Kristy Kummerow Broman, MD, MPH, Omobolanle O. Oyefule, MD, Sharon E

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Presentation transcript:

Postoperative Care Using a Secure Online Patient Portal: Changing the (Inter)Face of General Surgery Kristy Kummerow Broman, MD, MPH, Omobolanle O. Oyefule, MD, Sharon E. Phillips, MSPH, Rebeccah B. Baucom, MD, Michael D. Holzman, MD, MPH, FACS, Kenneth W. Sharp, MD, FACS, Richard A. Pierce, MD, PhD, FACS, William H. Nealon, MD, FACS, Benjamin K. Poulose, MD, MPH, FACS Journal of the American College of Surgeons Volume 221, Issue 6, Pages 1057-1066 (December 2015) DOI: 10.1016/j.jamcollsurg.2015.08.429 Copyright © 2015 Terms and Conditions

Figure 1 Patient symptom survey and image upload links. Patients provided information on postoperative recovery, pertinent symptoms, and wound images using a secure online survey. Symptom questions for which “yes” was selected branched to text box, where they could provide an explanation. Additional free text boxes permitted extended responses and patient questions. Surgeons responded via the online patient portal. Journal of the American College of Surgeons 2015 221, 1057-1066DOI: (10.1016/j.jamcollsurg.2015.08.429) Copyright © 2015 Terms and Conditions

Figure 2 Cohort flow. Potential participants screened, eligible, consented, and included in the study. Reasons for nonparticipation and study exclusion are listed (number of participants). F/U, follow-up. Journal of the American College of Surgeons 2015 221, 1057-1066DOI: (10.1016/j.jamcollsurg.2015.08.429) Copyright © 2015 Terms and Conditions

Figure 3 Comparison of findings: online vs clinic visits. Evaluative findings from online and clinic visits were compared based on need for wound assessment/care and any postoperative complication. For online visits in “Wound Assessment” there were 2 true positives (both surgical site infections) and in “Complication” there were 3 true positives (2 surgical site infections, 1 case of urinary retention) and 2 false positives (patient concern for hernia recurrence). Journal of the American College of Surgeons 2015 221, 1057-1066DOI: (10.1016/j.jamcollsurg.2015.08.429) Copyright © 2015 Terms and Conditions