This is a single-site, non-randomized, interventional study in patients receiving major thoracic surgery, which commonly involves chest wall incisions and overnight admission. Eligible patients will be approached at any time point between their preoperative clinic visit and up to 30 days after discharge from the hospital. Approximately 60 patients will be enrolled in the study. Patients will complete symptom surveys via email or telephone. Concerning symptoms will generate alerts for the clinical care team who will follow their usual protocols for management of symptoms. Patients will be purposively selected and invited to participate in a semi-structured interview to understand their experience using ePRO. Interviews will continue until 30 complete interviews are obtained and/or thematic saturation is reached. Semi-structured interviews will also be conducted with providers (n =20) with experience using ePROs.
The purpose of the LCCC 2202 is to evaluate the barriers and facilitators to implementing perioperative ePRO monitoring. This study will inform a future hybrid effectiveness study (LCCC 2141:Improving Thoracic Surgical Care Using Electronic Patient-Reported Outcomes (ePROS). Eligible thoracic surgery patients will be enrolled to ePRO monitoring using web-based or telephone surveys. Patients will be asked to self-report symptoms for remote monitoring by their care team. Patients and Providers will be approached for a semi-structured interview to understand the barriers and facilitators to ePRO use.