Preoperative Outreach for Urology

DB
DC
Overseen ByDarren Chau
Age: 18+
Sex: Any
Trial Phase: Academic
Sponsor: University of California, San Francisco
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial tests whether reminder calls and texts can reduce no-shows for urology procedures. It examines two groups: one receives extra reminders and support, while the other receives regular care. The goal is to determine if more reminders result in fewer missed appointments and less rescheduling. This trial suits adults scheduled for urology procedures who frequently miss appointments. As an unphased trial, it provides an opportunity to contribute to enhancing appointment adherence strategies.

What prior data suggests that this preoperative outreach method is safe?

Research shows that the Enhanced Preoperative Outreach treatment aims to improve surgical attendance through reminder calls and texts. Although specific safety data for this method is unavailable, similar approaches have proven safe in other contexts. This non-invasive intervention involves no physical procedures or medications, posing minimal risk to participants.

Studies on enhanced recovery after surgery (ERAS) in urology have demonstrated that such programs can improve patient outcomes and safety. These programs often include pre-surgery education and support, similar to the outreach methods being tested. ERAS has been linked to fewer complications and faster recoveries, indicating that structured pre-surgery interventions are generally safe.

While this trial lacks a specific phase, the nature of preoperative outreach as a communication strategy suggests it is a low-risk intervention. Participants can feel confident that the main goal is to improve attendance through reminders, which is unlikely to cause harm.12345

Why are researchers excited about this trial?

Researchers are excited about the Preoperative Outreach trial because it aims to improve patient outcomes by enhancing communication and support before urological procedures. Unlike standard preoperative care, which typically involves basic scheduling and reminder calls, this new approach includes multiple reminder phone calls, text messaging access, and the assessment of barriers to attendance. Additionally, it offers referrals to social work when needed. This personalized and proactive method could lead to better preparation and attendance rates, potentially reducing cancellations and improving patient experiences.

What evidence suggests that this preoperative outreach is effective for reducing no-shows?

This trial will compare Enhanced Preoperative Outreach with Standard Care. Research has shown that reminder calls and text messages before surgery increase appointment attendance. Studies have found that these reminders reduce missed appointments. In other areas of medicine, reminders have led to better patient follow-up and improved health outcomes. Keeping patients informed and involved makes them more likely to attend their scheduled procedures. This approach also helps identify and solve issues that might prevent attendance, such as transportation problems. Overall, early findings suggest this method could effectively increase attendance for urologic procedures.36789

Who Is on the Research Team?

DB

David Bayne, MD

Principal Investigator

University of California, San Francisco

Are You a Good Fit for This Trial?

This trial is for adults 18 or older who are considered high risk for missing their urology procedure appointments and are scheduled for surgery at UCSF or its affiliated sites.

Inclusion Criteria

Identified as high risk for no-show by the study predictive model
I am 18 years old or older.
I am scheduled for a urologic procedure at UCSF or an affiliated site.

Exclusion Criteria

I am younger than 18 years old.
I am not scheduled for any urologic procedures.

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Preoperative Outreach

Participants receive reminder calls and text messages to improve attendance for urologic procedures

Up to 8 weeks
Multiple contacts via phone and text

Procedure

Participants undergo their scheduled urologic procedure

1 day

Follow-up

Participants are monitored for procedure rescheduling and healthcare utilization

4 weeks

What Are the Treatments Tested in This Trial?

Interventions

  • Preoperative Outreach

Trial Overview

The study tests whether reminder calls and texts before a urologic procedure help reduce missed appointments compared to standard care. Participants are randomly assigned to receive reminders or not.

How Is the Trial Designed?

2

Treatment groups

Experimental Treatment

Active Control

Group I: Enhanced Preoperative OutreachExperimental Treatment1 Intervention
Group II: Standard CareActive Control1 Intervention

Find a Clinic Near You

Who Is Running the Clinical Trial?

University of California, San Francisco

Lead Sponsor

Trials
2,636
Recruited
19,080,000+

Citations

Preoperative Outreach to Improve Surgical Attendance

Enhanced Preoperative Outreach Participants receive standard care plus reminder phone calls at 7 days, 3 days, 1 day, and the day of the procedure, text ...

Evidence-based practice and future development of enhanced ...

The application of ERAS in urology has made significant progress, effectively reducing surgical stress responses and promoting rapid patient ...

Optimizing Outcomes in Urologic Surgery: Pre- Operative ...

Failure to properly assess the pre- operative needs of these patients can potentially result in increased intra- operative/post-operative morbidity.

The role of enhanced recovery after surgery (ERAS) in ...

In pediatric urology, ERAS has led to earlier return of bowel function, decreased opioid utilization, and shorter hospital length of stay, ...

ERAS Protocol in Pediatric Reconstructive Urology ...

When compared to a control group, they have so far found that the ERAS patients had better outcomes including length of stay and decreased readmissions.

(PDF) The role of enhanced recovery after surgery (ERAS) ...

ERAS has demonstrated efficacy and safety. In pediatric urology, ERAS has led to earlier return of bowel function, decreased opioid utilization, and shorter ...

The role of enhanced recovery after surgery (ERAS) in ... - PMC

This review aims to summarize current data in pediatric urology regarding ERAS elements in the context of QI and patient safety. It will discuss ...

Pre-Operative Care for the Patient Undergoing Urologic ...

A recent study found that patients undergoing non-cardiac surgery have a three percent risk of major cardiovascular and cerebrovascular events (in-hospital, all ...

Elevating surgical outcomes: a comprehensive analysis of ...

Enhanced data security and integrity; Blockchain technology enhances the security, integrity, and privacy of patient data by providing mutable ...