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Background: Telemedicine is increasingly used to overcome distance between patients and physicians. Preliminary studies suggest that mobile app follow-up care for ACL reconstruction patients is feasible, can avert in-person follow-up care, and is cost-effective.
Objective: To avert in-person follow-up through the use of a mobile app in the first six weeks after surgery.
Methods: This will be a single-center, prospective randomized controlled trial
Results: Data to be analyzed from 72 patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| mobile app | Active Comparator |
| |
| in-person | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| mobile app | Device | The mobile app follow-up group will have no planned in-person follow-up, however these visits will be replaced with surgical site examination via submitted photos, Visual Analogue Scale (VAS), and Quality of Recovery - 9 questionnaire (QoR-9) and limb specific recovery monitoring. All information is submitted with the mobile app (QoC Health Inc, Toronto). |
| Measure | Description | Time Frame |
|---|---|---|
| Required physician visits | Total number of physician visits (including specialist, family physician, and ER) related to surgery | 6 weeks post surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Health care phone calls | Total number of health care telephone calls and emails (including specialist, family physician and ER) | 6 weeks post surgery |
| Measure | Description | Time Frame |
|---|---|---|
| Cost of treatment | cost of treatment related to surgery (i.e. rehabilitation, assistive devices) | through study completion (approximately one year) |
| Patient satisfaction with post-operative care | patient satisfaction as recorded in the questionnaires (VAS) at 6 weeks post surgery |
Inclusion Criteria:
Exclusion Criteria:
Patients who are smokers, as they carry increased rates of complications.
Patients must not:
Suffer from chronic pain
Be taking narcotic (morphine-like) medication for pain on a regular basis, and
Have an allergy to local anesthetics or morphine-like medications
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Women's College Hospital | Recruiting | Toronto | Ontario | M5S1B1 | Canada |
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| ID | Term |
|---|---|
| D022125 | Lacerations |
| ID | Term |
|---|---|
| D014947 | Wounds and Injuries |
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|
| conventional in-person | Other | Patients in the conventional follow-up group will have a planned clinic follow-up at 2 and 6 weeks post-operatively, which is the schedule currently used by our surgeons. At these scheduled follow-up visits, patients will be asked to complete the VAS to assess pain and the QoR-9 in addition to recovery questions about their operated extremity. |
|
| 6 weeks post surgery |
| Patient satisfaction with post-operative care | patient satisfaction as recorded in the questionnaires (QoR-9) at 6 weeks | 6 weeks post surgery |