Desarrollo de una vía clínica para mejorar el proceso de tratamiento adyuvante del Carcinoma de colon

Grávalos, Cristina; Rodríguez-Dapena, Silvia; Alcalde, Juan; Castells, Victoria; Ruiz-López, Pedro

doi:10.1016/s1134-282x(01)77402-7

Cited by 6 publications

(4 citation statements)

References 12 publications

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“…Rectal cancer is one of the more complex tumoral diseases because of the need of multiple specialists to take part in its diagnosis and treatment 9. This means that coordination among different clinical units is necessary, which is often lacking.…”

Section: Introductionmentioning

confidence: 99%

“…Clinical pathways are healthcare plans in which the whole process of the disease from the diagnosis is described, including the responsibilities every professional has with the patient. 9–11…”

Section: Introductionmentioning

confidence: 99%

“…9 Clinical pathways are healthcare plans in which the whole process of the disease from the diagnosis is described, including the responsibilities every professional has with the patient. [9][10][11] Rectal cancer is one of the more complex tumoral diseases because of the need of multiple specialists to take part in its diagnosis and treatment. 9 This means that coordination among different clinical units is necessary, which is often lacking.…”

Section: Introductionmentioning

confidence: 99%

“…[9][10][11] Rectal cancer is one of the more complex tumoral diseases because of the need of multiple specialists to take part in its diagnosis and treatment. 9 This means that coordination among different clinical units is necessary, which is often lacking. This fact requires us to develop a way to involve every specialist in a multidisciplinary team to avoid delays between different phases of the process and to avoid clinical variability among the different professionals involved.…”

Section: Introductionmentioning

confidence: 99%

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Pilot Study of a Clinical Pathway Implementation in Rectal Cancer

Uña¹,

López-Lara

2010

Clin Med Insights Oncol

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Background:Rectal cancer is a highly prevalent disease which needs a multidisciplinary approach to be treated. The absence of specific protocols implies a significant and unjustifiable variability among the different professionals involved in this disease.The purpose is to develop a clinical pathway based on the analysis process and aims to reduce this variability and to reduce unnecessary costs.Methods:We created a multidisciplinary team with contributors from every clinical area involved in the diagnosis and treatment in this disease. We held periodic meetings to agree on a protocol based on the best available clinical practice guidelines. Once we had agreed on the protocol, we implemented its use as a standard in our institution. Every patient older than 18 years who was diagnosed with rectal cancer was considered a candidate to be treated via the pathway.Results:We evaluated 48 patients during the course of this study. Every parameter measured was improved after the implementation of the pathway, except the proportion of patients with 12 nodes or more analysed.The perception that our patients had about this project was very good.Conclusions:Clinical pathways are needed to improve the quality of health care. This kind of project helps reduce hospital costs and optimizes the use of limited resources. On the other hand, unexplained variability is also reduced, with consequent benefits for the patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%