{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T11:10:09Z","timestamp":1787915409242,"version":"build-2784847793"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T00:00:00Z","timestamp":1767916800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,9]]},"abstract":"<jats:title>SUMMARY<\/jats:title>\n                  <jats:p>The peri-operative period surrounding esophagectomy is challenging for patients to navigate. In this study, we describe the implementation of a digital health pathway to provide peri-operative education and track patient reported outcomes (PRO) after esophagectomy.<\/jats:p>\n                  <jats:p>This single-center study involved adults who underwent esophagectomy between 2021 and 2024. Educational emails, PRO surveys, and quality of life (QOL) questionnaires were delivered via a mobile health (mHealth) platform (CareSense; MedTrak Inc). Pathway data were combined with outcome data. Primary outcome was the rate of post-operative complications. Secondary outcomes included enrollment rate, PRO, and QOL scores. Fisher\u2019s exact test, Pearson Chi-square test, Kruskal\u2013Wallis test, and logistic regressions were utilized for statistical analyses.<\/jats:p>\n                  <jats:p>Of 168 eligible patients, 136 (80.9%) enrolled in the pathway. There were no significant differences in demographic characteristics between patients who enrolled and those who did not. Enrollment was not associated with post-operative complication rate. Patients activated the pathway a median of 26\u00a0days (19\u201336) before their operation. They received a median of 23 emails (22, 30), 14 surveys, and 6 questionnaires; only 8 patients did not complete any of the daily surveys (5.9%). Median pre-operative anxiety score was 51 (43\u201356) after peri-operative education, indicating little to no anxiety. Median score change in global QOL at the 2-year time-point was +17 (0, 21).<\/jats:p>\n                  <jats:p>The majority of eligible patients enrolled in the pathway and patient satisfaction was high. There were no differences in post-operative complications based on enrollment. Enrolled patients had low pre-operative anxiety following peri-operative education and clinically significant QOL improvement at 2\u00a0years.<\/jats:p>","DOI":"10.1093\/dote\/doaf132","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:44:45Z","timestamp":1765889085000},"source":"Crossref","is-referenced-by-count":1,"title":["The implementation of a mobile application and web-based platform for peri-operative patient-tailored education and tracking of patient-reported outcomes after esophagectomy"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4731-2979","authenticated-orcid":false,"given":"Paolo","family":"de Angelis","sequence":"first","affiliation":[{"name":"Division of Thoracic Surgery, Mass General Brigham , Boston, MA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eliza","family":"Hompe","sequence":"additional","affiliation":[{"name":"Division of Thoracic Surgery, 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