFU (17.6% vs 5.9%, p = 0.01). However, this did not impact the incidence of 30-day readmissions between groups (7.2% TFU vs. 7.1% DFU). No complications were missed by either the DFU or TFU modalities. DFU was completed significantly earlier than TFU (median 6 days vs. 13.5 days, p = 0.001) with high patient acceptability, identifying complications and alerting clinicians to those patients requiring an early review. CONCLUSION: This feasibility study has demonstrated that digital follow-up is an acceptable alternative to telephone follow-up after elective laparoscopic cholecystectomy. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s00268-022-06684-w. Springer International Publishing 2022-08-11 2022 /pmc/articles/PMC9371370/ /pubmed/35953737 http://dx.doi.org/10.1007/s00268-022-06684-w Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Scientific Report Daliya, Prita Carvell, Jody Rozentals, Judith Lobo, Dileep N. Parsons, Simon L. Digital Follow-Up After Elective Laparoscopic Cholecystectomy: A Feasibility Study |
title | Digital Follow-Up After Elective Laparoscopic Cholecystectomy: A Feasibility Study |
title_full | Digital Follow-Up After Elective Laparoscopic Cholecystectomy: A Feasibility Study |
title_fullStr | Digital Follow-Up After Elective Laparoscopic Cholecystectomy: A Feasibility Study |
title_full_unstemmed | Digital Follow-Up After Elective Laparoscopic Cholecystectomy: A Feasibility Study |
title_short | Digital Follow-Up After Elective Laparoscopic Cholecystectomy: A Feasibility Study |
title_sort | digital follow-up after elective laparoscopic cholecystectomy: a feasibility study |
topic | Original Scientific Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9371370/ https://www.ncbi.nlm.nih.gov/pubmed/35953737 http://dx.doi.org/10.1007/s00268-022-06684-w |
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