Frequency and Characteristics of Recommendations from Interdisciplinary Outpatient Cancer Rehabilitation Monthly Team Meetings

Tennison, Jegy M.; Ngo‐Huang, An; Fu, Jack B.; Hill, Anissa E.; Dibaj, Seyedeh; Bruera, Éduardo

doi:10.1016/j.pmrj.2018.06.016

Cited by 7 publications

(6 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…16 Furthermore, inadequate continuities of care after hospital discharge have often been noted in patients with cancer, who thus require closer coordination of care. 34 In our cohort, the most common reason for readmission was infection, which has been reported to be one of the more common reasons for readmission in cancer patients 7 as well as in other patients discharged from acute inpatient rehabilitation. 21 Infection is also a common reason for returning to acute-care oncology services from acute inpatient cancer rehabilitation.…”

Section: Resultsmentioning

confidence: 63%

See 1 more Smart Citation

Thirty‐day hospital readmission rate, reasons, and risk factors after acute inpatient cancer rehabilitation

Tennison

Rianon²,

Manzano

et al. 2021

Cancer Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Resultsmentioning

confidence: 63%

“… 16 Furthermore, inadequate continuities of care after hospital discharge have often been noted in patients with cancer, who thus require closer coordination of care. 34 …”

Section: Discussionmentioning

confidence: 99%

Thirty‐day hospital readmission rate, reasons, and risk factors after acute inpatient cancer rehabilitation

Tennison

Rianon²,

Manzano

et al. 2021

Cancer Medicine

Self Cite

View full text Add to dashboard Cite

show abstract

“…They also did not report any significant concerns on Continuity of Care Checklist. This outcome was unexpected given the complexities and inadequate continuity of care that were noted during monthly outpatient interdisciplinary cancer rehabilitation at our institution [5]. It is important to note that 100% of patients were prescribed to continue rehabilitation in their community upon discharge and that 92% patients reported no time delays in restarting outpatient or home health rehabilitation.…”

Section: Discussionmentioning

confidence: 91%

“…Safe patient discharge after acute care is becoming increasingly critical because of the trend toward shorter hospital acute care stays [1,2] and because health care responsibility is being transferred from the inpatient team to the patient and patient's community health care team [1,3,4]. Unfortunately, this transition has the potential to disrupt continuity of care from inpatient to outpatient health care [2,5]. These disruptions include hampered communication, imprecise transfer of information, and unsuccessful coordination of care between clinicians [6,7].…”

Section: Introductionmentioning

confidence: 99%

Patient-Reported Continuity of Care and Functional Safety Concerns After Inpatient Cancer Rehabilitation

Tennison

Rianon³

et al. 2021

The Oncologist

Self Cite

View full text Add to dashboard Cite

Background. Patients with cancer have been noted to have inadequate continuity of care after discharge from hospital. We sought to assess patient-reported continuity of care and functional safety concerns after acute inpatient rehabilitation. Methods. This was a prospective study that used crosssectional surveys at a National Cancer Institute Comprehensive Cancer Center. All patients who were admitted to acute inpatient rehabilitation from September 5, 2018, to February 7, 2020, met the inclusion criteria, and completed two surveys (assessing continuity of care and functional safety concerns) upon discharge and 1 month after discharge were included in the study. Results. A total of 198 patients completed the study, and no major concerns were reported by the patients. The greatest concern was a lack of adequate communication management among different providers, reported by only 10 (5.0%) patients. The combined fall and near-fall rate within 1 month after discharge was (25/198) 13%. Brain metastasis, a comorbidity of depression, and a history of falls were significantly associated with a higher risk of falls or near falls within 1 month after discharge. Conclusion. Although overall patients with cancer reported adequate continuity of care and feeling safe to function at home after acute inpatient rehabilitation, it is important to be aware that fall or near-fall events within 1 month after acute inpatient rehabilitation are associated with brain metastasis, comorbidity of depression, and a history of falls. Thus, patients with these risk factors may benefit from including more focused fall prevention education and interventions. The Oncologist 2021;26:1-10 Implications for Practice: Patients with cancer often have extensive problems that require care from multiple health care providers simultaneously, and a high level of coordination is needed for adequate transition of care from the inpatient to the outpatient setting. This transition of care period is prone to inadequate continuity of care and, for older adults, a particular risk for falls. Assessment for risk of fall is also an important factor to consider when evaluating patients to continue oncology treatments. There is a gap in knowledge regarding patient-reported continuity of care and functional safety concerns after acute inpatient cancer rehabilitation.

show abstract

“…Similarly, in dealing with patients with a complex disease that requires frequent office visits, hospital admissions, and various home services, the role of an effective social worker appears critical. Furthermore, multidisciplinary meetings have been shown to positively affect patient assessment, management practices, and outcomes across specialties 24–27 . Although data on meeting frequency and outcome measures are unclear, open and streamlined communication between various team members is a critical component of effective team processes and includes structured and regularly scheduled meetings 22 .…”

Section: Discussionmentioning

confidence: 99%

National Survey of Pediatric Intestinal Rehabilitation Programs in the United States

Park

Shaughnessy

Zhang

et al. 2020

J Parenter Enteral Nutr

View full text Add to dashboard Cite

Background Pediatric intestinal rehabilitation (PIR) programs are associated with improved outcomes in children with intestinal failure but remain heterogeneous nationally. This study characterizes PIR program components to aid those seeking to establish or expand a program. Methods Members of the Children's Hospital Association reporting a PIR program to the US News and World Report completed a 14‐item questionnaire using the Qualtrics Online Survey Software. Programs were categorized as small or large (≤50 vs >50 patients) and new or established (≤10 vs >10 years). Results Seventy‐one programs were identified and 61 surveys were returned for a response rate of 86%. Majority of programs had gastroenterology, surgery, nutrition, nursing, and social work services involved. Large programs (n = 34; 59%) were more likely to serve as referral centers; have greater participation by nursing, social work, and primary care; have more dedicated time by gastroenterology, surgery, nursing, nutrition, and social work; have more frequent meetings; and have various funding sources (P < .05). Conclusion Critical components of a PIR program include gastroenterology, surgery, and nutrition services with strong nursing and social work support. These data document the components of modern PIR programs, though further studies on the relationship between program structure and patient outcomes are warranted.

show abstract

Frequency and Characteristics of Recommendations from Interdisciplinary Outpatient Cancer Rehabilitation Monthly Team Meetings

Abstract: IV.

Cited by 7 publications

References 16 publications

Thirty‐day hospital readmission rate, reasons, and risk factors after acute inpatient cancer rehabilitation

Thirty‐day hospital readmission rate, reasons, and risk factors after acute inpatient cancer rehabilitation

Patient-Reported Continuity of Care and Functional Safety Concerns After Inpatient Cancer Rehabilitation

National Survey of Pediatric Intestinal Rehabilitation Programs in the United States

Contact Info

Product

Resources

About