Web-based Visit for Colorectal Surgery

Colorectal Surgery Clinical Trial

— Web-visit  

Official title:

Feasibility of Online Visit Format for Post-Operative Visit After Colon and Rectal Surgery

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05084131
• Other study ID #: H00017264
• Status: Completed
• Start date: May 14, 2019
• Est. completion date: April 15, 2021

Study information

• Verified date: October 2021
• Source: University of Massachusetts, Worcester
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The purpose of this study to evaluate how well an online format would work for the first post-operative visit after a patient undergoes colon and rectal surgery. This online format is integrated into Epic MyChart. This study aims to determine whether the online format is feasible and acceptable to patients and surgeons as a standard post-operative visit.

Description:

Participants were asked to complete a post-operative survey using an online patient portal, EPIC MyChart, after elective abdominal colon or rectal resection. Participants were also asked to do upload a picture of their incisions. Colorectal surgeons reviewed responses/pictures and communicated concerns/recommendations via the same patient portal. At the in-person follow-up visit, both patients and colorectal surgeons completed a satisfaction survey regarding the both visit types.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 33
• Est. completion date: April 15, 2021
• Est. primary completion date: February 15, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

1. Age 18 or older

2. Planned/underwent surgery that was performed by a surgeon in the Division of Colon and Rectal Surgery

3. Requires a post-operative follow-up outpatient visit 2-3 weeks from surgery or from discharge from hospital

4. Has access to a smart mobile phone, tablet or computer to access online web interface for the web-based visit

5. Patients with an Epic MyChart account set up.

6. Has ability to take photographs of surgical incision or has access to someone who can take a picture for them.

Exclusion Criteria:

1. Requires visiting nurse services at discharge from hospital

2. Cannot use web-based interface or unable to complete questions online

3. Cannot read English, speak English, or would require interpreter services. The reason for excluding these patients is there are not yet MyChart services available in non-English languages at Umass Memorial. It would not be fiscally possible to acquire these for a pilot feasibility study. As the MyChart experience is meant to be completed at home, it would not be possible to provider a medical interpreter in a non-office or hospital setting.

4. Adults unable to consent (adults lacking capacity)

5. Individuals who are not yet adults (infants, children, teenagers)

6. Prisoners

7. Pregnant women

8. Patients undergoing anal surgery

Related Conditions & MeSH terms

• Colorectal Surgery

Intervention

Other:
• Use of an online questionnaire as follow-up after abdominal colorectal surgery
Patients were asked to complete a questionnaire via the institutional patient portal. Participants were also asked to upload a photo of their respective incisions. Participants then had an in-person follow-up visit.

Locations

Country	Name	City	State
United States	UMASS Memorial Medical Center	Worcester	Massachusetts

Sponsors (1)

Lead Sponsor	Collaborator
University of Massachusetts, Worcester

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Patient satisfaction with questionnaire	After the in-person follow-up visit, patients were asked to complete a satisfaction questionnaire of the online visit survey	2 weeks
Primary	Provider satisfaction with questionnaire	After the in-person follow-up visit, colorectal surgeons were asked to complete a satisfaction survey	2 weeks