{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T02:45:29Z","timestamp":1790995529744,"version":"4.1.0"},"reference-count":32,"publisher":"American Medical Association (AMA)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JAMA Netw Open"],"abstract":"Importance<\/jats:title>Over the past 2 decades, several digital technology applications have been used to improve clinical outcomes after abdominal surgery. The extent to which these telemedicine interventions are associated with improved patient safety outcomes has not been assessed in systematic and meta-analytic reviews.<\/jats:p><\/jats:sec>Objective<\/jats:title>To estimate the implications of telemedicine interventions for complication and readmission rates in a population of patients with abdominal surgery.<\/jats:p><\/jats:sec>Data Sources<\/jats:title>PubMed, Cochrane Library, and Web of Science databases were queried to identify relevant randomized clinical trials (RCTs) and nonrandomized studies published from inception through February 2023 that compared perioperative telemedicine interventions with conventional care and reported at least 1 patient safety outcome.<\/jats:p><\/jats:sec>Study Selection<\/jats:title>Two reviewers independently screened the titles and abstracts to exclude irrelevant studies as well as assessed the full-text articles for eligibility. After exclusions, 11 RCTs and 8 cohort studies were included in the systematic review and meta-analysis and 7 were included in the narrative review.<\/jats:p><\/jats:sec>Data Extraction and Synthesis<\/jats:title>Data were extracted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guideline and assessed for risk of bias by 2 reviewers. Meta-analytic estimates were obtained in random-effects models.<\/jats:p><\/jats:sec>Main Outcomes and Measures<\/jats:title>Number of complications, emergency department (ED) visits, and readmissions.<\/jats:p><\/jats:sec>Results<\/jats:title>A total of 19 studies (11 RCTs and 8 cohort studies) with 10 536 patients were included. The pooled risk ratio (RR) estimates associated with ED visits (RR, 0.78; 95% CI, 0.65-0.94) and readmissions (RR, 0.67; 95% CI, 0.58-0.78) favored the telemedicine group. There was no significant difference in the risk of complications between patients in the telemedicine and conventional care groups (RR, 1.05; 95% CI, 0.77-1.43).<\/jats:p><\/jats:sec>Conclusions and Relevance<\/jats:title>Findings of this systematic review and meta-analysis suggest that perioperative telehealth interventions are associated with reduced risk of readmissions and ED visits after abdominal surgery. However, the mechanisms of action for specific types of abdominal surgery are still largely unknown and warrant further research.<\/jats:p><\/jats:sec>","DOI":"10.1001\/jamanetworkopen.2024.8555","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T15:31:59Z","timestamp":1714145519000},"page":"e248555","source":"Crossref","is-referenced-by-count":44,"title":["Digital Health Interventions and Patient Safety in Abdominal Surgery"],"prefix":"10.1001","volume":"7","author":[{"given":"Artem","family":"Grygorian","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Department of Population-Based Medicine, Tuebingen University, Tuebingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Montano","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Population-Based Medicine, Tuebingen University, Tuebingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mahdieh","family":"Shojaa","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Population-Based Medicine, Tuebingen University, Tuebingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maximilian","family":"Ferencak","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Population-Based Medicine, Tuebingen University, Tuebingen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Norbert","family":"Schmitz","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Department of Population-Based Medicine, Tuebingen University, Tuebingen, Germany"},{"name":"Faculty of Medicine, Department of Psychiatry, McGill University, Montreal, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10","published-online":{"date-parts":[[2024,4,26]]},"reference":[{"issue":"10","key":"zoi240314r1","doi-asserted-by":"publisher","first-page":"901","DOI":"10.1001\/jamasurg.2021.2052","article-title":"Telemedicine in surgery-beyond a pandemic adaptation.","volume":"156","author":"Ghomrawi","year":"2021","journal-title":"JAMA Surg"},{"issue":"3","key":"zoi240314r2","doi-asserted-by":"publisher","first-page":"201","DOI":"10.5455\/aim.","article-title":"The use of telemedicine in surgical care: a systematic review.","volume":"26","author":"Asiri","year":"2018","journal-title":"Acta Inform Med"},{"key":"zoi240314r3","doi-asserted-by":"publisher","first-page":"11","DOI":"10.21037\/mhealth","article-title":"The role of telemedicine in postoperative care.","volume":"4","author":"Williams","year":"2018","journal-title":"Mhealth"},{"issue":"11","key":"zoi240314r4","doi-asserted-by":"publisher","first-page":"2490","DOI":"10.1111\/jan.2015.71.issue-11","article-title":"Defining attributes of patient safety through a concept analysis.","volume":"71","author":"Kim","year":"2015","journal-title":"J Adv Nurs"},{"issue":"2","key":"zoi240314r6","doi-asserted-by":"publisher","first-page":"129","DOI":"10.1016\/S0004-9514(09)70043-1","article-title":"The PEDro scale is a valid measure of the methodological quality of clinical trials: a demographic study.","volume":"55","author":"de Morton","year":"2009","journal-title":"Aust J Physiother"},{"key":"zoi240314r7","doi-asserted-by":"publisher","first-page":"i4919","DOI":"10.1136\/bmj.i4919","article-title":"ROBINS-I: a tool for assessing risk of bias in non-randomised studies of interventions.","volume":"355","author":"Sterne","year":"2016","journal-title":"BMJ"},{"issue":"9","key":"zoi240314r8","doi-asserted-by":"publisher","first-page":"712","DOI":"10.7326\/0003-4819-126-9-199705010-00007","article-title":"Using numerical results from systematic reviews in clinical practice.","volume":"126","author":"McQuay","year":"1997","journal-title":"Ann Intern Med"},{"issue":"6","key":"zoi240314r9","doi-asserted-by":"publisher","first-page":"882","DOI":"10.1016\/j.amjsurg.2020.03.023","article-title":"Telemedicine to follow patients in a general surgery department. 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