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Surgical endoscopy
10, 2023;37 (10): 7625-7633.

A randomized clinical trial evaluating eHealth in bariatric surgery.

Dirk P A Versteegden, Magaly J J Van Himbeeck, Misha D Luyer, Gust van Montfort, Jean-Paul J G M de Zoete, Johannes Franciscus Smulders, Simon W Nienhuijs
Author Information
  1. Dirk P A Versteegden: Department of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands. dirk.versteegden@catharinaziekenhuis.nl. ORCID
  2. Magaly J J Van Himbeeck: Department of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands.
  3. Misha D Luyer: Department of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands.
  4. Gust van Montfort: Department of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands.
  5. Jean-Paul J G M de Zoete: Department of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands.
  6. Johannes Franciscus Smulders: Department of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands.
  7. Simon W Nienhuijs: Department of Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ, Eindhoven, The Netherlands.
PMID: 37474829 DOI: 10.1007/s00464-023-10211-w

Abstract

BACKGROUND: Supporting patients before, and long after, their bariatric treatment contributes a lot to successful outcome. eHealth interventions have a hypothetical benefit in addition to standard care. This could lead to increased weight loss, reduction of obesity-related diseases, patient adherence, and quality of life. This randomized controlled trial aims to evaluate the value of an eHealth platform and self-monitoring devices as additions to standard bariatric care.
MATERIALS AND METHODS: Two-hundred-and-five patients who underwent primary bariatric surgery were randomized (2:1:1) to receive standard care (control group), additional access to an educational patient eHealth platform (online group), or additional access to eHealth platform as well as self-monitoring devices (device group). The platform consisted of an interactive educational environment with informational videos, dietary advice, news, and more. The self-monitoring devices used were a weight scale, blood pressure monitor, pulse oximeter, and activity bracelet. The primary endpoint was weight loss and secondary outcomes included reduction of obesity-related diseases, quality of life, and eHealth use.
RESULTS: Postoperative weight loss, reduction of obesity-related diseases, frequency of consultations, and quality of life were similar between groups. Participation to the eHealth platform was high (online group 90%, device group 98%). Most frequently accessed contents were informational messages, videos, and the treatment preparation modules. The percentage of active users of the self-monitoring devices dropped from 62% in the first postoperative month to 19% after 2 years. Thirteen patients in the device group withdrew due to unwillingness to use self-monitoring devices.
CONCLUSION: Participation to the eHealth intervention in addition to the standard post-bariatric guidance program was high, however, had no significant impact on clinical outcomes such as weight loss, reduction of obesity-related diseases, and quality of life. Trial registration ClinicalTrials.gov (identifier number NL56992.100.16) https://clinicaltrials.gov/ct2/show/NCT03394638.

Keywords

Bariatric surgery Obesity Telemonitoring eHealth

Associated Data

ClinicalTrials.gov | NCT03394638

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MeSH Term

Humans
Quality of Life
Obesity
Bariatric Surgery
Telemedicine
Weight Loss
Randomized Controlled Trial Journal Article
Article has an altmetric score of 1

Word Cloud

Created with Highcharts 10.0.0eHealthgroupweightplatformself-monitoringdevicesbariatricstandardlossreductionobesity-relateddiseasesqualitylifepatientscarerandomizedsurgerydevicetreatmentadditionpatienttrialprimaryadditionalaccesseducationalonlineinformationalvideosoutcomesuseParticipationhighclinicalBACKGROUND:SupportinglongcontributeslotsuccessfuloutcomeinterventionshypotheticalbenefitleadincreasedadherencecontrolledaimsevaluatevalueadditionsMATERIALSANDMETHODS:Two-hundred-and-fiveunderwent2:1:1receivecontrolwellconsistedinteractiveenvironmentdietaryadvicenewsusedscalebloodpressuremonitorpulseoximeteractivitybraceletendpointsecondaryincludedRESULTS:Postoperativefrequencyconsultationssimilargroups90%98%frequentlyaccessedcontentsmessagespreparationmodulespercentageactiveusersdropped62%firstpostoperativemonth19%2 yearsThirteenwithdrewdueunwillingnessCONCLUSION:interventionpost-bariatricguidanceprogramhoweversignificantimpactTrialregistrationClinicalTrialsgovidentifiernumberNL5699210016https://clinicaltrialsgov/ct2/show/NCT03394638evaluatingBariatricObesityTelemonitoring

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