Effectiveness of case management as a cross‐sectoral healthcare provision for women with breast cancer

Bleich, Christiane; Büscher, Cathrin; Melchior, Hanne; Grochocka, Anna; Thorenz, Andrea; Schulz, Holger; Koch, Uwe; Watzke, Birgit

doi:10.1002/pon.4139

Cited by 10 publications

(15 citation statements)

References 19 publications

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“…Moreover, the total annual economic cost of cancer is approximately US$1.16 trillion (World Health Organization, 2017). Individuals with cancer require extended inpatient and outpatient care by several health professionals (Bleich et al, 2017; Strupp et al, 2018). However, during cancer treatment, the care that patients receive has been uncoordinated and fragmented due to the many health care providers patients see in multiple health care settings (Strupp et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

“…However, during cancer treatment, the care that patients receive has been uncoordinated and fragmented due to the many health care providers patients see in multiple health care settings (Strupp et al, 2018). This is a problem because many cancer patients have high levels of physical dysfunction and psychological stress (Bleich et al, 2017; Hsu, Chai, Lin, Wang, & Chen, 2017; Strupp et al, 2018). The stress also challenges their quality of life (QoL) and raises their health care costs (Centers for Disease Control and Prevention, 2016; Hsu et al, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Nurse-Led Case Management in Cancer Care: Systematic Review

Joo

Liu

2018

Clin Nurs Res

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Cancer survivors need accountable, patient-centered and lifelong care. Case management has been shown effective at providing quality care and at reducing both hospital access and health care costs. However, how effective case management in cancer care is to date unclear. This systematic review examines recent evidence of the effectiveness of nurse-led case management in adults with cancer. The Cochrane processes and PRISMA statements guided this systematic review. The methodological risk of bias was assessed. From four electronic databases, nine experimental studies published from 2008 to 2017 were retrieved. Synthesized results show positive case management effectively improved patients' quality of life and significantly reduced hospital readmission rates. However, there were mixed results of health care costs and other hospital access outcomes. There is some evidence that nurse-led case management is effective in cancer care. Further research applying rigorous design to large populations of cancer patients is recommended.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of Nurse-Led Case Management in Cancer Care: Systematic Review

Joo

Liu

2018

Clin Nurs Res

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“…Several factors may influence the stability of such tools, including changes in distress in relation to the child’s status, other occurring life events, or factors associated with the measures’ reliability or inherent sensitivity. Documenting reliability of tools such as the DT or ESAS is of primary importance as users are increasingly treating distress levels as outcomes or predictors of clinical change, independently from their screening abilities [ 25 , 26 ]. Stability over time is the only method to ascertain reliability for such one-item tools.…”

Section: Introductionmentioning

confidence: 99%

Stability and Repeatability of the Distress Thermometer (DT) and the Edmonton Symptom Assessment System-Revised (ESAS-r) with Parents of Childhood Cancer Survivors

et al. 2016

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ObjectiveParents report psychological distress in association with their child's cancer. Reliable tools are needed to screen parental distress over the cancer trajectory. This study aimed to estimate the stability and repeatability of the Distress Thermometer (DT) and the Depression and Anxiety items of the Edmonton Symptom Assessment System-revised (ESAS-r-D; -A) in parents of children diagnosed with cancer.MethodsFifty parents (28 mothers, median age = 44) of clinically stable survivors of childhood solid and brain tumours completed questionnaires about their own distress (DT, ESAS-r-D; -A, Brief Symptom Inventory-18: BSI-18, Patient Health Questionnaire-9: PHQ-9, Generalized Anxiety Disorder-7: GAD-7) and their children’s quality of life (QoL; Peds Quality of Life: PedsQL) twice, with a month interval between the two assessments. At retest, parents also evaluated life events that occurred between the two time points. Hierarchical regressions explored moderators for the temporal stability of test measures.ResultsStability estimates were ICC = .78 for the DT, .55 for the ESAS-r-D, and .47 for the ESAS-r-A. Caseness agreement between test and retest was substantial for the DT, fair for the ESAS-r-D, and slight for the ESAS-r-A. Repeatability analyses indicated that the error range for the DT was more than 2 pts below/above actual measurement, whereas it was more than 3 pts for the ESAS-r-A, and 2.5 for the ESAS-r-D. Instability of the DT could be explained by changes in children’s physical QoL, but not by other components of QoL or life events. No moderators of stability could be identified for the ESAS-r items.ConclusionsThe DT appears to be a fairly stable measure when the respondent's condition is stable yet with a relatively wide error range. Fluctuations in distress-related constructs may affect the temporal stability of the DT. The lower stability of ESAS-r items may result from shorter time-lapse instructions resulting in a greater sensitivity to change. Findings support future research on the DT as a reliable instrument in caregivers.

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“… [18] Since all of these results were self-reported by cancer patients, they may be overestimated and can not represent the real difference between the 2 groups. [5] Information bias can not be avoided because all the participants were not blinded and they have been informed about the aim of the study, [10] the control group may receive a higher quality treatment than routine care. [33] To reduce information bias, neutrally informed the purpose of the research at recruitment is needed.…”

Section: Discussionmentioning

confidence: 99%

“…Since many cancer patients have different degrees of psychological stress, mental disorder and physical dysfunction,[ 5 6 7 ] case management (CM) was established to use resources effectively to increase the quality of treatments and improve patient care services. The definition of case management is “a collaborative process that provides assessment, planning, implementation, coordination, evaluation to meet the individuals and familys health service needs”, [8] and the case management system is carried out by substance of multidisciplinary, patient-centered and organizational care.…”

Section: Introductionmentioning

confidence: 99%

Can case management improve cancer patients quality of life?

et al. 2020

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Background: Cancer patients are associated with a series of long lasting and stressful treatments and experiencing, and case management (CM) has been widely used and developed with the aim to increase the quality of treatments and improve the patient care services. The purpose of this review is to identify and synthesize the evidence of randomized controlled trial studies to prove that case management could be one way to address the quality of life of cancer patients. Methods: We performed a literature search in 4 electronic bibliographic databases and snowball searches were performed to ensure a complete collection. Two review authors independently extracted and analyzed data. A data extraction form was used to collect the characteristics of case management intervention, report outcomes, and quality assessment. Results: Our searches identified 3080 articles, of which 7 randomized controlled trials met the inclusion criteria. The intervention was varied from the target population, measurement tools, duration of intervention, and so on, and 5 studies consistently showed improvement in the intervention group compared with control groups, no significant difference was found between health care costs of case management care services and the routine care services. Conclusion: There is some evidence that case management can be effective in cancer patients quality of life. However, due to the heterogeneity in the target population, measurement tools, and results applied, no conclusion can be made from a meta-analysis on the present bias. More rigorously multi-centered randomized controlled studies should be provided with detailed information about intervention in future research.

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Effectiveness of case management as a cross‐sectoral healthcare provision for women with breast cancer

Cited by 10 publications

References 19 publications

Effectiveness of Nurse-Led Case Management in Cancer Care: Systematic Review

Effectiveness of Nurse-Led Case Management in Cancer Care: Systematic Review

Stability and Repeatability of the Distress Thermometer (DT) and the Edmonton Symptom Assessment System-Revised (ESAS-r) with Parents of Childhood Cancer Survivors

Can case management improve cancer patients quality of life?

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