Limitations
COMPLICATION
No real-time notifications were used during the telemonitoring period in the outpatient recovery pathway. Hypothetically, incorporating real-time alarms into daily practice may improve patient safety and outcome measures, while also negatively impacting workload and induce alarm burden. Future reports will evaluate the performance of the currently used follow-up and notification protocol on complication detection. The results of this study were applicable to Dutch bariatric surgical patients. It can be imagined that this may not be the case for every bariatric surgical center as the composition of patient characteristics varies.The added value of continuous remote monitoring on morbidity and mortality after general or bariatric surgery has not been established yet. Large datasets and future studies are needed to elaborate on this aspect, but also to improve monitoring and alarming techniques [In conclusion, without any restriction on comorbidities, outpatient bariatric surgery supported with telemonitoring is clinically comparable to standard overnight bariatrics in terms of textbook-outcome. Both approaches reached primary endpoint results above Dutch average. However, statistically the outpatient surgery protocol was neither inferior, nor non-inferior to the standard pathway. Additionally, offering same-day discharge reduces the total hospitalization days while maintaining patient satisfaction and safety.