Web-based Visit for Colorectal Surgery

Study Overview
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Brief Summary
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The purpose of this study to evaluate how well an online format would work for the first post-operative visit after a patient undergoes colon and rectal surgery. This online format is integrated into Epic MyChart. This study aims to determine whether the online format is feasible and acceptable to patients and surgeons as a standard post-operative visit.

Detailed Description
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Participants were asked to complete a post-operative survey using an online patient portal, EPIC MyChart, after elective abdominal colon or rectal resection. Participants were also asked to do upload a picture of their incisions. Colorectal surgeons reviewed responses/pictures and communicated concerns/recommendations via the same patient portal. At the in-person follow-up visit, both patients and colorectal surgeons completed a satisfaction survey regarding the both visit types.

Official Title
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Feasibility of Online Visit Format for Post-Operative Visit After Colon and Rectal Surgery

Conditions
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Colorectal Surgery

Intervention / Treatment
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* Other: Use of an online questionnaire as follow-up after abdominal colorectal surgery


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age 18 or older Planned/underwent surgery that was performed by a surgeon in the Division of Colon and Rectal Surgery Requires a post-operative follow-up outpatient visit 2-3 weeks from surgery or from discharge from hospital Has access to a smart mobile phone, tablet or computer to access online web interface for the web-based visit Patients with an Epic MyChart account set up. Has ability to take photographs of surgical incision or has access to someone who can take a picture for them. Exclusion Criteria: Requires visiting nurse services at discharge from hospital Cannot use web-based interface or unable to complete questions online Cannot read English, speak English, or would require interpreter services. The reason for excluding these patients is there are not yet MyChart services available in non-English languages at Umass Memorial. It would not be fiscally possible to acquire these for a pilot feasibility study. As the MyChart experience is meant to be completed at home, it would not be possible to provider a medical interpreter in a non-office or hospital setting. Adults unable to consent (adults lacking capacity) Individuals who are not yet adults (infants, children, teenagers) Prisoners Pregnant women Patients undergoing anal surgery

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Use of an online questionnaire as follow-up after abdominal colorectal surgery|Patients were asked to complete a questionnaire via the institutional patient portal. Participants were also asked to upload a photo of their respective incisions. Participants then had an in-person follow-up visit.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient satisfaction with questionnaire | After the in-person follow-up visit, patients were asked to complete a satisfaction questionnaire of the online visit survey | 2 weeks | 
| Provider satisfaction with questionnaire | After the in-person follow-up visit, colorectal surgeons were asked to complete a satisfaction survey | 2 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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online visit, web visit, patient portal, colorectal surgery