A Mobile Application to Improve Postoperative Outcomes in Colorectal Cancer

An Electronic Remote Application to Improve the Postoperative Outcomes in Colorectal Cancer Patients: Single-center, Interventional Study

The unplanned readmission rate after colorectal cancer surgery is still high, despite the implementation of enhanced recovery programs. The use of a mobile-based application for perioperative remote monitoring may improve the postoperative outcomes and reduce the unplanned postoperative readmissions.

Despite the implementation of enhanced recovery programs, the rate of unplanned readmissions remains high after colorectal cancer surgery. These readmissions are often preventable with a better postoperative management. Increasing studies have demonstrated the feasibility and efficacy of perioperative remote monitoring mobile applications in improving the postoperative outcomes but are often limited to one restricted outcome. This project aims to evaluate the effect of the Care 4 Today® (Johnson & Johnson) perioperative mobile app on the postoperative outcomes of colorectal cancer patients, with a focus on unplanned readmissions.

Inclusion Criteria:

• Patients aged more than 18 years old.
• Patients scheduled for elective curative colorectal resection, including right (or extended) colectomy, left colectomy, rectal resection (with or without ileostomy), total colectomy, recanalization, or multiple colon resection.
• Patients willing to comply with the study procedures.
• Proficient understanding of the Italian language

Exclusion Criteria:

• Any condition that, in the opinion of the investigator, may interfere with the study procedures.
• Patients scheduled for palliative surgery.
• Patients with a planned elective intervention requiring urgent or emergent surgery will be withdrawn from the study.
• Pregnant or breastfeeding women.
• Inability to comply with the study procedures.