A clinical audit in a multidisciplinary care path for thoracic surgery: An instrument for continuous quality improvement

Numan, Rachel C.; Klomp, Houke M.; Li, Wilson; Buitelaar, Dick R.; Burgers, Jacobus A.; Sandick, Johanna W. van; Wouters, Michel W. J. M.

doi:10.1016/j.lungcan.2012.08.006

Cited by 33 publications

(37 citation statements)

References 21 publications

(25 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Another example of an implemented IHelP project was the creation of a clinical care pathway (CCP). CCPs have been shown to decrease morbidity and mortality, as well as the length of hospital stay . A resident created a consolidated preoperative pathway for hip fracture patients (Figure S2).…”

Section: Resultsmentioning

confidence: 99%

Innovative Health Systems Projects

2015

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 99%

Innovative Health Systems Projects

2015

View full text Add to dashboard Cite

show abstract

“…It has been widely used in studying the quality of life in cancer patients [18–20]. The SF-36 includes a total of 8 dimensions: Physical Functioning (PF), Role limitations-Physical (RP), Bodily Pain (BP), General Health (GH), Vitality (VT), Social Functioning (SF), Role limitations-Emotional (RE), and Mental Health (MH).…”

Section: Methodsmentioning

confidence: 99%

Effects of Sertraline on Executive Function and Quality of Life in Patients with Advanced Cancer

2014

Med Sci Monit

View full text Add to dashboard Cite

BackgroundThe aim of this study was to investigate effects of the antidepressant sertraline on executive function and quality of life in patients with advanced cancer.Material/MethodsWe assigned 122 patients with stage III or IV cancer to the depressed group (DG, n=86) or the non-depressed group (NG, n=36). All subjects were given supportive treatment and patients in the DG received additional antidepressant treatment.ResultsThere were significant differences in total scores of the Hamilton anxiety scale (HAMA) and the Hamilton depression scale (HAMD), performance in the Wisconsin card sorting test, and SF-36 domains. After antidepressant treatment, the level of depression and anxiety decreased significantly in the DG, but was still significantly higher than in the NG. Low executive function was enhanced in the DG, but a worsening executive function was found in total errors in the NG (−2.3±3.8) (P<0.05). The dimensions of SF-36 in physical functioning (PF), role limitations-physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role limitations-emotional (RE), and mental health (MH) were decreased significantly at baseline in the DG compared to the NG (P<0.01). After 12-week Sertraline treatment, improvement in the DG in factors VT, SF, RE, and MH were more powerful than in the NG (P<0.05). HAMA, HAMD, and VAS scores and tumor stage were significantly correlated to any one dimension of quality of life.ConclusionsDepression is an important cause of decreased quality of life and executive function in patients with advanced cancer. The antidepressant sertraline can improve the executive function and quality of life, which may be helpful in the clinical practice of cancer treatment.

show abstract

“…The incidence of postoperative complications with the use of ERAS was reduced in one of the three studies. Two studies only evaluated the incidence of readmissions and reported discordant results: one showed no differences between ERAS and non-ERAS patients (19) and the other reported a 3-fold increase of readmissions in the fast-tracked patients (20).…”

Section: Eras and Vats Lobectomy: What Is The Evidence?mentioning

confidence: 99%

A comprehensive protocol for physiokinesis therapy and enhanced recovery after surgery in patients undergoing video-assisted thoracoscopic surgery lobectomy

Bertani¹,

Ferrari²,

Terzo³

et al. 2018

J. Thorac. Dis.

View full text Add to dashboard Cite

Background: Video-assisted thoracoscopic surgery (VATS) lobectomy has recently been adopted as the gold standard surgical option for the treatment of early stage non-small cell lung cancer. Enhanced recovery after surgery (ERAS) is being progressively adopted in thoracic surgery to improve the postoperative outcomes. Even if the benefits of ERAS are universally accepted, to date a standardized and uniform approach has not been described in the medical literature. The Italian VATS group has recently proposed to include in the VATS lobectomy database a structured protocol for ERAS. Methods:The ERAS section of the Italian VATS group is proposing a comprehensive ERAS protocol within the VATS lobectomy database, allowing the prospective collection of a dedicated set of data. Separate sections of the protocol are dedicated to different topics of ERAS. This study is specifically dedicated to the section of physiokinesis therapy. The medical literature will be extensively reviewed and a physiotherapy (PT) protocol of ERAS will be presented and discussed. A seta of structured clinical pathways will also be suggested for adoption in the VATS Group database.Discussion: Pre-and post-operative adoption of an ERAS protocol in patients undergoing VATS lobectomy may promote an improved post-operative course, a shorter hospital stay and an overall more comfortable patients' experience. The mainstays of a physiokinesis therapy ERAS protocol are patients' education, constant physical and respiratory therapy sessions, and adoption of adequate devices. Although many studies have investigated the usefulness of physical and respiratory physiokinesis therapy, a comprehensive ERAS protocol for VATS lobectomy patients has not yet been described. The proposed ERAS platform, adopted by the VATS Group database, will contribute to a prospective data collection and allow a scientific analysis of the results.

show abstract

A clinical audit in a multidisciplinary care path for thoracic surgery: An instrument for continuous quality improvement

Cited by 33 publications

References 21 publications

Innovative Health Systems Projects

Innovative Health Systems Projects

Effects of Sertraline on Executive Function and Quality of Life in Patients with Advanced Cancer

A comprehensive protocol for physiokinesis therapy and enhanced recovery after surgery in patients undergoing video-assisted thoracoscopic surgery lobectomy

Contact Info

Product

Resources

About