An organised follow-up is required after bariatric surgery, but 50% of patients are lost to follow-up after 2 years. To design a large randomized clinical trial (RCT) comparing teleevaluations and teleconsultations to classical follow, aiming to prove that the quality of the follow-up is maintained and the patient-experience is improved, at a lower cost in people living far from the reference centre, this pilot study aims at describing the distribution of the collected criteria.
An organised follow-up is required after bariatric surgery, but 50% of patients are lost to follow-up after 2 years. This follow-up requires about 5 multi-professional evaluations during the first year. This can be cumbersome in patients living far from the reference centre and who may perceive the necessary time, cost and lost of income, and constraints as imbalanced. Teleevaluations and teleconsultations may solve this issue by replacing some of the classical evaluations (at 6 and 9 months). An RCT would be necessary, and a pilot study is proposed to describe the distribution of the judgment criteria. This pilot study aims at describing all the parameters necessary to build an RCT, and involves the randomisation of operated patients recruited 3 months after surgery, in to groups. One will have the classical follow-up (venue and consultations at 6 and 9 months) the over will have teleevaluations and teleconsultations ; the parameters will be described at 12 months. The teleevaluation is either proposed as usual (a file is sent by secure mail) or by chatbot interaction. The consultation and the teleconsultation are based on the standard of care scenario.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
7
Patients will answer to a questionnaire filled through a chatbot link
A teleconsultation (skype-like connection) at 6 and 9 months after surgery
Patients in the consultation arm will benefit from a classical face to face consultation at 6 and 9 months after surgery.
Ritz
Toulouse, Toulouse, France
Composite score research
Look for the composite follow-up quality score taking into account weighting results, co-morbidities, absence of complications and skill acquisition.
Time frame: month 12
Coefficient evaluation
Coefficient of variation and Cronbach's coefficient assessing the quality of the composite follow-up quality score
Time frame: month 12
Consultation measure
the time of a teleconsultation and a face-to-face consultation, by an objective measurement of this time at 6 and 9 months postoperatively
Time frame: month 6 and 9
Composite distribution
the distribution of each of the components of the Composite Follow-up Quality Score in the two arms of the study
Time frame: month 12
Consultation feeling
satisfaction and constraints felt with regard to teleconsultations, by scores measured at teleconsultations and consultation at 6 and 9 months post-operatively
Time frame: Month 6 and 9
Consultation feasability
the feasibility of teleconsultation and consultation with scores measured at 6 and 9 months post-operatively
Time frame: month 6 and 9
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.