Vía clínica del carcinoma colorrectal. Elaboración a partir del análisis del proceso

Soria, Víctor; Pellicer, Enrique; Morales, Germán; Candel, Mari Fe; Aznar, Miguel Seguí; Pérez, Consuelo Dávila; Leal, Jesús; Abad, Eva; Carrasco, Milagros; Campillo, Álvaro; Parlorio, Elena; García, Teresa; Giménez, Alberto; Borrás, E.; Torrella, Emilio; Aguayo, José Luis

doi:10.1016/s1134-282x(04)77741-6

Cited by 3 publications

(3 citation statements)

References 13 publications

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“…In recent years, start of oral tolerance and early NGT removal have proven effective in the rapid recovery of patients undergoing CRC surgery. [25][26][27] These criteria were not recommended in the literature when our CP was being developed, 11 and despite evidence to the contrary, the systematic use of an NGT or absolute diet following colorectal surgery is still common today, as shown in a survey conducted in 5 European countries. 27 In our study group, there was a significant increase in early NGT removal and in oral diet tolerance on the second day when compared with the control group.…”

Section: Discussionmentioning

confidence: 99%

“…The CP for CRC was implemented in our hospital in January 2004 following a period of development between January and May 2003 and a pilot period from June to December of the same year. 11 The pathway was developed jointly by a group of surgeons, anesthetists, and nurses and therefore includes a task-time matrix containing the medical and nursing processes that patients must undergo. The process of implementation was carried out via informational and discussion meetings with the members of each separate medical unit and the nursing units.…”

Section: Methodsmentioning

confidence: 99%

“…The multidisciplinary CP for CRC 11 was implemented in our hospital in 2004 for patients diagnosed with this pathology and undergoing planned surgery. The CP was developed in 2003, which is why it does not include several aspects (eg, fast track) that, today, are considered important in the management of such patients.…”

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confidence: 99%

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Evaluation of a Clinical Pathway to Improve Colorectal Cancer Outcomes

et al. 2011

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The aims of this preintervention and postintervention study were to monitor and evaluate the clinical pathway (CP) for colorectal cancer (CRC) over a 5-year period and to compare 2 groups of patients (before and after the intervention) with regard to different variables of effectiveness. Group I comprised 68 patients who underwent planned surgery between January 2002 and January 2003. Group II comprised a sample of 202 patients who underwent surgery between January 2004 and December 2008. No significant differences were found in the majority of the parameters measured: postoperative stay, compliance with antibiotic prophylaxis, compliance with the staging study, mortality, rate of infection, and reoperations. The mean length of stay (±standard deviation) for patients without complications was reduced significantly (9.2 ± 3.6 in group I versus 7.7 ± 1.7 in group II, P = .031). The CP for CRC did not achieve most of the objectives for which it was designed.

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