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Follow-Up Phone Calls After Colorectal Surgery

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ClinicalTrials.gov Identifier: NCT00474097
Recruitment Status : Completed
First Posted : May 16, 2007
Last Update Posted : December 15, 2014
Sponsor:
Information provided by (Responsible Party):
Conor Delaney, MD, PhD, University Hospitals Cleveland Medical Center

Brief Summary:
The purpose of this study is to assess if follow-up telephone calls after colorectal surgery affects a patient's satisfaction, the outcome of their surgery, and their quality of life. In addition, readmissions, complications and emergency room visits can be tracked via these telephone calls, ensuring optimal communication between patients and the surgical office.

Condition or disease
Colorectal Surgery Colorectal Neoplasms Colitis, Ulcerative Diverticulitis Colonic Polyps

Detailed Description:

Follow-up with patients after surgery is necessary to assess levels of rehabilitation, answer questions and expresses an attitude of caring, as well as assist in marketing procedures for the hospital or institution (Fallis, 2001). Surveillance after discharge from the hospital may be difficult as most patients are no longer monitored by health care professionals. If home health care is not required, the patient may not have contact with his/her doctor or nurse until the follow-up appointment which frequently is 4- 6 weeks post surgery.

There is evidence in the literature that telephone contact is beneficial for patients. The strongest and most current evidence came from a meta-analysis by Meade (2004) on research supporting phone calls post-operatively for hospitalized patients. This analysis provided a significant and valid review of health care professionals providing this service, looking at various patient populations and different hospital settings. 29 articles were published from 1981 to 2004 and reviewed to gather a compilation of research findings in this area. Regardless of the design of the research, the findings suggest that follow-up phone calls to patients after discharge provide invaluable opportunities to enhance practice in the following areas: Appraisal and evaluation of patient education, Practice improvement trends, Quality of care, Medication compliance and adherence to discharge instructions, Evaluation of overall hospital performance.

There is no evidence specifically addressing telephone contact after discharge in the colorectal surgery population which will be the basis of this study. Nurses providing follow-up phone calls to patients in the early post operative phase may assist in preventing or minimizing the effects of postoperative complications by reinforcing discharge instructions, answering patients' questions, and assessing their concerns. Potential serious complications may therefore be addressed early.

The purpose of this study is to assess if follow-up telephone calls after surgery affects patient satisfaction, surgical outcomes and quality of life in the early post-operative phase after colorectal surgery. In addition, tracking of readmissions, complications and emergency room visits via telephone calls can ensure communication between the patients and the surgical office is optimal.

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Study Type : Observational
Actual Enrollment : 100 participants
Observational Model: Case-Only
Time Perspective: Prospective
Official Title: Follow-Up Phone Calls After Colorectal Surgery to Assess Patient Satisfaction and Post-Operative Outcomes
Study Start Date : February 2006
Actual Primary Completion Date : December 2007
Actual Study Completion Date : December 2007



Primary Outcome Measures :
  1. to assess if follow-up telephone calls after surgery affects patient satisfaction, surgical outcomes and quality of life in the early post-operative phase after colorectal surgery [ Time Frame: not specific ]

Secondary Outcome Measures :
  1. to track readmissions, complications and emergency room visits via telephone calls to ensure communication between the patients and the surgical office is optimal. [ Time Frame: not specific ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 80 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
Colorectal Surgery clinic patients
Criteria

Inclusion Criteria:

  • Subjects who are 18 years of age and older
  • Subjects of either sex
  • Subjects who will undergo any moderate or major colorectal surgery requiring an overnight hospital stay at University Hospitals Case Medical Center
  • Subjects who agree to participate in the study program and provide written informed consent
  • Diagnoses such as Crohn's disease, ulcerative colitis, rectal or colon cancer, colon or rectal polyps and diverticulitis

Exclusion Criteria:

  • Patients in the middle of three part surgery or had recent surgery (i.e., back for stoma closure for J-pouch)
  • Patients with diagnosis of rectal prolapse, condyloma, and any conditions that require non-invasive outpatient procedures
  • Pregnant women, minors, psychiatric patients and prisoners

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00474097


Locations
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United States, Ohio
University Hospitals of Cleveland Case Medical Center
Cleveland, Ohio, United States, 44106
Sponsors and Collaborators
University Hospitals Cleveland Medical Center
Investigators
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Principal Investigator: Conor Delaney, MD, PhD University Hospitals of Cleveland/ Institute for Surgical Innovation
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Responsible Party: Conor Delaney, MD, PhD, Principal Investigator, University Hospitals Cleveland Medical Center
ClinicalTrials.gov Identifier: NCT00474097    
Other Study ID Numbers: 01-06-03
First Posted: May 16, 2007    Key Record Dates
Last Update Posted: December 15, 2014
Last Verified: December 2014
Keywords provided by Conor Delaney, MD, PhD, University Hospitals Cleveland Medical Center:
Colorectal Neoplasms
Colitis, Ulcerative
Diverticulitis
Colonic Polyps
Crohn Disease
Additional relevant MeSH terms:
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Diverticulitis
Colorectal Neoplasms
Colitis
Colitis, Ulcerative
Ulcer
Colonic Polyps
Neoplasms
Gastroenteritis
Gastrointestinal Diseases
Digestive System Diseases
Colonic Diseases
Intestinal Diseases
Pathologic Processes
Polyps
Pathological Conditions, Anatomical
Intestinal Neoplasms
Gastrointestinal Neoplasms
Digestive System Neoplasms
Neoplasms by Site
Rectal Diseases
Diverticular Diseases
Intraabdominal Infections
Infection
Intestinal Polyps
Inflammatory Bowel Diseases