{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T16:05:19Z","timestamp":1789488319627,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Prostate"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>To implement \u201cMeinLUKS,\u201d an automated e\u2010health follow\u2010up system within the EPIC MyChart portal after radical prostatectomy (RP), and to examine factors influencing portal adoption, as well as functional and oncological outcome differences between users and non\u2010users.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed men undergoing RP at a tertiary center (January\/2022\u2013October\/2023). Patients were classified as \u201cusers\u201d if they submitted follow\u2010up data via MeinLUKS or \u201cnon\u2010users\u201d if monitored through referring physicians. Sociodemographic, clinical, functional, and oncological outcomes were retrieved from institutional registries and included standardized patient\u2010reported outcome measures. Both groups were invited to structured telephone interviews addressing barriers and facilitators of adoption.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 274 patients, 128 (47%) used MeinLUKS and 146 (53%) relied on traditional follow\u2010up. Users were younger, more educated, and often urban residents, while oncological characteristics were comparable. Median time to no pad use was not different (11 vs. 28 days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.3) with similar long\u2010term continence (79% vs. 73% pad\u2010free,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.3). Patient reported sexual function recovery was better among users (56% vs. 36%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01). MeinLUKS automatically flagged two biochemical recurrences and unreported complications not identified in routine care. Among 91 interviewees, users emphasized organizational benefits and digital competence, while non\u2010users cited poor onboarding, limited physician advocacy, and interface complexity. Limitations include single\u2010center, retrospective design and non\u2010randomized comparisons.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Automated e\u2010health follow\u2010up improved data completeness, reduced workforce demands, and detected clinically relevant events missed in routine care. Optimizing onboarding, clinician engagement, and usability may increase adoption and enhance quality and efficiency in prostate cancer survivorship care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pros.70140","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T21:05:40Z","timestamp":1770152740000},"page":"718-726","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Toward a Modern Telehealth Follow\u2010Up Routine for Radical Prostatectomy: Introducing a Novel E\u2010Health Application for Outcome and Complication Assessment"],"prefix":"10.1002","volume":"86","author":[{"given":"Nora","family":"Bauer","sequence":"first","affiliation":[{"name":"Department of Urology University Teaching and Research Hospital Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian Daniel","family":"Fankhauser","sequence":"additional","affiliation":[{"name":"Department of Urology University Teaching and Research Hospital Lucerne Lucerne Canton Switzerland"},{"name":"Faculty of Health Sciences and Medicine University of Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvan","family":"Sigg","sequence":"additional","affiliation":[{"name":"Department of Urology University Teaching and Research Hospital Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ernest","family":"Kaufmann","sequence":"additional","affiliation":[{"name":"Department of Urology University Teaching and Research Hospital Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andres","family":"Affentranger","sequence":"additional","affiliation":[{"name":"Department of Urology University Teaching and Research Hospital Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian","family":"Aschwanden","sequence":"additional","affiliation":[{"name":"Department of Urology University Teaching and Research Hospital Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone","family":"M\u00fcller","sequence":"additional","affiliation":[{"name":"Department of Information Technology University Teaching and Research Hospital Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brigitte","family":"Hofstetter","sequence":"additional","affiliation":[{"name":"Faculty of Health Sciences and Medicine University of Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Philipp","family":"Baumeister","sequence":"additional","affiliation":[{"name":"Department of Urology University Teaching and Research Hospital Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nico","family":"Grossmann","sequence":"additional","affiliation":[{"name":"Department of Urology University Teaching and Research Hospital Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agostino","family":"Mattei","sequence":"additional","affiliation":[{"name":"Department of Urology University Teaching and Research Hospital Lucerne Lucerne Canton Switzerland"},{"name":"Faculty of Health Sciences and Medicine University of Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"W\u00fcrnschimmel","sequence":"additional","affiliation":[{"name":"Department of Urology University Teaching and Research Hospital Lucerne Lucerne Canton Switzerland"},{"name":"Faculty of Health Sciences and Medicine University of Lucerne Lucerne Canton Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.euf.2021.08.005"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00120-020-01437-w"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urolonc.2021.05.008"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1177\/1557988318762633"},{"key":"e_1_2_14_6_1","unstructured":"MyChart. Epic Systems Corporation."},{"key":"e_1_2_14_7_1","unstructured":"L.Kantonsspital. MeinLUKS Patient Portal."},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2023.0846"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.3528"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fdgth.2022.1045445"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.2196\/35371"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.2196\/20283"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.3233\/978-1-61499-753-5-308"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2007.06.027"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000133083.54934.ae"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.urology.2019.01.029"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.2196\/11604"},{"key":"e_1_2_14_18_1","volume-title":"R: A Language and Environment for Statistical Computing","author":"R Core Team","year":"2013"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1159\/000536609"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-11623-w"},{"key":"e_1_2_14_21_1","volume-title":"StatPearls [Internet]","author":"Shiel W. 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