![]() ![]() Siew PL, Bee Kuan LIM (2017) Nurse-led discharge care protocol: a randomised control trial. Kim MY (2011) Effects of oncology clinical nurse specialists’ interventions on nursing-sensitive outcomes in South Korea. Support Care Cancer 21:S21Ĭolligan EM, Ewald E, Keating NL, Parashuram S, Spafford M, Ruiz S, Moiduddin A (2017) Two innovative cancer care programs have potential to reduce utilization and spending. Īibar J, Fernandez-Martinez A, Seijas N et al (2013) Hospital at home in cancer patients.Cochrane handbook for systematic reviews of interventions version 5.1.0. Ann Intern Med 169:467–473Įfthimiou O (2018) Practical guide to the meta-analysis of rare events. Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, Moher D, Peters MDJ, Horsley T, Weeks L, Hempel S, Akl EA, Chang C, McGowan J, Stewart L, Hartling L, Aldcroft A, Wilson MG, Garritty C, Lewin S, Godfrey CM, Macdonald MT, Langlois EV, Soares-Weiser K, Moriarty J, Clifford T, Tunçalp Ö, Straus SE (2018) PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. J Palliat Med 17:1384–1399īarbera L, Taylor C, Dudgeon D (2010) Why do patients with cancer visit the emergency department near the end of life? CMAJ 182:563–568 J Clin Oncol 21:1133–1138ĭiMartino LD, Weiner BJ, Mayer DK, Jackson GL, Biddle AK (2014) Do palliative care interventions reduce emergency department visits among patients with cancer at the end of life? A systematic review. JAMA Oncol 3:e172450Įarle CC, Park ER, Lai B, Weeks JC, Ayanian JZ, Block S (2003) Identifying potential indicators of the quality of end-of-life cancer care from administrative data. Rivera DR, Gallicchio L, Brown J, Liu B, Kyriacou DN, Shelburne N (2017) Trends in adult cancer-related emergency department utilization: an analysis of data from the nationwide emergency department sample. Harrison JD, Young JM, Price MA, Butow PN, Solomon MJ (2009) What are the unmet supportive care needs of people with cancer? A systematic review. National Institute of Clinical Excellence & Kings College London, London Gysels M, Higginson IJ, Rajasekaran M, Davies E, Harding R (2004) Improving supportive and palliative care for adults with cancer: research evidence. Limited evidence suggests that an oncology outpatient clinic may be an effective strategy to reduce ED utilization however, additional high-quality studies are needed. ![]() ConclusionĪ variety of supportive care interventions designed to mitigate ED presentations by patients receiving active cancer treatment have been developed and evaluated. Three studies assessing patient follow-up interventions showed no difference in ED utilization (RR 0.69 95% CI 0.38 to 1.25 I 2 = 86%). A meta-analysis of three of these studies did not demonstrate reduction in ED utilization (RR 0.78 95% CI 0.56 to 1.08 I 2 = 77%) when comparing oncology outpatient clinics with standard care however, sensitivity analysis supported a decrease in ED visits (RR 0.86 95% CI 0.74 to 0.99 I 2 = 47%). Six out of eight studies assessing oncology outpatient clinics reported a decrease in the proportion of patients presenting to the ED. ![]() Interventions identified in these studies comprised the following: routine and symptom-based patient follow-up, oncology outpatient clinics, early symptom detection, comprehensive inpatient management, hospital at home, and patient navigators. ResultsĪ total of 25 studies were included. Dichotomous and continuous outcomes were summarized as risk ratio (RR) or mean difference (MD) with 95% confidence intervals (CIs) using a random-effects model, wherever appropriate. Inclusion criteria considered studies assessing the impact of any intervention to reduce ED utilization among patients with active cancer. Literature search involving nine electronic databases and grey literature. The objective of this scoping review was to examine the effectiveness of supportive care interventions designed to reduce ED visits among patients receiving active cancer treatment. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |