Unplanned oncology admissions within 14 days of non-surgical discharge: a retrospective study

Gibson, Samantha; McConigley, Ruth

doi:10.1007/s00520-015-2786-6

Cited by 28 publications

(23 citation statements)

References 34 publications

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“…To capture symptoms with paper or electronically based questionnaires are important in order to systematically collect information on the group level. Improved symptom management may reduce the need for hospitalization, [47,188,189] help stabilize or improve QoL, [93,94] and improve the patient's capacity for well-being throughout treatment. [190]…”

Section: Discussion Of the Main Resultsmentioning

confidence: 99%

High symptom burden is associated with impaired quality of life in colorectal cancer patients during chemotherapy:A prospective longitudinal study

Röhrl

Guren

Astrup

et al. 2020

European Journal of Oncology Nursing

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, that funded the PhD program. My deep gratitude also goes to the Norwegian Nursing Society for additional grants. First of all, I wish to dedicate this thesis to the patients and their families who gave me the privilege of sharing their experiences during one of the toughest journey of their life. I express my deepest gratitude to my main supervisor and principal investigator of the "Cluster study", Tone Rustøen! Thank you for believing in me, for your excellent supervision, and giving me the opportunity to introduce me to science! I admire your positivism, knowledge and enthusiasm! These years have truly changed me as a professional nurse and as a person! Grate thankfulness goes to my co-supervisor Marianne Grønlie Guren for exemplary supervision! For being the most knowledgeable positive doctor I have worked with. You are a true role model! Thank you for introducing me into the world of gastroenterology!

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Section: Discussion Of the Main Resultsmentioning

confidence: 99%

High symptom burden is associated with impaired quality of life in colorectal cancer patients during chemotherapy:A prospective longitudinal study

Röhrl

Guren

Astrup

et al. 2020

European Journal of Oncology Nursing

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“…11 Undertreatment of pain affected the patients' physical function, impaired psychological well-being, interfered with social interactions, increased the utility of hospital resources, and compromised the effectiveness of anti-tumor treatment. 13,14 The barriers to adequate cancer pain control were multi-factorial, and were often attributed to clinicians, patients, families, and social reasons. Therefore, knowledge of the prevalence of undertreatment of pain, and identification of the vulnerable subjects, may assist in enhancing patients' care and achieving better outcomes.…”

Section: Introductionmentioning

confidence: 99%

Impact of Undertreatment of Cancer Pain With Analgesic Drugs on Patient Outcomes: A Nationwide Survey of Outpatient Cancer Patient Care in Taiwan

Shen

Chen

Shao

et al. 2017

Journal of Pain and Symptom Management

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“…These included patient factors such as: sex; age; Elixhauser Comorbidity Index; the American Society of Anesthesiologists’ physical status classification system (ASA); cancer site (colon, rectum or anus); whether the cancer was metastatic or not based on ICD‐10‐AM codes; admission type; separation mode; 3,50 and the colorectal procedure performed. Hospital factors were: number of daily colorectal surgical admissions; type of hospital (private for profit, private non‐profit or public); and whether the hospital was co‐located or not 51 . Possible seasonal variation in LOS was modelled by month of surgery.…”

Section: Methodsmentioning

confidence: 99%

Hospital characteristics, rather than surgical volume, predict length of stay following colorectal cancer surgery

Vicendese

Marvelde

McNair

et al. 2020

Australian and New Zealand Journal of Public Health

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Objective: Length of hospital stay (LOS) is considered a vital component for successful colorectal surgery treatment. Evidence of an association between hospital surgery volume and LOS has been mixed. Data modelling techniques may give inconsistent results that adversely impact conclusions. This study applied techniques to overcome possible modelling drawbacks. Method:An additive quantile regression model formulated to isolate hospital contextual effects was applied to every colorectal surgery for cancer conducted in Victoria, Australia, between 2005 and 2015, involving 28,343 admissions in 90 Victorian hospitals. The model compared hospitals' operational efficiencies regarding LOS.Results: Hospital LOS operational efficiencies for colorectal cancer surgery varied markedly between the 90 hospitals and were independent of volume. This result was adjusted for pertinent patient and hospital characteristics. Conclusion:No evidence was found that higher annual surgery volume was associated with lower LOS for patients undergoing colorectal cancer surgery. Our model showed strong evidence that differences in LOS efficiency between hospitals was driven by hospital contextual effects that were not predicted by provider volume. Further study is required to elucidate these inherent differences between hospitals.Implications for public health: Our model indicated improved efficiency would benefit the patient and medical system by lowering LOS and reducing expenditure by more than $3 million per year. Vicendese et al. ArticleEpidemiologyA retrospective analysis of 62,774 colorectal surgeries 2005-2015 Epidemiology A retrospective analysis of 62,774 colorectal surgeries 2005-2015

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Unplanned oncology admissions within 14 days of non-surgical discharge: a retrospective study

Abstract: Cancer patients are at a significant risk of requiring unscheduled care and admission. Strategies and services to limit the burden on patients and the health care system should be reviewed to minimise the incidence of unplanned admission.

Cited by 28 publications

References 34 publications

High symptom burden is associated with impaired quality of life in colorectal cancer patients during chemotherapy:A prospective longitudinal study

High symptom burden is associated with impaired quality of life in colorectal cancer patients during chemotherapy:A prospective longitudinal study

Impact of Undertreatment of Cancer Pain With Analgesic Drugs on Patient Outcomes: A Nationwide Survey of Outpatient Cancer Patient Care in Taiwan

Hospital characteristics, rather than surgical volume, predict length of stay following colorectal cancer surgery

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