Improving Thoracic Surgical Care Using Electronic Patient-Reported Outcomes (ePROS)

Last updated: August 6, 2025
Sponsor: UNC Lineberger Comprehensive Cancer Center
Overall Status: Active - Recruiting

Phase

N/A

Condition

Chest Pain

Cardiovascular Disease

Occlusions

Treatment

Symptom monitoring

Clinical Study ID

NCT06075316
LCCC 2141
1K23HL157765-01A1
  • Ages 18-99
  • All Genders

Study Summary

This is a single-site, non-randomized study on the outcomes of remote real-time "ePRO monitoring" in thoracic surgery patients. ePRO monitoring is a health information technology intervention comprised of delivering longitudinal electronic patient-reported outcome (ePRO) surveys (e.g., on symptoms, and physical functioning) coupled with automated provider alerts for concerning survey responses.

Eligibility Criteria

Inclusion

Inclusion Criteria:

Patients participating in ePRO monitoring must meet the following inclusion criteria to participate in this study:

  1. 18 years or older

  2. English or Spanish speaking

  3. Able to complete a web-based, telephonic (IVR), or CRA (or other IRB-approvedresearch team member)-administrated symptom survey

  4. Planned to undergo major thoracic surgery (involving chest wall incisions andovernight admission)

  5. Discharged from the thoracic surgery service

  6. Discharged to home

Exclusion

Exclusion Criteria:

All patients meeting any of the following exclusion criteria at enrollment will be excluded from study participation:

  1. Not completing planned surgery within 3 months of obtaining informed consent

  2. Inability to understand English or Spanish

  3. Having undergone only minor thoracic surgery (e.g. bronchoscopy, cervicalmediastinoscopy)

  4. Dementia, altered mental status, or any psychiatric condition determined by thethoracic surgery provider team that would prohibit the understanding or rendering ofinformed consent.

  5. Current incarceration

  6. Pregnancy

Study Design

Total Participants: 200
Treatment Group(s): 1
Primary Treatment: Symptom monitoring
Phase:
Study Start date:
November 14, 2023
Estimated Completion Date:
December 31, 2026

Study Description

Thoracic surgery patients are at high risk for severe complications post-surgery, such as respiratory failure, empyema, wound problems, and even mortality. Patients with complications may need readmission and invasive management. Usual care may not capture the symptoms of surgery complications. Well-designed remote monitoring of postoperative patients may enable early intervention and lower the risk of severe complications.

This study evaluates the implementation and effectiveness of perioperative electronic patient-reported outcomes (ePROs) monitoring in thoracic surgery patients. Previous studies demonstrated the feasibility of ePROs monitoring by thoracic surgery patients and providers. This study will explore barriers to implementation before real-world effectiveness studies.

Connect with a study center

  • Lineberger Comprehensive Cancer Center at University of North Carolina, Chapel Hill

    Chapel Hill, North Carolina 27599
    United States

    Active - Recruiting

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