Interventions to improve continuity of care in the follow-up of patients with cancer

Aubin, Michèle; Giguère, Anik; Verreault, René; Fitch, Margaret I.; Kazanjian, Arminée

doi:10.1002/14651858.cd007672

Cited by 10 publications

(7 citation statements)

References 44 publications

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“…The moment of discharge is considered critical and is aligned with cancer survivors' concerns about the format and content of the information shared at the moment of discharge from hospital, among others [28][29][30]. A choice centered on a shared-care model might be considered suitable and essentially is the result of a higher proximity of care, as identified by several authors [11,14,31]. The population characterized in this study is concordant with others in the literature.…”

Section: Discussionsupporting

confidence: 73%

Is There a Role for Primary Care in the Follow-Up of Colorectal Cancer Patients? The Case of a Portuguese University Hospital

Bandarra

Escoval

Costa

2018

Port J Public Health

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Background: In Portugal, colorectal cancer is the second most common type of cancer. With the increasing number of cancer survivors, follow-up is perceived as a chronic disease, with a significant impact on hospital care. Objective: To characterize colorectal patients in follow-up at Centro Hospitalar Lisboa Norte, EPE, and to determine the profile of economic resources consumed as well as the consultation workload. Materials and Methods: We characterized colorectal patients in follow-up at Centro Hospitalar Lisboa Norte, EPE, registered from 2008 until 2013 and the profile of economic resources consumed. Results: The Department of Oncology is responsible for 56.2% of colorectal patients’ follow-up. In this study, only 0.4% of cases had follow-up secured in primary care, which translates to a significant impact in terms of resources allocation and consultation management, especially if we consider that 41% of patients are in follow-up for longer than 3 years. The average annual adjusted cost of follow-up per patient is EUR 539.09. Patients who were alive on 31 January 2014 had generated 2,930 follow-up hospital appointments per year, representing 12% of the total number of oncology appointments reported in 2013. Discussion and Conclusions: The follow-up of colorectal cancer patients is associated with significant hospital resource allocation and physicians’ time consumption. Other follow-up models might emerge as an alternative to traditional hospital-centered follow-up, such as the shared-care follow-up, which requires a multidisciplinary and survivor-centered approach, ensuring that information and communication are shared between settings with a clear definition of responsibilities, a survivor care plan, and mechanisms for future referencing when justified.

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Section: Discussionsupporting

confidence: 73%

Is There a Role for Primary Care in the Follow-Up of Colorectal Cancer Patients? The Case of a Portuguese University Hospital

Bandarra

Escoval

Costa

2018

Port J Public Health

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“…De ulike oversiktene har et ulikt fokus, og det er saerlig studiene av Aubin, Giguere, Martin, Verreaukt, Fitch og and Kazanjian (2012), Khan, Ward, Watson, Austoker og Rose (2011) og Wulff, Thygesen, Sondergaard og Vedsted (2008) som er aktuelle for vår del. I disse studiene er det ikke entydige resultater når det gjelder effekten av koordinerende tiltak på livskvalitet hos pasienter eller pårørende (Aubin et al 2012;Khan et al 2012). Det er heller ikke noe som tyder på at koordinering gir en bedre deltakelse i beslutninger rundt ens egen kreftbehandling (Aubin et al 2012).…”

Section: Sammenlikning Med Resultater Fra Andre Nasjonale Og Internasunclassified

“…I disse studiene er det ikke entydige resultater når det gjelder effekten av koordinerende tiltak på livskvalitet hos pasienter eller pårørende (Aubin et al 2012;Khan et al 2012). Det er heller ikke noe som tyder på at koordinering gir en bedre deltakelse i beslutninger rundt ens egen kreftbehandling (Aubin et al 2012). Avslutningsvis er det heller ikke opplagt at koordinering har en effekt på symptomer eller helserelaterte plager (Wulff et al 2008).…”

Section: Sammenlikning Med Resultater Fra Andre Nasjonale Og Internasunclassified

Kreftkoordinatorers rolle i samhandlingsarbeidet i kreftomsorgen i norske kommuner

Syse

Moshina

2015

NorTidHelse

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“…Behovsrettet og individuelt tilpasset omsorg beskrives som grunnleggende (7,8,13). Forskning viser at god informasjonsflyt, gode mellommenneskelige relasjoner og koordinering bidrar til kontinuitet (14).…”

Section: Ufullstendig Behandlingskjedeunclassified

Gir god kreftomsorg

Eklund¹

2010

Sykepleien

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Interventions to improve continuity of care in the follow-up of patients with cancer

Cited by 10 publications

References 44 publications

Is There a Role for Primary Care in the Follow-Up of Colorectal Cancer Patients? The Case of a Portuguese University Hospital

Is There a Role for Primary Care in the Follow-Up of Colorectal Cancer Patients? The Case of a Portuguese University Hospital

Kreftkoordinatorers rolle i samhandlingsarbeidet i kreftomsorgen i norske kommuner

Gir god kreftomsorg

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