Optimization of the Surgical Care Pathway for Kidney Tumors by Digitizing Perioperative Nursing Coordination (UroCCR 126)

University Hospital, Bordeaux1,307 enrolled

Overview

The project proposes to evaluate the interest of the UroConnect remote monitoring Medical Device (DM) to optimize patient support and nursing coordination

Kidney cancer represents 2 to 3% of solid cancers in adults. Worldwide, an estimated 431,288 people a year are diagnosed with kidney cancer. Each year, in France, 13,500 patients undergo total or partial nephrectomy. The development of minimally invasive surgical techniques and the structuring of innovative care pathways for the management of renal tumors in Enhanced Rehabilitation After Surgery (RAAC) and even on an outpatient basis have led to a significant reduction in the length of stays. The physiognomy of the course of care for patients operated on for a renal tumor is completely modified and generates for the patient a feeling of deterioration in the quality of care and disruption of medical follow-up. The objective is to deploy a model for coordinating the perioperative care pathway of patients who have undergone nephrectomy for renal tumor in several French centers in order to assess the impact for patients, caregivers and the health system. This coordination would lead to the formalization of a nurse coordinator job profile adapted to the specificities of oncological surgery and the tools necessary for its implementation. The UroConnect device has a "patient" interface for presenting self-questionnaires and access to a library of educational content and a "caregiver" interface to rationalize and optimize the nurse's activity of perioperative coordination in his task.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

1,307

Conditions

Digitizing Perioperative Nursing Coordination

Interventions

Uroconnect Follow Up GroupOTHER

Inplementation of UroConnect remote monitoring Medical Device (DM) to optimize patient support and nursing coordination.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Planned surgical management by total or partial nephrectomy for kidney tumor, * Affiliation or beneficiary of the French social security * Expressed consent for integration of the UroCCR cohort, * Expressed consent to participate in the DiPRU study. Exclusion Criteria: * Difficulties understanding and expressing oneself in French * Participant under guardianship or curatorship * Pregnancy at the time of surgery * No internet access

Locations (11)

CHU d'Angers

Angers, France

RECRUITING

CHU de Bordeaux

Bordeaux, France

RECRUITING

Centre Catalan d'Urologie

Cabestany, France

Outcomes

Primary Outcomes

Number of unscheduled and uncoordinated care utilizations

In the 30 post-operative days, number of unscheduled and uncoordinated care utilizations (emergency visits, re-hospitalizations in urology, general medicine or urology consultations) corresponding to the difference between the use of care identified in the National health data system (SNDS) and scheduled and coordinated care, identified in the patient file of the initial hospitalization for scheduled care and by the coordinating nurse for coordinated care.

Time frame: 30 post-operative days

Secondary Outcomes

Patient anxiety evaluation

Patient anxiety measured by the State-Trait Anxiety Inventory STAI, The STAI questionnaire assesses anxiety as a personality trait and an emotional state and comprised 20 items for assessing trait anxiety and 20 for state anxiety. State anxiety items include: "I am tense; I am worried" and "I feel calm; I feel secure." Trait anxiety items include: "I worry too much over something that really doesn't matter" and "I am content; I am a steady person." All items are rated on a 4-point scale (e.g., from "Almost Never" to "Almost Always"). Higher scores indicate greater anxiety.

Time frame: Day-1

Hospitalised patient satisfaction and experience evaluation

Patient satisfaction and experience measured by the e-Satis questionnaire .The e-satis questionnaire was created and validated in French by the Haute Autorité de Santé (HAS). It is used as a continuous measure of inpatient satisfaction and experience. It is therefore routinely collected by the HAS. the e-Satis questionnaires are divided into "dimensions" of the patient pathway (from admission to discharge). Patients respond on a scale ranging from "poor" to "excellent" or from "never" to "always". For each dimension, an overall patient experience and satisfaction score is calculated (A score calculation guide is available on the HAS website).

Time frame: Day-30 post-op

Nature and reasons for seeking care

Nature and reasons for seeking care declared by the patient and confirmed by the doctor who treated him/her

Central Contacts

Jean-Christophe Bernhard, MD, PhD

CONTACT

05.57.82.06.87 Jean-christophe.bernhard@chu-bordeaux.fr

Data from ClinicalTrials.gov

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