Utility of routine postoperative visit after appendectomy and cholecystectomy with evaluation of mobile technology access in an urban safety net population
Abstract Background The value of routine postoperative visits after general surgery remains unclear. The objective of this study was to evaluate the utility of routine postoperative visits after appendectomy and cholecystectomy and to determine access to mobile technology as an alternative platform...
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Veröffentlicht in: | The Journal of surgical research 2014-08, Vol.190 (2), p.478-483 |
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creator | Chen, Diane W., BS Davis, Rachel W., BS Balentine, Courtney J., MD, MPH Scott, Aaron R., MD Gao, Yue, MD Tapia, Nicole M., MD Berger, David H., MD Suliburk, James W., MD |
description | Abstract Background The value of routine postoperative visits after general surgery remains unclear. The objective of this study was to evaluate the utility of routine postoperative visits after appendectomy and cholecystectomy and to determine access to mobile technology as an alternative platform for follow-up. Methods Retrospective review of 219 appendectomies and 200 cholecystectomies performed at a safety net hospital. One patient underwent both surgeries. Patient demographics, duration of clinic visit, and need for additional imaging, tests or readmissions were recorded. Access to mobile technology was surveyed by a validated questionnaire. Results Of 418 patients, 84% percent completed a postoperative visit. At follow-up, 58 patients (14%) required 70 interventions, including staple removal (16, 23%), suture removal (4, 6%), drain removal (8, 11%), additional follow-up (20, 28%), medication action (16, 21%), additional imaging (3, 4%), and readmission (1, 1%). Occupational paperwork (62) and nonsurgical clinic referrals (28) were also performed. Average check-in to check-out time was 100 ± 54 min per patient. One intervention was performed for every 7.8 h of time in the clinic. Additionally, 88% of the surveyed population reported access to cell phone technology, and 69% of patients |
doi_str_mv | 10.1016/j.jss.2014.04.028 |
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The objective of this study was to evaluate the utility of routine postoperative visits after appendectomy and cholecystectomy and to determine access to mobile technology as an alternative platform for follow-up. Methods Retrospective review of 219 appendectomies and 200 cholecystectomies performed at a safety net hospital. One patient underwent both surgeries. Patient demographics, duration of clinic visit, and need for additional imaging, tests or readmissions were recorded. Access to mobile technology was surveyed by a validated questionnaire. Results Of 418 patients, 84% percent completed a postoperative visit. At follow-up, 58 patients (14%) required 70 interventions, including staple removal (16, 23%), suture removal (4, 6%), drain removal (8, 11%), additional follow-up (20, 28%), medication action (16, 21%), additional imaging (3, 4%), and readmission (1, 1%). Occupational paperwork (62) and nonsurgical clinic referrals (28) were also performed. Average check-in to check-out time was 100 ± 54 min per patient. One intervention was performed for every 7.8 h of time in the clinic. Additionally, 88% of the surveyed population reported access to cell phone technology, and 69% of patients <40 y had smartphone access. Conclusions Routine in-person follow-up after surgery consumes significant time and resources for patients and healthcare systems but has little impact on patient care. Most of the work done in the clinic is administrative and could be completed using mobile technology, which is pervasive in our population.</description><identifier>ISSN: 0022-4804</identifier><identifier>EISSN: 1095-8673</identifier><identifier>DOI: 10.1016/j.jss.2014.04.028</identifier><identifier>PMID: 24880202</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Appendectomy ; Cell Phone - utilization ; Cholecystectomy ; Electronic communication ; Feasibility Studies ; Female ; Humans ; Male ; Middle Aged ; Mobile ; Mobile health ; Postoperative Care - statistics & numerical data ; Quality follow-up ; Retrospective Studies ; Safety-net Providers - statistics & numerical data ; Surgery ; Technology ; Young Adult</subject><ispartof>The Journal of surgical research, 2014-08, Vol.190 (2), p.478-483</ispartof><rights>Elsevier Inc.</rights><rights>2014 Elsevier Inc.</rights><rights>Copyright © 2014 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-f904dadf935143b92d2dc9f33087c378dba489cb019159773ae907c040db72453</citedby><cites>FETCH-LOGICAL-c478t-f904dadf935143b92d2dc9f33087c378dba489cb019159773ae907c040db72453</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022480414004284$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27903,27904,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24880202$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chen, Diane W., BS</creatorcontrib><creatorcontrib>Davis, Rachel W., BS</creatorcontrib><creatorcontrib>Balentine, Courtney J., MD, MPH</creatorcontrib><creatorcontrib>Scott, Aaron R., MD</creatorcontrib><creatorcontrib>Gao, Yue, MD</creatorcontrib><creatorcontrib>Tapia, Nicole M., MD</creatorcontrib><creatorcontrib>Berger, David H., MD</creatorcontrib><creatorcontrib>Suliburk, James W., MD</creatorcontrib><title>Utility of routine postoperative visit after appendectomy and cholecystectomy with evaluation of mobile technology access in an urban safety net population</title><title>The Journal of surgical research</title><addtitle>J Surg Res</addtitle><description>Abstract Background The value of routine postoperative visits after general surgery remains unclear. The objective of this study was to evaluate the utility of routine postoperative visits after appendectomy and cholecystectomy and to determine access to mobile technology as an alternative platform for follow-up. Methods Retrospective review of 219 appendectomies and 200 cholecystectomies performed at a safety net hospital. One patient underwent both surgeries. Patient demographics, duration of clinic visit, and need for additional imaging, tests or readmissions were recorded. Access to mobile technology was surveyed by a validated questionnaire. Results Of 418 patients, 84% percent completed a postoperative visit. At follow-up, 58 patients (14%) required 70 interventions, including staple removal (16, 23%), suture removal (4, 6%), drain removal (8, 11%), additional follow-up (20, 28%), medication action (16, 21%), additional imaging (3, 4%), and readmission (1, 1%). Occupational paperwork (62) and nonsurgical clinic referrals (28) were also performed. Average check-in to check-out time was 100 ± 54 min per patient. One intervention was performed for every 7.8 h of time in the clinic. Additionally, 88% of the surveyed population reported access to cell phone technology, and 69% of patients <40 y had smartphone access. Conclusions Routine in-person follow-up after surgery consumes significant time and resources for patients and healthcare systems but has little impact on patient care. Most of the work done in the clinic is administrative and could be completed using mobile technology, which is pervasive in our population.</description><subject>Adult</subject><subject>Appendectomy</subject><subject>Cell Phone - utilization</subject><subject>Cholecystectomy</subject><subject>Electronic communication</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Mobile</subject><subject>Mobile health</subject><subject>Postoperative Care - statistics & numerical data</subject><subject>Quality follow-up</subject><subject>Retrospective Studies</subject><subject>Safety-net Providers - statistics & numerical data</subject><subject>Surgery</subject><subject>Technology</subject><subject>Young Adult</subject><issn>0022-4804</issn><issn>1095-8673</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9ks-OUyEUxm-MxqmjD-DGsHTTevjTuRATEzNRZ5JJXOisCRfOtVQKV-B20mfxZaW2unBhQiCQ7_cB5ztd95LCigK9erNdbUtZMaBiBW0w-ahbUFDrpbzq-eNuAcDYUkgQF92zUrbQ9qrnT7sLJqQEBmzR_byvPvh6IGkkOc3VRyRTKjVNmE31eyR7X3wlZqyYiZkmjA5tTbsDMdERu0kB7aHU89mDrxuCexPmBqd4dN2lwQckTbGJKaRvDbQWSyE-Ngsy56HNxYzYHhGxttunOfymn3dPRhMKvjivl939xw9fr2-Wd58_3V6_v1ta0cu6HBUIZ9yo-JoKPijmmLNq5Bxkb3kv3WCEVHYAquha9T03qKC3IMANPRNrftm9PvlOOf2YsVS988ViCCZimoumayF6rphSTUpPUptTKRlHPWW_M_mgKehjJnqrWyb6mImGNphszKuz_Tzs0P0l_oTQBG9PAmyf3HvMuliP0aLzudVVu-T_a__uH9oGH7014TsesGzTnGOrnqa6MA36y7Epjj1BBYBgUvBfWD21lQ</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Chen, Diane W., BS</creator><creator>Davis, Rachel W., BS</creator><creator>Balentine, Courtney J., MD, MPH</creator><creator>Scott, Aaron R., MD</creator><creator>Gao, Yue, MD</creator><creator>Tapia, Nicole M., MD</creator><creator>Berger, David H., MD</creator><creator>Suliburk, James W., MD</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Utility of routine postoperative visit after appendectomy and cholecystectomy with evaluation of mobile technology access in an urban safety net population</title><author>Chen, Diane W., BS ; Davis, Rachel W., BS ; Balentine, Courtney J., MD, MPH ; Scott, Aaron R., MD ; Gao, Yue, MD ; Tapia, Nicole M., MD ; Berger, David H., MD ; Suliburk, James W., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-f904dadf935143b92d2dc9f33087c378dba489cb019159773ae907c040db72453</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Appendectomy</topic><topic>Cell Phone - utilization</topic><topic>Cholecystectomy</topic><topic>Electronic communication</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Mobile</topic><topic>Mobile health</topic><topic>Postoperative Care - statistics & numerical data</topic><topic>Quality follow-up</topic><topic>Retrospective Studies</topic><topic>Safety-net Providers - statistics & numerical data</topic><topic>Surgery</topic><topic>Technology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Diane W., BS</creatorcontrib><creatorcontrib>Davis, Rachel W., BS</creatorcontrib><creatorcontrib>Balentine, Courtney J., MD, MPH</creatorcontrib><creatorcontrib>Scott, Aaron R., MD</creatorcontrib><creatorcontrib>Gao, Yue, MD</creatorcontrib><creatorcontrib>Tapia, Nicole M., MD</creatorcontrib><creatorcontrib>Berger, David H., MD</creatorcontrib><creatorcontrib>Suliburk, James W., MD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of surgical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chen, Diane W., BS</au><au>Davis, Rachel W., BS</au><au>Balentine, Courtney J., MD, MPH</au><au>Scott, Aaron R., MD</au><au>Gao, Yue, MD</au><au>Tapia, Nicole M., MD</au><au>Berger, David H., MD</au><au>Suliburk, James W., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Utility of routine postoperative visit after appendectomy and cholecystectomy with evaluation of mobile technology access in an urban safety net population</atitle><jtitle>The Journal of surgical research</jtitle><addtitle>J Surg Res</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>190</volume><issue>2</issue><spage>478</spage><epage>483</epage><pages>478-483</pages><issn>0022-4804</issn><eissn>1095-8673</eissn><abstract>Abstract Background The value of routine postoperative visits after general surgery remains unclear. The objective of this study was to evaluate the utility of routine postoperative visits after appendectomy and cholecystectomy and to determine access to mobile technology as an alternative platform for follow-up. Methods Retrospective review of 219 appendectomies and 200 cholecystectomies performed at a safety net hospital. One patient underwent both surgeries. Patient demographics, duration of clinic visit, and need for additional imaging, tests or readmissions were recorded. Access to mobile technology was surveyed by a validated questionnaire. Results Of 418 patients, 84% percent completed a postoperative visit. At follow-up, 58 patients (14%) required 70 interventions, including staple removal (16, 23%), suture removal (4, 6%), drain removal (8, 11%), additional follow-up (20, 28%), medication action (16, 21%), additional imaging (3, 4%), and readmission (1, 1%). Occupational paperwork (62) and nonsurgical clinic referrals (28) were also performed. Average check-in to check-out time was 100 ± 54 min per patient. One intervention was performed for every 7.8 h of time in the clinic. Additionally, 88% of the surveyed population reported access to cell phone technology, and 69% of patients <40 y had smartphone access. Conclusions Routine in-person follow-up after surgery consumes significant time and resources for patients and healthcare systems but has little impact on patient care. Most of the work done in the clinic is administrative and could be completed using mobile technology, which is pervasive in our population.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24880202</pmid><doi>10.1016/j.jss.2014.04.028</doi><tpages>6</tpages></addata></record> |
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subjects | Adult Appendectomy Cell Phone - utilization Cholecystectomy Electronic communication Feasibility Studies Female Humans Male Middle Aged Mobile Mobile health Postoperative Care - statistics & numerical data Quality follow-up Retrospective Studies Safety-net Providers - statistics & numerical data Surgery Technology Young Adult |
title | Utility of routine postoperative visit after appendectomy and cholecystectomy with evaluation of mobile technology access in an urban safety net population |
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