Higgs Boson Health, Durham, NC.
Department of Neurosurgery, Duke University Medical Center, Durham, NC.
JCO Oncol Pract. 2021 Sep;17(9):e1344-e1353. doi: 10.1200/OP.20.01026. Epub 2021 Jun 7.
Contemporary breast cancer surgery often requires hospital stays of 1 day or less, presenting challenges to delivery of high-quality care. Without sufficient time for proper education and guidance, patients may delay seeking care, experience anxiety, or seek unnecessary care, leading to poorer outcomes and increased costs. To address this, we evaluated the feasibility of a planning-, outcomes-, and analytics-based mobile health application called Manage My Surgery (MMS) for patients undergoing elective breast cancer surgery.
Patients undergoing breast cancer surgery at an academic health center were invited to use MMS. Those who used the application received pre- and postoperative surveys, which recorded and reported patient satisfaction and outcomes related to the application.
Thirty-three female patients undergoing elective breast cancer surgery used MMS. The median age was 58 years. Nineteen patients underwent lumpectomy, and 14 underwent mastectomy. Users logged on to the application an average of 3.5 times. The median number of questions viewed was 12 (range 2-35). Of 17 patients who completed the feedback survey, 100% said that MMS was helpful during preparation for surgery, 82.3% said that MMS was helpful postoperatively, and 94.1% would recommend MMS to others. Preliminary data on patient-reported outcomes collected by MMS suggest improvements in anxiety and depression over time.
Implementation of a digital care navigation tool in breast cancer surgery patients is feasible. Patients found the tool helpful in both the pre- and postoperative period. Additional ongoing work will focus on patients' self-management skills, long-term outcomes, and health system costs.
当代乳腺癌手术通常需要 1 天或更短的住院时间，这给提供高质量护理带来了挑战。由于没有足够的时间进行适当的教育和指导，患者可能会延迟寻求护理，感到焦虑，或寻求不必要的护理，从而导致更差的结果和更高的成本。为了解决这个问题，我们评估了一种名为 Manage My Surgery（MMS）的基于规划、结果和分析的移动健康应用程序在接受择期乳腺癌手术的患者中的可行性。
在学术医疗中心接受乳腺癌手术的患者被邀请使用 MMS。使用该应用程序的患者接受了术前和术后调查，记录和报告了与应用程序相关的患者满意度和结果。
33 名接受择期乳腺癌手术的女性患者使用了 MMS。中位年龄为 58 岁。19 名患者接受了保乳手术，14 名患者接受了乳房切除术。用户平均登录应用程序 3.5 次。查看问题的中位数为 12 个（范围 2-35）。在完成反馈调查的 17 名患者中，有 100%的患者表示 MMS 在手术准备期间有帮助，82.3%的患者表示 MMS 在手术后有帮助，94.1%的患者会向他人推荐 MMS。MMS 收集的患者报告结果的初步数据表明，焦虑和抑郁随时间有所改善。
在乳腺癌手术患者中实施数字护理导航工具是可行的。患者发现该工具在术前和术后都很有帮助。正在进行的进一步工作将侧重于患者的自我管理技能、长期结果和卫生系统成本。
