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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2022, Vol. 16 ›› Issue (03): 343-346. doi: 10.3877/cma.j.issn.1674-3946.2022.03.029

• Original Article • Previous Articles     Next Articles

Study on the application of mobile health in whole course management of pancreatic cancer

Yongning Li1, Ying Li1, Derong Luo2, Changhao Zhu1, Peng Liu3, Songbai Liu1, Chao Yu3, Yaozhen Pan1,()   

  1. 1. Guizhou Medical University,Guiyang Guizhou Province 550025,China
    2. The Affiliated Cancer Hospital of Guizhou Medical University,Guiyang Guizhou Province 550008,China
    3. Affiliated Hospital of Guizhou Medical University,Guiyang Guizhou Province 550004,China
  • Received:2021-06-11 Online:2022-04-26 Published:2022-05-24
  • Contact: Yaozhen Pan
  • Supported by:
    Guiyang Science and Technology Plan Project, Zhuke Contract([2018]1-86); Guizhou Science and Technology Plan Project-QKH([2021]General 100)

Abstract:

Objective

To analyze the feasibility and effectiveness of the whole postoperative management of pancreatic cancer patients through mobile terminals.

Methods

Retrospective analysis the clinical data of 114 patients with radical resection of pancreatic cancer from January 2015 to January 2021. Patients were divided into the intervention group(n=64 cases)and control group(n=50 cases)according to whether mobile terminal devices were used for the whole postoperative management of patients. SPSS 22.0 software was used for statistical analysis. Measurement data were expressed by(

xˉ
±s),Independent sample t test. Counting data were described by frequency,rate(%)and median(quadrant spacing)using chi-square test. K-M method was used for postoperative survival analysis,and P<0.05 was considered statistically significant.

Results

Univariate statistical analysis showed that the follow-up rate and adjuvant therapy completion rate in the intervention group were significantly higher than the control group,with statistically significant differences(P<0.05). The survival analysis results of 99 patients who completed the follow-up after K-M spell showed that the median tumor-free survival time of the intervention group was 16 months,and the median overall survival time was 21 months. while in the control group,the median disease-free survival time was 10.5 months,and the median overall survival time was 19.5 months. The disease-free survival rate of the intervention group was higher than that of the control group,with statistically significant difference(P<0.05),while the overall survival rate of the intervention group was slightly higher than that of the control group,with no statistically significant difference(P=0.128).

Conclusion

The whole-course management of pancreatic cancer patients through mobile terminals can significantly improve the follow-up rate,adjuvant therapy completion rate and disease-free survival rate,which is worthy of promotion.

Key words: Pancreatic neoplasms, Neoadjuvant therapy, Mobile terminals, Whole course postoperative management

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