Thoracic Clinical Trial
Official title:
Improving Thoracic Surgical Care Using Electronic Patient-Reported Outcomes (ePROS)
This is a single-site, non-randomized study on the outcomes of remote real-time "ePRO monitoring" in thoracic surgery patients. ePRO monitoring is a health information technology intervention comprised of delivering longitudinal electronic patient-reported outcome (ePRO) surveys (e.g., on symptoms, and physical functioning) coupled with automated provider alerts for concerning survey responses.
Status | Recruiting |
Enrollment | 200 |
Est. completion date | December 2026 |
Est. primary completion date | May 15, 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 99 Years |
Eligibility | Inclusion Criteria: Patients participating in ePRO monitoring must meet the following inclusion criteria to participate in this study: 1. 18 years or older 2. English or Spanish speaking 3. Able to complete a web-based, telephonic (IVR), or CRA (or other IRB-approved research team member)-administrated symptom survey 4. Planned to undergo major thoracic surgery (involving chest wall incisions and overnight admission) or been discharged from thoracic surgery within the last 30 days from or by thoracic surgery service. Exclusion Criteria: All patients meeting any of the following exclusion criteria at enrollment will be excluded from study participation: 1. Not completing planned surgery within 3 months of obtaining informed consent 2. Inability to understand English or Spanish 3. Having undergone only minor thoracic surgery (e.g. bronchoscopy, cervical mediastinoscopy) 4. Dementia, altered mental status, or any psychiatric condition determined by the thoracic surgery provider team that would prohibit the understanding or rendering of informed consent. 5. Current incarceration 6. Pregnancy |
Country | Name | City | State |
---|---|---|---|
United States | Lineberger Comprehensive Cancer Center at University of North Carolina, Chapel Hill | Chapel Hill | North Carolina |
Lead Sponsor | Collaborator |
---|---|
UNC Lineberger Comprehensive Cancer Center | National Heart, Lung, and Blood Institute (NHLBI) |
United States,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Reach of ePRO monitoring | Percentage of eligible thoracic surgery patients enrolling in ePRO monitoring. | Months 4 through 6 after implementation of the study | |
Primary | Adoption of ePRO monitoring | Percentage of ePRO monitoring alerts sent that result in clinical action by providers within 1 week of delivery | Months 4 through 6 after implementation of the study | |
Secondary | Complication Rate | Percentage of participants with severe complications (Clavien-Dindo grade >=3) | Baseline through 30 days post-discharge | |
Secondary | Emergency department visit at 30 days | Percentage of participants with an emergency department visit | Baseline through 30 days post-discharge | |
Secondary | Emergency department visit at 90 days | Percentage of participants with an emergency department visit | Baseline through 90 days post-discharge | |
Secondary | Readmission at 30 days | Percentage participants readmitted to a hospital | Baseline through 30 days post-discharge | |
Secondary | Readmission at 90 days | Percentage participants readmitted to a hospital | Baseline through 90 days post-discharge | |
Secondary | Mortality at 30 days | Percentage participants who died | Baseline through 30 days | |
Secondary | Mortality at 90 days | Percentage participants who died | Baseline through 90 days |
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