Postoperative health and patients' experiences of efficiency and quality of care after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy, two to six months after surgery

Swenne, Christine Leo; Cederholm, Karin; Gustafsson, Maria; Arakelian, Erebouni

doi:10.1016/j.ejon.2014.05.007

Cited by 9 publications

(25 citation statements)

References 40 publications

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“…In the postoperative phase, patients experience fatigue, nausea, appetite loss and pain, as well as other kinds of physical and psychosocial adversities (Eriksson, Haglund, Swenne, & Arakelian, 2014;Swenne, Cederholm, Gustafsson, & Arakelian, 2015;Tsilimparis et al, 2013). A simplified overview of the HIPEC pathway is presented in Figure 1.…”

Section: Crs and Hipec Pathwaymentioning

confidence: 99%

“…Consequently, the final decision has to be made by the surgeon in the operation room during the CRS procedure, while the patient is anesthetised. In the postoperative phase, patients experience fatigue, nausea, appetite loss and pain, as well as other kinds of physical and psychosocial adversities (Eriksson, Haglund, Swenne, & Arakelian, ; Swenne, Cederholm, Gustafsson, & Arakelian, ; Tsilimparis et al, ). A simplified overview of the HIPEC pathway is presented in Figure .…”

Section: Introductionmentioning

confidence: 99%

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Patient involvement in comprehensive, complex cancer surgery: Perspectives of patients, relatives and health professionals

2019

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We investigated the perspectives of patients, relatives and health professionals on the drivers and barriers to patient involvement (PI) in the treatment of peritoneal carcinomatosis with cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC). During 2016–2017, individual and focus group interviews were conducted with purposively selected participants during CRS and HIPEC, supplemented by field observations. This material was analysed using meaning condensation (Kvale). Fifteen patients, eight relatives and nine health professionals participated in 31 individual and two focus group interviews, supplemented by 37 observations. The findings were structured into themes concerning treatment decisions, organisation of pathways, knowledge of the patient and life during treatment. Deciding to treat was determined not only by preoperative biomedical information, personal preferences but also findings during surgery. This circumstance put the patients under mental pressure and affected their ability to process the offered information. They furthermore perceived the pathway as complex and occasionally unclear, leading them to attempt to coordinate transitions themselves. The study has highlighted barriers to, rather than drivers of, PI. To promote PI during comprehensive complex cancer surgery, we suggest that patients and relatives are offered patient‐centred care, such as support in posing questions, overview of their treatment pathway and coherent transitions.

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Section: Crs and Hipec Pathwaymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patient involvement in comprehensive, complex cancer surgery: Perspectives of patients, relatives and health professionals

2019

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“…Patients with PC suffer from gastrointestinal cancer with different origins in the abdominal cavity, and the treatment is challenging for the patients both physically and mentally. The selection process is rigorous , and the waiting time for surgery (4–8 months) and the recovery process are both long .…”

Section: Introductionmentioning

confidence: 99%

“…Patients with PC have received a serious diagnosis and have gone through major abdominal surgery. Several of them had previous symptoms, which means that patients have gone through changes in their health and social status both before and after surgery .…”

Section: Introductionmentioning

confidence: 99%

“…Postoperative recovery is divided into three phases: an early phase which starts with discontinuation of anaesthesia until vital signs are stabilised, followed by an intermediate phase which is until the patient is ready for discharge, and a late phase which is the time frame between discharge and when the patient regains health and well‐being . The early (before discharge from the hospital) and intermediate (4 months after surgery) phases after CRS and HIPEC have been studied previously and have shown that patients focus on getting well physically, regardless of the effects on their mental health. Not many patients sought professional counselling or Acceptance and Commitment Therapy (ACT).…”

Section: Introductionmentioning

confidence: 99%

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Patients’ experiences of their everyday life 14 months after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy – a qualitative follow‐up study

Swenne

Jangland

Arakelian

2017

Scandinavian Caring Sciences

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After advanced surgery, patients require a continuous medical and nursing rehabilitation plan, and a platform of support such as meetings via social media and Internet which would connect former patients and their families with future patients and their family members. A contact nurse with specific expertise should design an individual rehabilitation plan and continuously identify the individual needs for long-term support.

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Non-home Discharge and Prolonged Length of Stay After Cytoreductive Surgery and HIPEC

Burguete

Mokdad

Augustine

et al. 2019

Journal of Surgical Research

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Postoperative health and patients' experiences of efficiency and quality of care after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy, two to six months after surgery

Cited by 9 publications

References 40 publications

Patient involvement in comprehensive, complex cancer surgery: Perspectives of patients, relatives and health professionals

Patient involvement in comprehensive, complex cancer surgery: Perspectives of patients, relatives and health professionals

Patients’ experiences of their everyday life 14 months after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy – a qualitative follow‐up study

Non-home Discharge and Prolonged Length of Stay After Cytoreductive Surgery and HIPEC

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