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Patients are receiving detailed packet from department and do not feel they need to go online for additional support.
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The study of readmission is in its infancy in the surgical world, and there are no prospective studies, to the investigators' knowledge, evaluating the efficacy of interventions on preventing readmission following pancreatectomy. Undoubtedly, patients and their caregivers will play a key role in any useful intervention to reduce readmission. Therefore, the investigators' approach is to target perioperative education and engagement of patients and their caregivers in the postoperative recovery of pancreatectomy patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1: SAFECARE at Home | Experimental |
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| Arm 2: Standard of Care | No Intervention | -All patients will receive standard pre- and post-operative instructions and care. This will include verbal education about the procedure by the surgeon as well as standard educational patient handouts, which are routinely provided preoperatively to pancreatectomy patients. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SAFECARE at Home customized lessons | Other |
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| Measure | Description | Time Frame |
|---|---|---|
| Efficacy of the SAFECARE at Home program as measured by readmission rate | -The investigators hypothesize that the SAFECARE at HOME program intervention will reduce readmission by half (i.e. from 22% to 11%). The investigators will include a total of 225 evaluable patients in the study, randomized in a 2:1 ratio (i.e. 2 patients in the SAFECARE arm for every 1 patient in the standard of care arm). The designed sample size will allow 80% at a 1-sided alpha=0.1 to detect a 50% decrease in 30-day readmission. | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Effect of the SAFECARE at Home program as measured by the number of follow-up visits | -Follow-up visits include emergency room visits, urgent care visits, unscheduled surgeon office visits, and office calls. | Through 30 day post-discharge |
| Comparison of quality of life between SAFECARE at Home patients and patients who received standard post-operative care and education as measured by SF-36 |
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Inclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ryan C Fields, M.D. | Washington University School of Medicine | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Washington University School of Medicine | St Louis | Missouri | 63110 | United States |
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| Label | URL |
|---|---|
| Alvin J. Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine | View source |
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-The quality of life as measured by SF-36 (overall and sub-scales) will be summarized using descriptive statistics for each arm and compared by two-way ANOVA for repeated measurement data. The Short Form (36) Health Survey (SF-36) is a 36-item, patient-reported survey of patient health. -The SF-36 consists of eight scaled scores, which are the weighted sums of the questions in their section. Each scale is directly transformed into a 0-100 scale on the assumption that each question carries equal weight. The lower the score the more disability. The higher the score the less disability. |
| Up to 6 months post-discharge |