The Application of Symptoms Management Program Based on the Patient Reported Outcome After Esophagectomy

Chinese Academy of Medical Sciences & Peking Union Medical College

Status: Not yet enrolling

Conditions: Esophageal Cancer

Treatments: Device: Smart Symptom Management Program

Study type: Interventional

Funder types: Other

Identifiers

NCT07187154

NCC3765

Details and patient eligibility

About

1. Research methods Constructed the "Manual for Graded Management of Postoperative Symptoms of Esophageal Cancer" and developed continuous care Procedures.
2. Randomised controlled studies were conducted to verify the effects of the procedure.

Enrollment: 252 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• The patient is aware and able to communicate in Mandarin;
• There are smartphones；
• Proficient in using WeChat mini programs.
• Patients who were scheduled for esophageal cancer resection in participating centers were eligible for inclusion.

Exclusion criteria

• Have cognitive impairment or psychiatric illness;
• Refusal to participate

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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252 participants in 2 patient groups

Group 1：Smart Symptom Management Program

Experimental group

Description:

During the first six months after surgery, patients in the experimental group will use a WeChat mini-program to proactively self-report their symptoms regularly using the Chinese version of the MD Anderson Symptom Inventory for Esophageal Cancer (MDASI-EC). Based on the reported scores and the pre-defined algorithms in the "Post-Esophagectomy Symptom Grading Management Manual", the system will automatically provide personalized self-management guidance for low-grade symptoms. For more severe symptoms, the system will generate alerts to prompt dedicated study nurses to initiate proactive telephone follow-up and provide tailored health coaching.

Treatment:

Device: Smart Symptom Management Program

Group 2：Routine Care

No Intervention group

Description:

Patients in the control group will receive standard post-discharge care as per hospital protocol, which includes routine discharge education and instructions to contact the hospital if problems arise. They will not use the WeChat mini-program and will not receive proactive symptom monitoring or coaching calls.