Pilot trial of remote monitoring to prevent malnutrition after hepatopancreatobiliary surgery

BMC Nutrition

Daniel A. Anaya¹  Diana Nguyen¹  Jason Denbo¹  Jason B. Fleming¹  Samer Naffouje¹  Kelvin Allenson¹  Sarah Zhu¹  Alicia Chin¹  Laura Cooper¹  Pamela J. Hodul¹  Diana L. Castillo¹  Mokenge Malafa¹  Jose M. Pimiento¹  Melissa Adams¹  Benjamin D. Powers²  Kea Turner³  Brian D. Gonzalez³  Erin Gurd⁴  Nicole Misner⁴  Brian James⁵  Maria Kocab⁵ 

[1] Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA;Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, Fl, USA;Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA;Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA;University of South Florida Morsani College of Medicine, Tampa, Fl, USA;Department of Nutrition Therapy, Moffitt Cancer Center, Tampa, Fl, USA;University of South Florida Morsani College of Medicine, Tampa, Fl, USA;

关键词: Mobile app;    Digital health;    Surgery;    Hepatopancreaticobiliary;    Nutrition;    Malnutrition;    Cancer;   

DOI  :  10.1186/s40795-021-00487-3

来源: Springer

【 摘 要 】

BackgroundPatients undergoing hepatopancreatobiliary (HPB) surgery, such patients with pancreatic, periampullary, and liver cancer, are at high risk for malnutrition. Malnutrition increases surgical complications and reduces overall survival. Despite its severity, there are limited interventions addressing malnutrition after HPB surgery. The aim of this pilot trial was to examine feasibility, acceptability, usability, and preliminary efficacy of a remote nutrition monitoring intervention after HPB surgery.MethodsParticipants received tailored nutritional counseling before and after surgery at 2 and 4 weeks after hospital discharge. Participants also recorded nutritional intake daily for 30 days, and these data were reviewed remotely by registered dietitians before nutritional counseling visits. Descriptive statistics were used to describe study outcomes.ResultsAll 26 patients approached to participate consented to the trial before HPB surgery. Seven were excluded after consent for failing to meet eligibility criteria (e.g., did not receive surgery). Nineteen participants (52.6% female, median age = 65 years) remained eligible for remote monitoring post-surgery. Nineteen used the mobile app food diary, 79% of participants recorded food intake for greater than 80% of study days, 95% met with the dietitian for all visits, and 89% were highly satisfied with the intervention. Among participants with complete data, the average percent caloric goal obtained was 82.4% (IQR: 21.7).ConclusionsThis intervention was feasible and acceptable to patients undergoing HPB surgery. Preliminary efficacy data showed most participants were able to meet calorie intake goals. Future studies should examine intervention efficacy in a larger, randomized controlled trial.Trial registrationClinicaltrials.gov. Registered 16 September 2019, https://clinicaltrials.gov/ct2/show/NCT04091165.

【 授权许可】

CC BY