Case management used to optimize cancer care pathways: A systematic review

Wulff, Christian Nielsen; Thygesen, Marianne Kirstine; Søndergaard, Jens; Vedsted, Peter

doi:10.1186/1472-6963-8-227

Cited by 60 publications

(60 citation statements)

References 31 publications

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“…Such teams are usually led by a surgeon or an oncologist who is assisted by a pathway manager, a role usually fi lled by a nurse specialist or an administrator who provides a direct point of contact for the patient and carers, and who ensures full distribution of decisions of the multidisciplinary team. 275 As care becomes more complex, communication between patients, carers, PCPs, and the clinical team is vital, and this is best managed through frequent multidisciplinary meetings 276 and joint specialist clinics with same-day communication with primary care. The care pathway should be fl exible for the individual and not driven mainly by prescribed targets.…”

Section: Tools For Better Integration Care Pathwaysmentioning

confidence: 99%

The expanding role of primary care in cancer control

Rubin

Berendsen

Crawford

et al. 2015

The Lancet Oncology

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448

450

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The nature of cancer control is changing, with an increasing emphasis, fuelled by public and political demand, on prevention, early diagnosis, and patient experience during and after treatment. At the same time, primary care is increasingly promoted, by governments and health funders worldwide, as the preferred setting for most health care for reasons of increasing need, to stabilise health-care costs, and to accommodate patient preference for care close to home. It is timely, then, to consider how this expanding role for primary care can work for cancer control, which has long been dominated by highly technical interventions centred on treatment, and in which the contribution of primary care has been largely perceived as marginal. In this Commission, expert opinion from primary care and public health professionals with academic and clinical cancer expertise-from epidemiologists, psychologists, policy makers, and cancer specialists-has contributed to a detailed consideration of the evidence for cancer control provided in primary care and community care settings. Ranging from primary prevention to end-of-life care, the scope for new models of care is explored, and the actions needed to eff ect change are outlined. The strengths of primary care-its continuous, coordinated, and comprehensive care for individuals and families-are particularly evident in prevention and diagnosis, in shared follow-up and survivorship care, and in end-of-life care. A strong theme of integration of care runs throughout, and its elements (clinical, vertical, and functional) and the tools needed for integrated working are described in detail. All of this change, as it evolves, will need to be underpinned by new research and by continuing and shared multiprofessional development.

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Section: Tools For Better Integration Care Pathwaysmentioning

confidence: 99%

The expanding role of primary care in cancer control

Rubin

Berendsen

Crawford

et al. 2015

The Lancet Oncology

Self Cite

448

450

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“…Det er heller ikke noe som tyder på at koordinering gir en bedre deltakelse i beslutninger rundt ens egen kreftbehandling (Aubin et al 2012). Avslutningsvis er det heller ikke opplagt at koordinering har en effekt på symptomer eller helserelaterte plager (Wulff et al 2008). …”

Section: Sammenlikning Med Resultater Fra Andre Nasjonale Og Internasunclassified

Kreftkoordinatorers rolle i samhandlingsarbeidet i kreftomsorgen i norske kommuner

Syse

Moshina

2015

NorTidHelse

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“…All the physiotherapy approaches should be planned and applied as individual programs tailored to these patients following a comprehensive evaluation. 90 However, well-designed, prospective, adequately powered and randomized-controlled trials are needed to prove the efficacy of physiotherapy and pulmonary rehabilitation in general for patients with advanced lung cancer.…”

Section: Resultsmentioning

confidence: 99%

Impact of physiotherapy on patients with advanced lung cancer

Özalevli

2013

Chron Respir Dis

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Patients with lung cancer have high mortality and high morbidity. Lung cancer-related symptoms and problems such as dyspnea, fatigue, pain, and cachexia that begin in the early phase later result in poor physical functioning, psychosocial, and quality of life status. In addition, advancing age is associated with significant comorbidity. These patients may benefit from multidisciplinary therapy to reduce the perceived severity of dyspnea and fatigue and increase physical functioning and quality of life. Based on management of symptoms and problems such as dyspnea, physical inactivity, cancer-related fatigue, respiratory secretions, pain, and anxiety-depression of these patients, it is thought that physiotherapy techniques can be used on advanced lung cancer patients following a comprehensive evaluation. However, well-designed, prospective, and randomized-controlled trials are needed to prove the efficacy of physiotherapy and pulmonary rehabilitation in general for patients with advanced lung cancer.

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Case management used to optimize cancer care pathways: A systematic review

Abstract: Background: Reports of inadequate cancer patient care have given rise to various interventions to support cancer care pathways which, overall, seem poorly studied. Case management (CM) is one method that may support a cost-effective, highquality patient-centred treatment and care.

Cited by 60 publications

References 31 publications

The expanding role of primary care in cancer control

The expanding role of primary care in cancer control

Kreftkoordinatorers rolle i samhandlingsarbeidet i kreftomsorgen i norske kommuner

Impact of physiotherapy on patients with advanced lung cancer

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