Optimization of the Surgical Care Pathway for Kidney Tumors by Digitizing Perioperative Nursing Coordination
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 1,307
- 试验地点
- 11
- 主要终点
- Number of unscheduled and uncoordinated care utilizations
研究概览
简要总结
The project proposes to evaluate the interest of the UroConnect remote monitoring Medical Device (DM) to optimize patient support and nursing coordination
详细描述
Kidney cancer represents 2 to 3% of solid cancers in adults. Worldwide, an estimated 431,288 people a year are diagnosed with kidney cancer. Each year, in France, 13,500 patients undergo total or partial nephrectomy. The development of minimally invasive surgical techniques and the structuring of innovative care pathways for the management of renal tumors in Enhanced Rehabilitation After Surgery (RAAC) and even on an outpatient basis have led to a significant reduction in the length of stays. The physiognomy of the course of care for patients operated on for a renal tumor is completely modified and generates for the patient a feeling of deterioration in the quality of care and disruption of medical follow-up.
The objective is to deploy a model for coordinating the perioperative care pathway of patients who have undergone nephrectomy for renal tumor in several French centers in order to assess the impact for patients, caregivers and the health system.
This coordination would lead to the formalization of a nurse coordinator job profile adapted to the specificities of oncological surgery and the tools necessary for its implementation. The UroConnect device has a "patient" interface for presenting self-questionnaires and access to a library of educational content and a "caregiver" interface to rationalize and optimize the nurse's activity of perioperative coordination in his task.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Sequential
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Planned surgical management by total or partial nephrectomy for kidney tumor,
- •Affiliation or beneficiary of the French social security
- •Expressed consent for integration of the UroCCR cohort,
- •Expressed consent to participate in the DiPRU study.
排除标准
- •Difficulties understanding and expressing oneself in French
- •Participant under guardianship or curatorship
- •Pregnancy at the time of surgery
- •No internet access
结局指标
主要结局
Number of unscheduled and uncoordinated care utilizations
时间窗: 30 post-operative days
In the 30 post-operative days, number of unscheduled and uncoordinated care utilizations (emergency visits, re-hospitalizations in urology, general medicine or urology consultations) corresponding to the difference between the use of care identified in the National health data system (SNDS) and scheduled and coordinated care, identified in the patient file of the initial hospitalization for scheduled care and by the coordinating nurse for coordinated care.
次要结局
- Hospitalised patient satisfaction and experience evaluation(Day-30 post-op)
- Qualitative analysis of the obstacles and levers to appropriation of UroConnect(Month 24)
- Nursing coordination activity linked to UroConnect(Month 24)
- Patient anxiety evaluation(Day-1)
- Differential real cost for the Hospital(Month 24)
- Average length of stay(Day 30)
- UroConnect usage(Month 24)
- Differential cost-consequence ratio(Day 30)
- Nature and reasons for seeking care(Day 30)