Feasibility of adequate resectable rectal cancer treatment in a third-level hospital

Gallego-Plazas, Javier; Menárguez-Pina, Franscisco; Maestre-Peiró, Ana; Gonzalez-Orozco, Verónica; Andreu, Francisco Javier; Escudero-Barea, María J.; Morcillo, Miguel Angel

doi:10.1007/s12094-009-0334-x

Cited by 1 publication

(2 citation statements)

References 39 publications

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Section: Discussionmentioning

confidence: 99%

“…19 Gallego-Plazas et al evaluated rectal cancer treatment in a tertiary-level hospital and pointed out that delays in the intervals between the different phases of treatment and lack of coordination were critical factors. 20 In relation to effectiveness of care, there is no agreement regarding the impact on overall survival of multimodal treatment for rectal cancer. Wiegering et al reported that increased use of neoadjuvant therapy and total mesorectal excision led to improvement of overall survival.…”

Section: Regarding Inputs and Activities Communication Problemsmentioning

confidence: 99%

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Integrated care pathway for rectal cancer treatment: cross-sectional post-implementation study using a logic model framework

et al. 2019

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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 AND SETTING: 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 of outcomes: 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.

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Section: Discussionmentioning

confidence: 99%

Section: Regarding Inputs and Activities Communication Problemsmentioning

confidence: 99%

Integrated care pathway for rectal cancer treatment: cross-sectional post-implementation study using a logic model framework

et al. 2019

View full text Add to dashboard Cite

show abstract

Feasibility of adequate resectable rectal cancer treatment in a third-level hospital

Abstract: Multidisciplinary treatment of resectable rectal cancer in a third-level hospital is feasible. Although efficacy results are comparable to those previously reported in the literature, further improvements in clinical staging as well as in adjuvant chemotherapy indication are desirable.

Cited by 1 publication

References 39 publications

Integrated care pathway for rectal cancer treatment: cross-sectional post-implementation study using a logic model framework

Integrated care pathway for rectal cancer treatment: cross-sectional post-implementation study using a logic model framework

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