Implementation of a short-stay programme after breast cancer surgery

Kok, M. de; Voogd, Adri C.; Dirksen, Carmen D.; Velde, Cornelis J.H. van de; Roukema, Jan A.; Finaly-Marais, C.; Ent, F.W. van der; Meyenfeldt, M.F. von

doi:10.1002/bjs.6812

Cited by 30 publications

(19 citation statements)

References 15 publications

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“…In an earlier trial on oesophageal cancer patients, we found a similar working rate with 22/88 (25%) patients employed at diagnosis compared with 26% in this study 16. A recent trial on Dutch breast-cancer patients with a mean age of 55 years showed a higher employment rate at diagnosis of 49% 17. However, the patients in our study were much older with a mean age of 66 years.…”

Section: Discussionsupporting

confidence: 83%

Employment status and work-related problems of gastrointestinal cancer patients at diagnosis: a cross-sectional study

et al. 2011

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ObjectiveTo assess the employment status of patients with gastrointestinal cancer at diagnosis and to examine work-related problems of employed patients.DesignNew, consecutive patients were included at the Gastrointestinal Oncology Center Amsterdam, a one-stop, rapid access diagnostic assessment centre. Patients were interviewed on their employment status by a nurse. If (self-) employed, patients were asked to self-report on work-related problems, perceived distress (0–10), cancer-related problems, fatigue (MFI-20, range 4–20) and work ability (three WAI questions, range 0–10).ResultsOf all 333 included new consecutive patients (age range 32–89 years), 95 patients (28%) were (self-) employed at time of diagnosis, 179 (54%) were pensioners, and 59 were not working (18%). For the assessment of work-related problems, 45 (47%) of these 95 employed patients with cancer participated. Their mean age was 56 years, and patients had oesophageal/stomach (49%), colorectal (18%) or hepatic/pancreatic/biliary cancer (33%). Half of the employed patients (49%) were still at work, while 51% were on sick leave. The main reasons for sick leave were stress (35%), (scheduled) operation (26%), fatigue (17%) and pain (13%). Most patients on sick leave (70%) had no contact with their own occupational physician, although the majority (67%) would like to continue to work. Work-related problems were experienced by 73% of working patients. The mean work ability was 5.4, the mean general fatigue score was 11.5, and the mean distress score was 4.7. Employed patients on sick leave reported a lower work ability, more fatigue and higher distress but no more cancer-related problems compared with those still working.ConclusionA quarter of all patients with gastrointestinal cancer seen at an oncological centre are employed at time of diagnosis, and of these employed patients, 73% experience work-related problems. During diagnosis and treatment, information and support on work-related issues should be offered to patients with cancer as an essential part of high-quality oncological care.

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Section: Discussionsupporting

confidence: 83%

Employment status and work-related problems of gastrointestinal cancer patients at diagnosis: a cross-sectional study

et al. 2011

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“…Bundredet al (22) found no negative effect of early discharge on physical and psychological illness and advised early discharge for patients who were provided with informal care at home. In addition,the advantages of a short LOS includes less workload on staff, savings on hospital charges, reduction in waiting lists, and shift from expensive hospital care to cheaper home care (23). Bonnemaet al (16) reported major cost savings related to a shorter hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Factors Affecting the Postsurgical Length of Hospital Stay in Patients with Breast Cancer

et al. 2015

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Objective: Breast cancer is the most common malignancy and the most common cause of mortality in women worldwide. In addition to the increasing incidence of breast cancer, the length of hospital stay (LOS) after breast cancer surgery has been decreasing. Because LOS is key in determining hospital usage, the decrease in the use of hospital facilities may have implications on healthcare planning. The purpose of this study was to evaluate the factors affecting postoperative LOS in patients with breast cancer. Materials and Methods:Seventy-six in patients with breast cancer, who had been treated between July 2013 and December 2014 in the General Surgery Clinic of Dicle University, were included in the study. The demographic characteristics of the patients, treatment methods, histopathological features of the tumor, concomitant diseases, whether they underwent neoadjuvant chemotherapy or not, and the length of drain remaining time were retrospectively recorded.Results: There was a correlation between drain remaining time, totally removed lymph node, the number of metastatic lymph node, and LOS. LOS of patients treated with neoadjuvant chemotherapy was longer. The patients who underwent breast-conserving surgery had a shorter LOS. Linear regression analysis revealed that the drain remaining time and the number of metastatic lymph nodes were independent risk factors for LOS.

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“…It appears that efficient SF management in the early postoperative period is particularly important, since in the first 5 days after surgery wound healing mechanisms are initiated [5]. Besides, better control over SF may contribute to more common implementation of “the short-stay program” that has already been successfully introduced in a number of oncology centers [39]. In essence, shorter SF treatment improves patients’ quality of life.…”

Section: Discussionmentioning

confidence: 99%

Analysis of selected factors influencing seroma formation in breast cancer patients undergoing mastectomy

Zieliński¹,

Jaworski²,

Irga³

et al. 2013

aoms

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IntroductionThe aim of the work was to analyze the impact of selected factors on the incidence of seroma formation in breast cancer patients undergoing mastectomy.Material and methodsOne hundred and fifty breast cancer patients were prospectively enrolled in the study. All patients had mastectomy performed using the same operative technique with electrocoagulation. The amount of seroma formed after surgery and its duration were correlated with selected demographic, clinical and pathological parameters.ResultsThe cumulative total seroma volume collected by the end of treatment was higher and the overall time of seroma treatment was longer in patients over the age of 60 years (p = 0.001 and p = 0.001 respectively). Duration of seroma was significantly longer in obese patients (p = 0.036). The cumulative total seroma volume collected by the end of treatment was higher and the overall time of seroma treatment was longer in patients who had over 130 ml of lymph drained during the first 24 postoperative hours (p < 0.001 and p = 0.001 respectively). Additionally, longer duration of seroma was observed in patients with pathological stage I and II according to TNM-UICC (p = 0.042) and in patients with ≥ 1200 g weight resected of mammary gland (p = 0.05).ConclusionsAge and obesity are important prognostic factors influencing seroma formation in breast cancer patients undergoing mastectomy. The amount of lymph formed during first postoperative day may have predictive value in assessing cumulative total seroma volume collected during treatment and its overall duration.

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Implementation of a short-stay programme after breast cancer surgery

Abstract: : Introducing a care programme incorporating short stay following breast cancer surgery in four hospitals was feasible and safe.

Cited by 30 publications

References 15 publications

Employment status and work-related problems of gastrointestinal cancer patients at diagnosis: a cross-sectional study

Employment status and work-related problems of gastrointestinal cancer patients at diagnosis: a cross-sectional study

Factors Affecting the Postsurgical Length of Hospital Stay in Patients with Breast Cancer

Analysis of selected factors influencing seroma formation in breast cancer patients undergoing mastectomy

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