The Impact of Clinical Pathways on the Practice of Head and Neck Oncologic Surgery

Chen, Amy Y.; Callender, David L.; Mansyur, Carol; Reyna, Kim M.; Limitone, Ellen; Goepfert, Helmuth

doi:10.1001/archotol.126.3.322

Cited by 59 publications

(79 citation statements)

References 6 publications

(3 reference statements)

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“…A followup study was conducted by Gendron et al [27] to assess the progress of the CCP after 3 years of implementation. The median total charges decreased from pre-CCP Chen et al [14] assessed the impact of a CCP in patients who underwent unilateral neck dissection.They compared three groups: pre-CCP patients,contemporaneous non-CCP patients (patients who were not enrolled in the CCP due to treating faculty preference or omission),and CCPmanaged patients.The total median costs of care were significantly less in the CCP group compared with the pre-CCP group [$US6,227 (€7,686) vs. $8,459 (€10,441), respectively]), and in the contemporaneous non-CCP group compared with the pre-CCP group [$6,885 (€8,498) vs.$8,459 (€10,441), respectively]). The largest decrease occurred in treatment costs (-38%), which included room/board and nursing costs.…”

Section: Costs Of Clinical Care Pathwaysmentioning

confidence: 99%

Economic burden of head and neck cancer

Lee

Turini

Botteman

et al. 2004

The European Journal of Health Economics

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This literature review presents the economics of head and neck cancer (HNC), the world's sixth most common neoplasm. HNC economics is complicated by the involvement of multiple body sites, multiple medical specialties, and multiple treatment modalities. Economic analyses of HNC published in English between 1990 and 2002 were identified from electronic data sources. Additional studies were identified manually from bibliographies of retrieved articles. Study characteristics and findings were analyzed. We identified 51 studies that reported original cost data. Most were cost-identification or cost-comparison studies; only one evaluated cost-effectiveness. Few assessed the overall economic burden of HNC or cost effectiveness of current treatments, thus making appropriate comparisons impossible. Systematic measurement of the cost of HNC and its treatment in existing practice settings would be valuable. Inclusion of economic components in clinical trials and the conduct of retrospective or prospective observational studies, such as patient registries, would yield important new information.

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Section: Costs Of Clinical Care Pathwaysmentioning

confidence: 99%

Economic burden of head and neck cancer

Lee

Turini

Botteman

et al. 2004

The European Journal of Health Economics

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“…The references of these articles were reviewed and 13 articles were found to relate specifically to enhanced recovery in head and neck surgery (Table II). [5][6][7][8][9][10][11][12][13][14][15][16][17] Sixteen articles were discounted. Four compared different environments for the post-operative monitoring of patients who had undergone head and neck surgery.…”

Section: Resultsmentioning

confidence: 99%

Enhanced recovery programmes in head and neck surgery: systematic review

Bannister

Ah‐See

2015

J. Laryngol. Otol.

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“…Management protocols and clinical pathways have helped to streamline the clinical work-up, treatment, and follow-up. [5112548] Although these tools have helped standardize the more routine aspects of this patient population care, they certainly do not preclude personalized care. In addition, healthcare providers participating in multidisciplinary teams also recognize benefits including confidence and satisfaction in rendered care and increased job satisfaction.…”

Section: Advantages Of Multidisciplinary Teamsmentioning

confidence: 99%

Teamwork in skull base surgery: An avenue for improvement in patient care

McLaughlin¹,

Carrau²,

Kelly³

et al. 2013

Surg Neurol Int

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Background:During the past several decades, numerous centers have acquired significant expertise in the treatment of skull base pathologies. Favorable outcomes are not only due to meticulous surgical planning and execution, but they are also related to the collaborative efforts of multiple disciplines. We review the impact of teamwork on patient care, elaborate on the key processes for successful teamwork, and discuss its challenges.Methods:Pubmed and Medline databases were searched for publications from 1970 to 2012 using the following keywords: “teamwork”, “multidisciplinary”, “interdisciplinary”, “surgery”, “skull base”, “neurosurgery”, “tumor”, and “outcome”.Results:Current literature testifies to the complexity of establishing and maintaining teamwork. To date, few reports on the impact of teamwork in the management of skull base pathologies have been published. This lack of literature is somewhat surprising given that most patients with skull base pathology receive care from multiple specialists. Common factors for success include a cohesive and well-integrated team structure with well-defined procedural organization. Although a multidisciplinary work force has clear advantages for improving today's quality of care and propelling research efforts for tomorrow's cure, teamwork is not intuitive and requires training, guidance, and executive support.Conclusions:Teamwork is recommended to improve quality over the full cycle of care and consequently patient outcomes. Increased recognition of the value of an integrated team approach for skull base pathologies will hopefully encourage centers, physicians, allied health caregivers, and scientists devoted to treating these patients and advancing the field of knowledge to invest the time, effort, and resources to optimize and organize their collective expertise.

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The Impact of Clinical Pathways on the Practice of Head and Neck Oncologic Surgery

Cited by 59 publications

References 6 publications

Economic burden of head and neck cancer

Economic burden of head and neck cancer

Enhanced recovery programmes in head and neck surgery: systematic review

Teamwork in skull base surgery: An avenue for improvement in patient care

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