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

Joo, Jee Young; Liu, Megan F.

doi:10.1177/1054773818773285

Cited by 37 publications

(44 citation statements)

References 26 publications

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“…The importance of this theme for patient-centered care is also reflected in the questionnaire as the ‘coordination and integration of care’ dimension was assessed in six closed-ended questions. Recent systematic reviews have shown that cancer care coordination interventions, such as increased communication across multidisciplinary teams, patient navigation, home telehealth, self-management education and nurse case management, have the potential to improve a range of cancer related outcomes, including measures of patient experience with care, and quality of life [ 29 – 32 ]. It may be beneficial to further develop such interventions.…”

Section: Discussionmentioning

confidence: 99%

Computer-assisted textual analysis of free-text comments in the Swiss Cancer Patient Experiences (SCAPE) survey

Arditi

Walther

Gilles

et al. 2020

BMC Health Serv Res

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Background Patient experience surveys are increasingly conducted in cancer care as they provide important results to consider in future development of cancer care and health policymaking. These surveys usually include closed-ended questions (patient-reported experience measures (PREMs)) and space for free-text comments, but published results are mostly based on PREMs. We aimed to identify the underlying themes of patients’ experiences as shared in their own words in the Swiss Cancer Patient Experiences (SCAPE) survey and compare these themes with those assessed with PREMs to investigate how the textual analysis of free-text comments contributes to the understanding of patients’ experiences of care. Methods SCAPE is a multicenter cross-sectional survey that was conducted between October 2018 and March 2019 in French-speaking parts of Switzerland. Patients were invited to rate their care in 65 closed-ended questions (PREMs) and to add free-text comments regarding their cancer-related experiences at the end of the survey. We conducted computer-assisted textual analysis using the IRaMuTeQ software on the comments provided by 31% (n = 844) of SCAPE survey respondents (n = 2755). Results We identified five main thematic classes, two of which consisting of a detailed description of ‘cancer care pathways’. The remaining three classes were related to ‘medical care’, ‘gratitude and praise’, and the way patients lived with cancer (‘cancer and me’). Further analysis of this last class showed that patients’ comments related to the following themes: ‘initial shock’, ‘loneliness’, ‘understanding and acceptance’, ‘cancer repercussions’, and ‘information and communication’. While closed-ended questions related mainly to factual aspects of experiences of care, free-text comments related primarily to the personal and emotional experiences and consequences of having cancer and receiving care. Conclusions A computer-assisted textual analysis of free-text in our patient survey allowed a time-efficient classification of free-text data that provided insights on the personal experience of living with cancer and additional information on patient experiences that had not been collected with the closed-ended questions, underlining the importance of offering space for comments. Such results can be useful to inform questionnaire development, provide feedback to professional teams, and guide patient-centered initiatives to improve the quality and safety of cancer care.

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Section: Discussionmentioning

confidence: 99%

Computer-assisted textual analysis of free-text comments in the Swiss Cancer Patient Experiences (SCAPE) survey

Arditi

Walther

Gilles

et al. 2020

BMC Health Serv Res

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“…Previous research on care management in chronic health populations other than PD revealed its potential in improving patient outcomes [ 8, 9 ], quality of life [ 10 ], patient satisfaction [ 11 ], and also in preventing complications that also common occur in PD patients, including reduction in feelings of anxiety [ 12, 13 ] and depressive symptoms [ 13, 14 ]. Research has demonstrated that implementation of care management models is successful in guiding quality improvement and in providing effective and high quality of chronic care [ 8– 16 ].…”

Section: Introductionmentioning

confidence: 99%

Personalized Care Management for Persons with Parkinson’s Disease

Halteren

Munneke

Smit

et al. 2020

Journal of Parkinson’s Disease

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There is a growing awareness that delivery of integrated and personalized care is necessary to meet the needs of persons living with Parkinson’s disease. In other chronic diseases than Parkinson’s disease, care management models have been deployed to deliver integrated and personalized care, yielding positive effects on patients’ health outcomes, quality of life and health care utilization. However, care management models have been highly heterogeneous, as there is currently no clear operationalization of its core elements. In addition, most care management models are disease-specific and not tailored to the individual needs and preferences of a patient. In this viewpoint we present an integrated and personalized care management model for persons with Parkinson’s disease costing of five core elements: (1) care coordination, (2) patient navigation, (3) information provision, (4) early detection of signs and symptoms through proactive monitoring and (5) process monitoring. Following the description of each core element, implications for implementing the model into practice are discussed. Finally, we provide clinical and methodological considerations on the evaluation of care management models.

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“…Recently, a systematic review (9 experimental studies: 3 randomized controlled trials and 6 controlled before-and-after study) concluded that participants saw significant improvement in the quality of life measures with case management. [12] However, little robust evidence from randomized controlled studies was available to confirm this conclusion.…”

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 Nurse-Led Case Management in Cancer Care: Systematic Review

Cited by 37 publications

References 26 publications

Computer-assisted textual analysis of free-text comments in the Swiss Cancer Patient Experiences (SCAPE) survey

Computer-assisted textual analysis of free-text comments in the Swiss Cancer Patient Experiences (SCAPE) survey

Personalized Care Management for Persons with Parkinson’s Disease

Can case management improve cancer patients quality of life?

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