Gynecologic oncology reports · 2026
Improving postoperative outcomes in gynecologic oncology through a standardized telehealth intervention: experience from an urban safety-net hospital system.
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Markel Lilla, Ellis Lauren, Wetzelberger Aubrey, Anderson Matthew L, Rutherford Thomas, Kohut Adrian, Yasukawa Maya, Coughlin Emily, Mhaskar Rahul, Andikyan Vaagn
Аннотация
OBJECTIVE: To evaluate the impact of a standardized postoperative phone call program on outcomes among patients undergoing gynecologic oncology surgery at an urban safety-net tertiary care center.
METHODS: As a quality improvement initiative, routine postoperative calls were implemented in January 2025 for all surgical patients on the gynecologic oncology service at our center. Nursing staff contacted patients 48-72 h after discharge using a structured questionnaire. We conducted a retrospective cohort study of patients who underwent surgery in the 4 months before and after implementation (9/1/2024-4/30/2025). Data were collected via chart review. Primary outcomes were readmission and mortality within 90 days. Secondary outcomes included ED visits, postoperative visit attendance, and outpatient complication management.
RESULTS: Among 466 patients, 215 received phone calls and 251 did not. Baseline characteristics were similar. Patients receiving calls had higher postoperative visit attendance (94.4% vs. 86.9%, p = 0.006) and more outpatient management of complications (18.1% vs. 6.7%, p < 0.001). ED visits and readmission rates were similar between groups; however, repeat readmissions were lower among contacted patients (mean 1.9 vs. 2.4, p = 0.042). Of those contacted, 41.4% reported concerns, most commonly nonspecific symptoms, pain, and constipation. Mortality was 1.4% in the phone call group vs. 4.4% among those who were not called (p = 0.059).
CONCLUSIONS: Standardized postoperative phone calls improved follow-up adherence and outpatient complication management, suggesting enhanced care coordination.
METHODS: As a quality improvement initiative, routine postoperative calls were implemented in January 2025 for all surgical patients on the gynecologic oncology service at our center. Nursing staff contacted patients 48-72 h after discharge using a structured questionnaire. We conducted a retrospective cohort study of patients who underwent surgery in the 4 months before and after implementation (9/1/2024-4/30/2025). Data were collected via chart review. Primary outcomes were readmission and mortality within 90 days. Secondary outcomes included ED visits, postoperative visit attendance, and outpatient complication management.
RESULTS: Among 466 patients, 215 received phone calls and 251 did not. Baseline characteristics were similar. Patients receiving calls had higher postoperative visit attendance (94.4% vs. 86.9%, p = 0.006) and more outpatient management of complications (18.1% vs. 6.7%, p < 0.001). ED visits and readmission rates were similar between groups; however, repeat readmissions were lower among contacted patients (mean 1.9 vs. 2.4, p = 0.042). Of those contacted, 41.4% reported concerns, most commonly nonspecific symptoms, pain, and constipation. Mortality was 1.4% in the phone call group vs. 4.4% among those who were not called (p = 0.059).
CONCLUSIONS: Standardized postoperative phone calls improved follow-up adherence and outpatient complication management, suggesting enhanced care coordination.