Application-based Perioperative Management of the Radical Cystectomy Patient

Study Overview
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Brief Summary
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The purpose of this study is to learn whether it is feasible to use the LifeScience Technologies application (LST app) in patients undergoing radical cystectomy with the eventual goal to reduce complications and readmissions to the hospital after surgery.

Official Title
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Application-based Perioperative Management of the Radical Cystectomy Patient

Conditions
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Bladder Cancer

Intervention / Treatment
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* Other: LifeScience Technologies application


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of recurrent Non-muscle invasive bladder cancer (NMIBC) or Muscle-invasive Bladder Cancer (MIBC) and are candidates for radical cystectomy Subjects must have an internet connection and be able and willing to use an applicable device. If patients do not have an applicable device, they must be willing to borrow an iPad from the study team (to be returned at the conclusion of the study). Exclusion Criteria: No internet access

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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Design Details

Primary Purpose: Prevention
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: LST App<br>Participants will use the LifeScience Technologies application (LST app) before surgery, and post surgery. Participants will use the app as an educational tool to learn more about their surgery. Participants will also answer questions about themselves in the app. | Other: LifeScience Technologies application<br>* Application for mobile devices. The app enables users to review educational videos about a surgery and recovery from a surgery from home. It also enables the user to track different metrics specific to the user's health.<br>* Other names: LST app;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Compliance using LST app at home | The LST app logs user activity. The study team will track user compliance with completing forms and questions within the application. | 90 Days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient-generated subjective global assessment (PG-SGA) | Test the PG-SGA using the LST app to see if it is feasible in practice at identifying patients at increased risk of malnutrition. | Baseline | 
| Edmonton Frail Scale (EFS) | Test the EFS using the LST app to see if it is feasible in practice at identifying frail patients. | Baseline | 
| Physician Office/Clinician and Group Consumer Assessment of Healthcare Providers and Systems (CG-CAHPS) Survey Research (HealthStream™) | Measure of how well the patient understood the various tests and procedures that were discussed with them before and after surgery. | Change from Baseline to Day 90 | 
| Count of readmissions | Count of the number of readmissions to the hospital. | Day 90 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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surgery education, radical cystectomy, cystectomy, muscle-invasive bladder cancer