About this trial
This feasibility trial has three main objectives:
* To investigate the impact of the transmural care pathway TOTeM on the Length of Stay (LOS) for patients undergoing robotic distal pancreatectomy. * To investigate the feasibility of the implementation of TOTeM for patients undergoing robotic distal pancreatic surgery, we will measure the recruitment rate by tracking the number of eligible patients who are approached for participation, the percentage who consent to join the study over a specified time period, and the adherence rate which describes how well participants follow the study protocol including the prescribed interventions or follow-up assessments. * Assessment of the potential changes in medical costs and outcomes for the purpose of performing a cost-effectiveness analysis from a hospital and patient perspective.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
18-75 years old
Competent to provide informed consent
Fluent in Dutch
Cognitively capable of understanding and engaging with the study
Disqualifiers
Extended left pancreatectomy
Spleen-preserving procedure
Residing in a nursing home
Patients who are deemed unsuitable for the study by the physician based on clinical evaluation
Trial design
Single group
Treatments tested in this trial
Remote clinical monitoring
Procedure/SurgeryPatients after a distal pancreatectomy will be discharged faster from the hospital and will be remote monitored
Treatment groups
Trial outcomes
Primary outcomes
Length of stay in hospital
The primary outcome measurement for the TOTeM care pathway in patients undergoing robotic distal pancreatectomy is the length of stay, which is the total time measured from day of surgery to the day of hospital discharge
Secondary outcomes
Evaluation of the recruitment rate
The feasibility of this pilot study is assessed by means of the recruitment rate, defined by the number of eligible patients who are approached for participation and the percentage who consent to join the study over a specified time period. The recruitment rate is defined as excellent if 20 patients can be enrolled in this study in one year.
Evaluation of the adherence rate
The feasibility of this pilot study is assessed by the adherence rate, which describes how well participants follow the study protocol including the prescribed interventions or follow-up assessments. The adherence rate is defined as excellent if ≥80% of the patients followed the study protocol including the prescribed interventions or follow-up assessments.
Evaluation of medical costs
Evaluation of the potential changes in medical costs for the hospital and for the individual patient
Assessment of surgical fear
The short and long term surgical fear questionnaire will be evaluated at baseline, before the surgery. The short and long term questionnaire consist each of 4 questions, where 0 indicates no fear and 10 indicates extreme fear.
Locations
Sponsors and contacts
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This trial is not recruiting at the moment. You can still explore other options: