Article ; Online: Digital Follow-Up After Elective Laparoscopic Cholecystectomy: A Feasibility Study.
2022 Volume 46, Issue 11, Page(s) 2648–2658
Abstract: 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- ...
| Abstract | 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. |
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| MeSH term(s) | Cholecystectomy, Laparoscopic/adverse effects ; Feasibility Studies ; Humans ; Patient Discharge ; Patient Satisfaction ; Telephone | |||||
| Language | English | |||||
| Publishing date | 2022-08-11 | |||||
| Publishing country | United States | |||||
| Document type | Journal Article ; Research Support, Non-U.S. Gov't | |||||
| ZDB-ID | 224043-9 | |||||
| ISSN | 1432-2323 ; 0364-2313 | |||||
| ISSN (online) | 1432-2323 | |||||
| ISSN | 0364-2313 | |||||
| DOI | 10.1007/s00268-022-06684-w | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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