A qualitative analysis of caregiver burden during the recovery process in ambulatory cancer surgery

Stabile, Cara; McCready, Taylor; Ancker, Jessica S.; Pusic, Andrea L.; Temple, Larissa K.; Simon, Brett A.; Ashby, Christina; Carter, Jeanne

doi:10.1007/s00520-022-06991-x

Cited by 9 publications

(7 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results were corroborated by a subset of caregivers interviewed for the ACCESS trial who felt the Recovery Tracker provided an additional contact of support for their patient. 20 Past studies looking at the feasibility of implementing remote monitoring tools have found high response rates and usability. In a prospective, single-arm pilot study, Cowan et al examined the practicality of collecting PROs for 6 weeks after gynecologic surgery.…”

Section: Resultsmentioning

confidence: 99%

“…Responses above thresholds by symptom and length of time postsurgery generate yellow or red alerts to the clinical team. 20 For intermediate-level symptoms, a yellow alert is sent to the medical team for assessment. For high-risk symptoms, a red alert is sent to the medical team and an electronic pop-up to patients instructing them to contact their doctor.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

A Remote Symptom Monitoring Tool As Part of Ambulatory Cancer Surgery Recovery: A Qualitative Analysis of Patient Experience

McCready

Stabile

Vickers

et al. 2023

JCO Oncology Practice

Self Cite

View full text Add to dashboard Cite

PURPOSE Patients recovering from ambulatory cancer surgery at home may find it difficult to determine whether their postoperative symptoms are normal or potentially serious. We developed the Recovery Tracker to help patients navigate such issues. The Recovery Tracker is a 10-day, web-based electronic survey that monitors symptoms daily and provides feedback as to whether reported symptoms are expected or require follow-up. We sought to examine patient perceptions using this tool. METHODS Semistructured interviews were conducted from August 2017 to September 2019 with a convenience sample of patients from a larger randomized controlled trial of the Recovery Tracker. Patients undergoing surgery at an ambulatory cancer center dedicated to the surgical treatment of breast, gynecologic, urologic, head, and neck cancers and benign tumors were included. Thematic analysis was applied to derive key themes and codes via NVivo qualitative analysis software. Recruitment was conducted iteratively until thematic saturation. RESULTS Forty-three patients were interviewed. Interview responses were organized into five main themes: (1) The Recovery Tracker led to more seamless communication with the care team; (2) symptoms not expected or not listed on the Recovery Tracker caused stress; (3) the Recovery Tracker was perceived as an extension of care, prompting reflection about symptoms and recovery; (4) Enhanced Feedback provided reassurance and helped set expectations; and (5) the Recovery Tracker was easy to use. CONCLUSION The patient experience of electronic symptom monitoring and feedback is congruent with the aims of such monitoring and feedback. Further qualitative research is required in more diverse populations.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

A Remote Symptom Monitoring Tool As Part of Ambulatory Cancer Surgery Recovery: A Qualitative Analysis of Patient Experience

McCready

Stabile

Vickers

et al. 2023

JCO Oncology Practice

Self Cite

View full text Add to dashboard Cite

show abstract

“…Even as COVID-19 restrictions ease, it is beneficial for caregivers to be identified prior to surgery and be included during pre-operative and post-operative visits and the discharge counseling process either by phone, video, or in-person, whenever possible. This can help caregivers anticipate and manage the post-surgical recovery course, thereby reducing caregiver stress [19] .…”

Section: Discussionmentioning

confidence: 99%

Patient and caregiver perspectives of fluid discharge protocols following pituitary surgery

Chang,

Amano,

Brown-Johnson

et al. 2024

Journal of Clinical & Translational Endocrinology

View full text Add to dashboard Cite

“…Early discharge put strength not only on the patient, but also on caregivers. Explicit information and ‘teaching’ around the expected recovery course and how deviations should be handled is of great importance [57 ▪ ,58 ▪ ]. Mobile apps and artificial intelligence have become increasingly used in healthcare.…”

Section: Logisticsmentioning

confidence: 99%

Ambulatory anesthesia and discharge: an update around guidelines and trends

Rohi

Olofsson

Jakobsson

2022

Current Opinion in Anaesthesiology

View full text Add to dashboard Cite

Purpose of reviewProvide an oversight of recent changes in same-day discharge (SDD) of patient following surgery/anesthesia.Recent findingsEnhanced recovery after surgery pathways in combination with less invasive surgical techniques have dramatically changed perioperative care. Preparing and optimizing patients preoperatively, minimizing surgical trauma, using fast-acting anesthetics as well as multimodal opioid-sparing analgesia regime and liberal prophylaxis against postoperative nausea and vomiting are basic cornerstones. The scope being to maintain physiology and minimize the impact on homeostasis and subsequently hasten and improve recovery.SummaryThe increasing adoption of enhanced protocols, including the entire perioperative care bundle, in combination with increased use of minimally invasive surgical techniques have shortened hospital stay. More intermediate procedures are today transferred to ambulatory pathways; SDD or overnight stay only. The traditional scores for assessing discharge eligibility are however still valid. Stable vital signs, awake and oriented, able to ambulate with acceptable pain, and postoperative nausea and vomiting are always needed. Drinking and voiding must be acknowledged but mandatory. Escort and someone at home the first night following surgery are strongly recommended. Explicit information around postoperative care and how to contact healthcare in case of need, as well as a follow-up call day after surgery, are likewise of importance. Mobile apps and remote monitoring are techniques increasingly used to improve postoperative follow-up.

show abstract

A qualitative analysis of caregiver burden during the recovery process in ambulatory cancer surgery

Cited by 9 publications

References 31 publications

A Remote Symptom Monitoring Tool As Part of Ambulatory Cancer Surgery Recovery: A Qualitative Analysis of Patient Experience

A Remote Symptom Monitoring Tool As Part of Ambulatory Cancer Surgery Recovery: A Qualitative Analysis of Patient Experience

Patient and caregiver perspectives of fluid discharge protocols following pituitary surgery

Ambulatory anesthesia and discharge: an update around guidelines and trends

Contact Info

Product

Resources

About