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Smartphone App improves monitoring of Recovery after Breast and Gynecologic oncology surgery: JAMA
![Smartphone App improves monitoring of Recovery after Breast and Gynecologic oncology surgery: JAMA Smartphone App improves monitoring of Recovery after Breast and Gynecologic oncology surgery: JAMA](https://medicaldialogues.in/h-upload/2023/04/13/750x450_207419-smartphone-app-helps-post-op-monitoring-of-breast-and-gynecologic-oncology-surgery-patients.webp)
Canada: A recent clinical trial published in the JAMA: Surgery has shown that using smartphone apps to monitor postoperative recovery can lead to improved quality of recovery and equal patient satisfaction compared to conventional in-person follow-up.
There has been a rise in health-focused smartphone applications that encourage healthy habits and assist in managing chronic conditions. The study aimed to compare the quality of recovery and patient satisfaction with conventional in-person follow-up and smartphone app–assisted follow-up.
The randomized clinical trial included 72 women older than 18 years undergoing oncologic breast reconstruction or major gynecologic oncology surgery following Enhanced Recovery After Surgery Society (ERAS) protocols with the care of 2 surgeons at an academic tertiary care center.
In the study, patients were randomized (1:1) to receive either traditional in-person follow-up or smartphone app-assisted follow-up.
The app group utilized a surgeon-monitored app to track Quality of Recovery 15 scores, selected adverse events, drain outputs, and surgical site photos over a six-week period. Patient satisfaction scores were assessed through validated questionnaires at two- and six weeks post-surgery, with the conventional group completing the same questionnaires.
The trial concluded with the following key takeaways:
- 1.App group had significantly higher QoR15 scores at 2 and 6 weeks.
- 2.No significant difference in patient satisfaction (PSQ-III) between groups.
- 3.A Similar number of complications and surgeon contacts per patient in both groups.
- 4.Surgeons appreciated early identification of complications with the app.
The use of healthcare–focused smartphone apps has been increasing, but app-assisted postsurgical care has yet to be fully explored. This study fills an important gap in the literature and demonstrates the potential benefits of using smartphone apps to monitor postoperative recovery.
Dr. Claire Temple-Oberle said that “The study is particularly relevant for patients undergoing breast reconstruction or gynecologic oncology surgery following ERAS protocols, but the findings may also be applicable to other types of surgery. The use of smartphone apps for postoperative follow-up has the potential to reduce costs and the number of contacts with the medical system.”
Reference:
Temple-Oberle C, Yakaback S, Webb C, Assadzadeh GE, Nelson G. Effect of Smartphone App Postoperative Home Monitoring After Oncologic Surgery on Quality of Recovery: A Randomized Clinical Trial. JAMA Surg. Published online April 12, 2023. doi:10.1001/jamasurg.2023.0616
Dr. Mahalakshmi Sivashankaran joined Medical Dialogues as an Intern in 2023. She is a BDS graduate from Manipal College of Dental Sciences, Mangalore Batch 2022, and worked as a Junior Resident at VMMC & Safdarjung Hospital at the Department of Dental Surgery till January 2023. She has completed a Diploma in Executive Healthcare management from the Loyola Institute of Business Administration, developing skills in Healthcare Management and Administration. She covers several medical specialties including Dental, ENT, Diagnostics, Pharmacology, Neurology, and Cardiology.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: editorial@medicaldialogues.in. Contact no. 011-43720751