No registrations found.
ID
Source
Brief title
Health condition
peri-operative care (perioperatieve zorg), eHealth, colonresection (colonresectie), hysterectomy (hysterectomie)
Sponsors and support
EMGO+ Institute
Intervention
Outcome measures
Primary outcome
- Return-to-normal activities (RNA)
Secondary outcome
- Quality-of-life
- Return to work
- Length of recovery
- Empowerment
- Pain intensity
Background summary
In the last decade the number of surgeries increased with 30% in the Netherlands. The increase of surgeries leads to rising hospital care costs. To reduce costs, in-hospital perioperative care is increasingly reduced due to one day hospitalisations and transferred to primary care. Guidance & monitoring on recovery and resumption of (work)activities are mostly not provided in secondary and primary care. Studies showed that due to the poor quality of usual perioperative care, return-to-normal-activities/work after surgery is hampered, leading to high productivity loss costs. We hypothesize that considerable health efficiency gains can be achieved by the substitution and optimization of usual perioperative care by means of e-health and ICT. In this trial we will study the (cost)effectiveness of a transmural, perioperative care program for patients undergoing abdominal surgery.
Study objective
Considerable health efficiency gains can be achieved by the substitution and optimization of usual perioperative care by means of e-health and ICT.
Study design
1. Baseline;
2. 2 weeks;
3. 4 weeks
4. 6 weeks;
5. 3 months;
6. 6 months;
7. 9. months
8. 12 months
Intervention
Multidisciplinary perioperative care program including an interactive webportal. It aims to improve recovery and reduce costs by:
-SELFMANAGEMENT & EMPOWERMENT of patients during the perioperative period by supporting them with personalized pre- and postoperative recommendations to return to normal (work) activities. These recommendations are tailor made:
they are based on patient’s own input of normal preoperative activities and the surgical technique applied (using algoritms).
-MONITORING OF POSTOPERATIVE CARE: With the webportal the patient as well as all involved physicians can monitor patient’s recovery (bench mark information) and thus identify recovery problems.
-E-CONSULTATION is offered to patients to ask questions in case of recovery problems or to substitute standard postoperative consultation in outpatient clinics
Chantal M. den Bakker
Amsterdam 1081 BT
The Netherlands
0204445703
c.denbakker@vumc.nl
Chantal M. den Bakker
Amsterdam 1081 BT
The Netherlands
0204445703
c.denbakker@vumc.nl
Inclusion criteria
- Colonresection (left hemicolectomy, right hemicolectomy, extended version, transversumresection, sigmoidresection, segmentectomy, hartmann procedure)
- Hysterectomy (total laparoscopic hysterectomy or abdominal uterus extirpation)
- 18 - 75 years
Exclusion criteria
In general:
- Concomitant health problems affecting daily activities
- Combination of surgery with other surgical procedures
- Severe comorbidity which might complicate the postoperative course
- Patient who are unable to understand the information belonging the research
- Insufficient understanding or ability to fill in (Dutch) questionnaires
Colonresection group:
- Surgery without a curative intention
- Neoadjuvant treatment
- Colectomy because of crohn’s disease or ulcerative colitis
Hysterectomy group:
- Deep infiltrating endometriosis
- Malignancies
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL5565 |
| NTR-old | NTR5686 |
| Other | ZonMW : 837002409 |