Journal Article

DKFZ-2025-02085

http://join2-wiki.gsi.de/foswiki/pub/Main/Artwork/join2_logo100x88.png Optimizing value-based care and patient experience following pancreatectomy: initial experience with remote post-hospital patient monitoring.

Busch, J. J. ; Ilmer, M.DKFZ* ; Shah, P. ; Truty, M. J. ; Kendrick, M. ; Starlinger, P. P. ; Smoot, R. ; Thiels, C. A. ; Warner, S. G.

2025
Elsevier [London]

Abstract: Pancreatectomies confer risks of morbidity, extended hospital stays, and readmissions. Building on previous monitoring of non-surgical patients' post-discharge, we implemented a remote monitoring program to reduce inpatient healthcare utilization and enhance in-home recovery following pancreatectomy. Herein, we report our initial experience with the Pancreatectomy Remote Patient Monitoring (PREMO) program.Eligible patients undergoing pancreatectomy 10/2022-2/2023 were invited to participate in PREMO for 30 days or until 'graduation' criteria were met. The PREMO cohort was compared by descriptive statistical analysis to a historical control group of patients (N = 751) undergoing pancreatectomy from 1/2019-12/2021.Of the ninety-one patients enrolled in PREMO, the median hospital length of stay was 6.0 days (IQR 3) compared to 7.0 days (IQR 5) in the historical control group (n=751) (P=0.01). The enrolled population and Whipple subgroup had lower rates of readmissions at 7, 14, 30, and 60 days. Post-graduation surveys reported that patients agreed that they would recommend PREMO to others (98%) and felt more comfortable managing their health at home (92%).PREMO was successfully implemented, conferred excellent patient-reported care quality, and an observed reduction in LOS and readmissions. Ongoing studies are evaluating an expanded PREMO version toward enhancing value-based post-pancreatectomy care.

Note: 2025 Dec;27(12):1575-1582

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Contributing Institute(s):

1. DKTK Koordinierungsstelle München (MU01)

Research Program(s):

1. 899 - ohne Topic (POF4-899) (POF4-899)

Appears in the scientific report 2025

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Database coverage:
; Clarivate Analytics Master Journal List ; Ebsco Academic Search ; Essential Science Indicators ; IF < 5 ; JCR ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection

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