Optimization of the Surgical Care Pathway for Kidney Tumors by Digitizing Perioperative Nursing Coordination (UroCCR 126) (DiPRU)

University Hospital of Bordeaux

Status: Enrolling

Conditions: Digitizing Perioperative Nursing Coordination

Treatments: Other: Uroconnect Follow Up Group

Study type: Interventional

Funder types: Other

Identifiers

NCT06047600

CHUBX2022/77

Details and patient eligibility

About

The project proposes to evaluate the interest of the UroConnect remote monitoring Medical Device (DM) to optimize patient support and nursing coordination

Full description

Kidney cancer represents 2 to 3% of solid cancers in adults. Worldwide, an estimated 431,288 people a year are diagnosed with kidney cancer. Each year, in France, 13,500 patients undergo total or partial nephrectomy. The development of minimally invasive surgical techniques and the structuring of innovative care pathways for the management of renal tumors in Enhanced Rehabilitation After Surgery (RAAC) and even on an outpatient basis have led to a significant reduction in the length of stays. The physiognomy of the course of care for patients operated on for a renal tumor is completely modified and generates for the patient a feeling of deterioration in the quality of care and disruption of medical follow-up.

The objective is to deploy a model for coordinating the perioperative care pathway of patients who have undergone nephrectomy for renal tumor in several French centers in order to assess the impact for patients, caregivers and the health system.

This coordination would lead to the formalization of a nurse coordinator job profile adapted to the specificities of oncological surgery and the tools necessary for its implementation. The UroConnect device has a "patient" interface for presenting self-questionnaires and access to a library of educational content and a "caregiver" interface to rationalize and optimize the nurse's activity of perioperative coordination in his task.

Enrollment: 1,307 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Planned surgical management by total or partial nephrectomy for kidney tumor,
• Affiliation or beneficiary of the French social security
• Expressed consent for integration of the UroCCR cohort,
• Expressed consent to participate in the DiPRU study.

Exclusion criteria

• Difficulties understanding and expressing oneself in French
• Participant under guardianship or curatorship
• Pregnancy at the time of surgery
• No internet access

Trial design

Primary purpose: Supportive Care

Allocation: Non-Randomized

Interventional model: Sequential Assignment

Masking: None (Open label)

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1,307 participants in 2 patient groups

Control Group

No Intervention group

Description:

The control group is based on the pre-existing organization, with no digital patient follow-up tools.

Uroconnect Follow Up Group

Experimental group

Description:

The UroConnect device has a "patient" interface for presenting self-questionnaires and access to a library of educational content and a "caregiver" interface to rationalize and optimize the nurse's activity of perioperative coordination in his task

Treatment:

Other: Uroconnect Follow Up Group