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This is a non-inferiority randomized controlled trial aimed to compare the effectiveness and feasibility of performing the ward round using a telepresence robot vs. a face-to-face ward round to discharge patients after bariatric surgery.
This study is aimed to analyze the effectiveness and feasibility of performing the ward round using a telepresence robot (PadBot U, Inbot Technology Ltd, China), compared to the face-to-face ward round, for hospital discharge after bariatric surgery. Patients who underwent either laparoscopic Roux-en-Y gastric bypass or laparoscopic sleeve gastrectomy will be randomized to one of two groups: intervention group - who will be evaluated and discharged, on postoperative day (POD) 2, during ward rounds with the assistant team present, but the telepresent surgeon via robot; and control group - who will be evaluated and discharged, on POD 2, during ward rounds with the whole team physically present.
The study main hypothesis is that the ward rounds with the surgeon telepresent by a robot are not inferior to the face to face ward rounds, to evaluate and discharge patients after bariatric surgery.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telepresence round | Experimental | Patients will be seen during ward rounds by the multidisciplinary team physically present, but with the surgeon remotely present via a telepresence robot. |
|
| conventional round | Active Comparator | Patients will be seen during ward rounds by the whole multidisciplinary team physically present, including the surgeon. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| telepresence discharge | Procedure | Patients will be seen during ward rounds by the multidisciplinary team physically present, but with the surgeon remotely present via a telepresence robot. |
| Measure | Description | Time Frame |
|---|---|---|
| Hospital discharges by robotic or face-to-face rounds | number of patients discharged on postoperative day 2 by robotic or face-to-face ward rounds | 2 days |
| Measure | Description | Time Frame |
|---|---|---|
| contact with team | number of phone calls to the assistant team after discharge and before first visit at the clinic | 2 weeks |
| complications, reoperations, readmissions | rates of early complications, reoperations, readmissions |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Guilherme S Mazzini, MD, PhD | Contact | +55(51)982364873 | guimazzini@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Guilherme S Mazzini, MD, PhD | Hospital de Clinicas de Porto Alegre | Principal Investigator |
| Cacio Wietzycoski, MD | Hospital Unimed Vale do Caí | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Unimed Vale do Caí | Recruiting | Montenegro | Rio Grande do Sul | Brazil |
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| ID | Term |
|---|---|
| D009767 | Obesity, Morbid |
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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non-inferiority randomized controlled trial
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| Conventional discharge | Other | Patients will be seen during ward rounds by the whole multidisciplinary team physically present, including the surgeon. |
|
| up to 30 days after surgery |
| Patients' and team's impressions | compare a validated questionnaire design to access patients' and team's impressions. There are 13 questions with answers valued from 1 to 5. The higher the score, the better the impression. The scores from the two groups are going to be compared in order to determine if patients' and team's impressions are similar with either robotic or face-to-face rounds. | 2 days |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |