The Effect of Critical Pathway Care in Patients With Colorectal Cancer, Randomized Control Trials
,
Abstract
Colorectal cancer and its treatment have short-term and long-term side effects for patients. One of the factors affecting these side effects is the nursing care method. This study was conducted to determine the effect of care based on the critical pathway on the duration of hospitalization, complications of the disease, and satisfaction with nursing care in patients with colorectal cancer. In a cluster-randomized controlled trial study, 70 patients with colorectal cancer were randomly selected from two hospitals of OMID (N=35) and GHAEM (N=35) in Mashhad, Iran. They were assigned to intervention and control groups. The data were collected using a characteristic of patients, and satisfaction questioner, a checklist of patient status and nursing performance, and analyzed by SPSS software version 18. There was a significant difference in the mean of satisfaction of patients from nursing care and length of hospital stay between pathway and routine care group (P<0.001). There were no significant differences between pathway and routine for the postoperative complications after 12 weeks of follow-up. Our study indicates that critical pathway care can increase the satisfaction of patients and decrease the duration of hospitalization. Future studies should investigate how to increase other clinical outcomes in the oncology wards.
1. Mathers CD, Loncar DJPm. Projections of global mortality and burden of disease from 2002 to 2030. 2006;3(11):e442. https://doi.org/10.1371/journal.pmed.0030442
2. Haggar FA, Boushey RPJCic, surgery r. Colorectal cancer epidemiology: incidence, mortality, survival, and risk factors. 2009;22(04):191-7. DOI: 10.1055/s-0029-1242458
3. Kirchhoff P, Clavien P-A, Hahnloser DJPsis. Complications in colorectal surgery: risk factors and preventive strategies. 2010;4(1):5. https://doi.org/10.1186/1754-9493-4-5
4. Badia J, Casey A, Petrosillo N, Hudson P, Mitchell S, Crosby CJJoHI. Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries. 2017;96(1):1-15. https://doi.org/10.1016/j.jhin.2017.03.004
5. Bayar B, Yılmaz KB, Akıncı M, Şahin A, Kulaçoğlu HJTJoSUcd. An evaluation of treatment results of emergency versus elective surgery in colorectal cancer patients. 2016;32(1):11. doi: 10.5152/UCD.2015.2969
6. Rezapoor A, Shokuh MH, Faradonbeh SBJJoHP, Health S. Studying effects of production factors in hospitals affiliated with Tehran University of Medical Sciences (2008-2011). 2014;1(2). https://journals.bmsu.ac.ir/jhpsh/index.php/jhpsh/article/view/13
7. Dasenbrock HH, Liu KX, Devine CA, Chavakula V, Smith TR, Gormley WB, et al. Length of hospital stay after craniotomy for tumor: a National Surgical Quality Improvement Program analysis. 2015;39(6):E12. https://doi.org/10.3171/2015.10.FOCUS15386
8. Bloom N, Propper C, Seiler S, Van Reenen JJTRoES. The impact of competition on management quality: evidence from public hospitals. 2015;82(2):457-89. https://doi.org/10.1093/restud/rdu045
9. Kittelsen SA, Anthun KS, Goude F, Huitfeldt IM, Häkkinen U, Kruse M, et al. Costs and quality at the hospital level in the Nordic countries. 2015;24:140-63. https://doi.org/10.1002/hec.3260
10. Kennedy EP, Grenda TR, Sauter PK, Rosato EL, Chojnacki KA, Rosato Jr FE, et al. Implementation of a critical pathway for distal pancreatectomy at an academic institution. Journal of Gastrointestinal Surgery. 2009;13(5):938-44.
11. Husni ME, Losina E, Fossel AH, Solomon DH, Mahomed NN, Katz JN. Decreasing medical complications for total knee arthroplasty: effect of critical pathways on outcomes. BMC musculoskeletal disorders. 2010;11(1):160. https://doi.org/10.1186/1471-2474-11-160
12. Jeong S-H, Yoo M-W, Yoon H-M, Lee H-J, Ahn HS, Cho J-J, et al. Is the critical pathway effective for the treatment of gastric cancer? 2011;81(2):96-103. https://doi.org/10.4174/jkss.2011.81.2.96
13. Sacks GD, Lawson EH, Dawes AJ, Russell MM, Maggard-Gibbons M, Zingmond DS, et al. Relationship between hospital performance on a patient satisfaction survey and surgical quality. 2015;150(9):858-64. doi:10.1001/jamasurg.2015.1108
14. Rosenstein AHJJBHR. Human factors affecting disruptive physician behaviors and its impact on the business of medicine. 2016;2:012. http://crescopublications.org/pdf/jbhrm/JBHRM-2-012.pdf
15. Zarei E, Daneshkohan A, Pouragha B, Marzban S, Arab M. An Empirical study of the Impact of Service Quality on patient Satisfaction in private Hospitals, Iran. Global journal of health science. 2015;7(1):1. doi: 10.5539/gjhs.v7n1p1
16. Okochili M, Sun H. Patients' perceptions of the nurse patient relationship in postoperative care. 2017. http://urn.fi/URN:NBN:fi:amk-201802092266
17. Fakhr-Movahedi A, Soleimani M, Ghazvininejad R, Maher MK, Ghorbani RJIRCMJ. Effect of patient-focused clinical pathway on anxiety, depression and satisfaction of patients with coronary artery disease: A quasi-experimental study. 2015;17(9). doi: 10.5812/ircmj.29933
18. Potter BK, Khangura SD, Tingley K, Chakraborty P, Little JJGiM. Translating rare-disease therapies into improved care for patients and families: what are the right outcomes, designs, and engagement approaches in health-systems research? 2016;18(2):117. doi:10.1038/gim.2015.42
19. Zon RT, Frame JN, Neuss MN, Page RD, Wollins DS, Stranne S, et al. American Society of Clinical Oncology policy statement on clinical pathways in oncology. 2016;12(3):261-6.
20. McGilton KS, Bowers BJ, Heath H, Shannon K, Dellefield ME, Prentice D, et al. Recommendations from the international consortium on professional nursing practice in long-term care homes. 2016;17(2):99-103. https://doi.org/10.1016/j.jamda.2015.11.001
21. Pecorelli N, Hershorn O, Baldini G, Fiore JF, Stein BL, Liberman AS, et al. Impact of adherence to care pathway interventions on recovery following bowel resection within an established enhanced recovery program. 2017;31(4):1760-71.
22. Adam C, Patiraki EI, Lemonidou C, Radwin LE, Charalambous A, Charalambous M, et al. Quality of nursing care as perceived by cancer patients: a cross-sectional survey in four European countries. 2017. https://ktisis.cut.ac.cy/handle/10488/12649
23. Gordon SA, Reiter ER. Effectiveness of critical care pathways for head and neck cancer surgery: A systematic review. Head & neck. 2016;38(9):1421-7. https://doi.org/10.1002/hed.24265
24. Kim B, Park S, Park K, Ryoo SJJocn. Effects of a surgical ward care protocol following open colon surgery as part of an enhanced recovery after surgery programme. 2017;26(21-22):3336-44. https://doi.org/10.1111/jocn.13682
25. Mendes DIA, Ferrito CRdAC, Gonçalves MIRJRbde. Nursing Interventions in the Enhanced Recovery After Surgery®: Scoping Review. 2018;71:2824-32. http://dx.doi.org/10.1590/0034-7167-2018-0436.
26. Szcześniak D, Dröes R-M, Meiland F, Brooker D, Farina E, Chattat R, et al. Does the community-based combined Meeting Center Support Programme (MCSP) make the pathway to day-care activities easier for people living with dementia? A comparison before and after implementation of MCSP in three European countries. 2018;30(11):1717-34. DOI: https://doi.org/10.1017/S1041610217002885
27. Siebens K, Miljoen H, Fieuws S, Drew B, De Geest S, Vrints C. Implementation of the guidelines for the management of patients with chest pain through a critical pathway approach improves length of stay and patient satisfaction but not anxiety. Critical pathways in cardiology. 2010;9(1):30-4. doi: 10.1097/HPC.0b013e3181d24549
2. Haggar FA, Boushey RPJCic, surgery r. Colorectal cancer epidemiology: incidence, mortality, survival, and risk factors. 2009;22(04):191-7. DOI: 10.1055/s-0029-1242458
3. Kirchhoff P, Clavien P-A, Hahnloser DJPsis. Complications in colorectal surgery: risk factors and preventive strategies. 2010;4(1):5. https://doi.org/10.1186/1754-9493-4-5
4. Badia J, Casey A, Petrosillo N, Hudson P, Mitchell S, Crosby CJJoHI. Impact of surgical site infection on healthcare costs and patient outcomes: a systematic review in six European countries. 2017;96(1):1-15. https://doi.org/10.1016/j.jhin.2017.03.004
5. Bayar B, Yılmaz KB, Akıncı M, Şahin A, Kulaçoğlu HJTJoSUcd. An evaluation of treatment results of emergency versus elective surgery in colorectal cancer patients. 2016;32(1):11. doi: 10.5152/UCD.2015.2969
6. Rezapoor A, Shokuh MH, Faradonbeh SBJJoHP, Health S. Studying effects of production factors in hospitals affiliated with Tehran University of Medical Sciences (2008-2011). 2014;1(2). https://journals.bmsu.ac.ir/jhpsh/index.php/jhpsh/article/view/13
7. Dasenbrock HH, Liu KX, Devine CA, Chavakula V, Smith TR, Gormley WB, et al. Length of hospital stay after craniotomy for tumor: a National Surgical Quality Improvement Program analysis. 2015;39(6):E12. https://doi.org/10.3171/2015.10.FOCUS15386
8. Bloom N, Propper C, Seiler S, Van Reenen JJTRoES. The impact of competition on management quality: evidence from public hospitals. 2015;82(2):457-89. https://doi.org/10.1093/restud/rdu045
9. Kittelsen SA, Anthun KS, Goude F, Huitfeldt IM, Häkkinen U, Kruse M, et al. Costs and quality at the hospital level in the Nordic countries. 2015;24:140-63. https://doi.org/10.1002/hec.3260
10. Kennedy EP, Grenda TR, Sauter PK, Rosato EL, Chojnacki KA, Rosato Jr FE, et al. Implementation of a critical pathway for distal pancreatectomy at an academic institution. Journal of Gastrointestinal Surgery. 2009;13(5):938-44.
11. Husni ME, Losina E, Fossel AH, Solomon DH, Mahomed NN, Katz JN. Decreasing medical complications for total knee arthroplasty: effect of critical pathways on outcomes. BMC musculoskeletal disorders. 2010;11(1):160. https://doi.org/10.1186/1471-2474-11-160
12. Jeong S-H, Yoo M-W, Yoon H-M, Lee H-J, Ahn HS, Cho J-J, et al. Is the critical pathway effective for the treatment of gastric cancer? 2011;81(2):96-103. https://doi.org/10.4174/jkss.2011.81.2.96
13. Sacks GD, Lawson EH, Dawes AJ, Russell MM, Maggard-Gibbons M, Zingmond DS, et al. Relationship between hospital performance on a patient satisfaction survey and surgical quality. 2015;150(9):858-64. doi:10.1001/jamasurg.2015.1108
14. Rosenstein AHJJBHR. Human factors affecting disruptive physician behaviors and its impact on the business of medicine. 2016;2:012. http://crescopublications.org/pdf/jbhrm/JBHRM-2-012.pdf
15. Zarei E, Daneshkohan A, Pouragha B, Marzban S, Arab M. An Empirical study of the Impact of Service Quality on patient Satisfaction in private Hospitals, Iran. Global journal of health science. 2015;7(1):1. doi: 10.5539/gjhs.v7n1p1
16. Okochili M, Sun H. Patients' perceptions of the nurse patient relationship in postoperative care. 2017. http://urn.fi/URN:NBN:fi:amk-201802092266
17. Fakhr-Movahedi A, Soleimani M, Ghazvininejad R, Maher MK, Ghorbani RJIRCMJ. Effect of patient-focused clinical pathway on anxiety, depression and satisfaction of patients with coronary artery disease: A quasi-experimental study. 2015;17(9). doi: 10.5812/ircmj.29933
18. Potter BK, Khangura SD, Tingley K, Chakraborty P, Little JJGiM. Translating rare-disease therapies into improved care for patients and families: what are the right outcomes, designs, and engagement approaches in health-systems research? 2016;18(2):117. doi:10.1038/gim.2015.42
19. Zon RT, Frame JN, Neuss MN, Page RD, Wollins DS, Stranne S, et al. American Society of Clinical Oncology policy statement on clinical pathways in oncology. 2016;12(3):261-6.
20. McGilton KS, Bowers BJ, Heath H, Shannon K, Dellefield ME, Prentice D, et al. Recommendations from the international consortium on professional nursing practice in long-term care homes. 2016;17(2):99-103. https://doi.org/10.1016/j.jamda.2015.11.001
21. Pecorelli N, Hershorn O, Baldini G, Fiore JF, Stein BL, Liberman AS, et al. Impact of adherence to care pathway interventions on recovery following bowel resection within an established enhanced recovery program. 2017;31(4):1760-71.
22. Adam C, Patiraki EI, Lemonidou C, Radwin LE, Charalambous A, Charalambous M, et al. Quality of nursing care as perceived by cancer patients: a cross-sectional survey in four European countries. 2017. https://ktisis.cut.ac.cy/handle/10488/12649
23. Gordon SA, Reiter ER. Effectiveness of critical care pathways for head and neck cancer surgery: A systematic review. Head & neck. 2016;38(9):1421-7. https://doi.org/10.1002/hed.24265
24. Kim B, Park S, Park K, Ryoo SJJocn. Effects of a surgical ward care protocol following open colon surgery as part of an enhanced recovery after surgery programme. 2017;26(21-22):3336-44. https://doi.org/10.1111/jocn.13682
25. Mendes DIA, Ferrito CRdAC, Gonçalves MIRJRbde. Nursing Interventions in the Enhanced Recovery After Surgery®: Scoping Review. 2018;71:2824-32. http://dx.doi.org/10.1590/0034-7167-2018-0436.
26. Szcześniak D, Dröes R-M, Meiland F, Brooker D, Farina E, Chattat R, et al. Does the community-based combined Meeting Center Support Programme (MCSP) make the pathway to day-care activities easier for people living with dementia? A comparison before and after implementation of MCSP in three European countries. 2018;30(11):1717-34. DOI: https://doi.org/10.1017/S1041610217002885
27. Siebens K, Miljoen H, Fieuws S, Drew B, De Geest S, Vrints C. Implementation of the guidelines for the management of patients with chest pain through a critical pathway approach improves length of stay and patient satisfaction but not anxiety. Critical pathways in cardiology. 2010;9(1):30-4. doi: 10.1097/HPC.0b013e3181d24549
| Files | ||
| Issue | Vol 58, No 3 (2020) | |
| Section | Articles | |
| DOI | https://doi.org/10.18502/acta.v58i3.3771 | |
| Keywords | ||
| Nursing care Critical pathway Colorectal neoplasm Patients | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
Abavi-Torghabeh B, Mahdizadeh M, Mahdizadeh S-M, Mazloom S-R. The Effect of Critical Pathway Care in Patients With Colorectal Cancer, Randomized Control Trials. Acta Med Iran. 2020;58(3):96-102.
