Integrated care pathway for rectal cancer treatment: cross-sectional post-implementation study using a logic model framework
São Paulo med. j
;
137(5): 438-445, Sept.-Oct. 2019. tab, graf
Article
in English
| LILACS
| ID: biblio-1059106
ABSTRACT
ABSTRACT BACKGROUND:
Management of rectal cancer has become more complex with multimodality therapy (neoadjuvant chemoradiotherapy and surgery) and this has led to the need to organize multidisciplinary teams. The aim of this study was to report on the planning, implementation and evaluation of an integrated care pathway for neoadjuvant treatment of middle and lower rectal cancer. DESIGN ANDSETTING:
This was a cross-sectional post-implementation study that was carried out at a public university cancer center.METHODS:
The Framework for Program Evaluation in Public Health of the Centers for Disease Control and Prevention (CDC) was used to identify resources and activities; link results from activities and outcomes with expected goals; and originate indicators and outcome measurements.RESULTS:
The logic model identified four activities stakeholders' engagement, clinical pathway development, information technology improvements and training programs; and three categories ofoutcomes:
access to care, effectiveness and organizational outcomes. The measurements involved 218 patients, among whom 66.3% had their first consultation within 15 days after admission; 75.2% underwent surgery < 14 weeks after the end of neoadjuvant treatment and 72.7% completed the treatment in < 189 days. There was 100% adherence to the protocol for the regimen of 5-fluorouracil and leucovorin.CONCLUSIONS:
The logic model was useful for evaluating the implementation of the integrated care pathways and for identifying measurements to be made in future outcome studies.
Full text:
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Index:
LILACS (Americas)
Main subject:
Rectal Neoplasms
/
Program Evaluation
/
Critical Pathways
/
Neoadjuvant Therapy
Type of study:
Evaluation studies
/
Practice guideline
/
Observational study
/
Prevalence study
/
Prognostic study
/
Risk factors
Limits:
Humans
Country/Region as subject:
South America
/
Brazil
Language:
English
Journal:
São Paulo med. j
Journal subject:
Cirurgia Geral
/
Cincia
/
Ginecologia
/
Medicine
/
Medicina Interna
/
Obstetr¡cia
/
Pediatria
/
Sa£de Mental
/
Sa£de P£blica
Year:
2019
Type:
Article
Affiliation country:
Brazil
Institution/Affiliation country:
Universidade de Sao Paulo/BR
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