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Substitution of usual perioperative care by e-health & ICT in major abdominal surgery


- candidate number23730
- NTR NumberNTR5686
- ISRCTNISRCTN no longer applicable
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR4-feb-2016
- Secondary IDs837002409  ZonMW
- Public TitleSubstitution of usual perioperative care by e-health & ICT in major abdominal surgery
- Scientific TitleSUBSTITUTION OF USUAL PERIOPERATIVE CARE IN MAJOR ABDOMINAL SURGERY BY E-HEALTH & ICT; a cost-effectiveness analysis
- ACRONYMIk Herstel 3.0 (second phase)
- hypothesisConsiderable health efficiency gains can be achieved by the substitution and optimization of usual perioperative care by means of e-health and ICT.
- Healt Condition(s) or Problem(s) studiedPerioperative care, Colorectal surgery, Hysterectomy, E-health
- 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 criteriaIn 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 crohnís disease or ulcerative colitis

Hysterectomy group:
- Deep infiltrating endometriosis
- Malignancies
- mec approval receivedyes
- multicenter trialyes
- randomisedyes
- masking/blindingNone
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-feb-2016
- planned closingdate31-dec-2017
- Target number of participants0
- InterventionsMultidisciplinary 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 patientís 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 patientís 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
- Primary outcome- Return-to-normal activities (RNA)
- Secondary outcome- Quality-of-life
- Return to work
- Length of recovery
- Empowerment
- Pain intensity
- Timepoints1. Baseline; 2. 2 weeks;
3. 4 weeks
4. 6 weeks;
5. 3 months;
6. 6 months;
7. 9. months
8. 12 months
- Trial web sitewww.ikherstel.nl
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIES Chantal M. den Bakker
- CONTACT for SCIENTIFIC QUERIESDr. Han J.R. Anema
- Sponsor/Initiator VU University Medical Center, EMGO Institute
- Funding
(Source(s) of Monetary or Material Support)
ZON-MW, The Netherlands Organization for Health Research and Development
- PublicationsN/A
- Brief summaryIn 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.
- Main changes (audit trail)
- RECORD4-feb-2016 - 4-apr-2016


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