Sustainability of short stay after breast cancer surgery in early adopter hospitals

被引：7

作者：

Ament, S. M. C. ^{[1
,2
,3
]}

Gillissen, F. ^{[1
,2
,3
]}

Maessen, J. M. C. ^{[1
,4
]}

Dirksen, C. D. ^{[1
,2
]}

Bell, A. V. R. J. ^{[5
]}

Vissers, Y. L. J. ^{[6
]}

van der Weijden, T. ^{[1
,7
]}

von Meyenfeldt, M. F. ^{[8
]}

机构：

[1] Maastricht Univ, Med Ctr, Sch Publ Hlth & Primary Care, CAPHRI, NL-6200 MD Maastricht, Netherlands

[2] Maastricht Univ, Med Ctr, Dept Clin Epidemiol & Med Technol Assessment, NL-6202 AZ Maastricht, Netherlands

[3] Maastricht Univ, Med Ctr, Sch Oncol & Dev Biol, GROW, NL-6200 MD Maastricht, Netherlands

[4] Maastricht Univ, Med Ctr, Dept Qual & Safety, NL-6202 AZ Maastricht, Netherlands

[5] Laurentius Hosp, Dept Surg, NL-6040 AX Roermond, Netherlands

[6] Orbis Med Ctr, Dept Surg, NL-6130 MB Sittard, Netherlands

[7] Maastricht Univ, Med Ctr, Dept Family Med, NL-6200 MD Maastricht, Netherlands

[8] Maastricht Univ, Med Ctr, Dept Surg, NL-6202 AZ Maastricht, Netherlands

来源：

BREAST | 2014年 / 23卷 / 04期

关键词：

Sustainability; Quality improvement; Breast cancer surgery; Multidisciplinary care; Evaluation; HEALTH-PROGRAMS; IMPLEMENTATION; CARE; INNOVATIONS; RECOMMENDATIONS; EXPERIENCE; FRAMEWORK; PROTOCOL; SYSTEM;

D O I：

10.1016/j.breast.2014.02.010

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Between 2005 and 2007 a short stay programme for breast cancer surgery was successfully implemented in early adopter hospitals. The current study evaluates the sustainability of this success five years following implementation. A retrospective audit of 160 consecutive patients undergoing breast cancer surgery was performed five years following implementation of short stay. The total proportion of patients treated in short stay was 82% (hospital 1 83%, hospital 2 78%, hospital 3 87%, hospital 4 80%) after five years follow-up, which was comparable to the proportion in short stay directly after implementation (p = 0.938). Overall compliance to the key recommendations to facilitate short stay after breast cancer surgery increased from 65% directly after implementation to 78% five years after implementation. This study shows that short stay after breast cancer surgery was successfully sustained in early adopter hospitals five years following implementation. (C) 2014 Elsevier Ltd. All rights reserved.

引用

页码：429 / 434

页数：6

共 28 条

[1] Sustainability of healthcare innovations (SUSHI): long term effects of two implemented surgical care programmes (protocol) [J].

Ament, Stephanie M. C. ;

Gillissen, Freek ;

Maessen, Jose M. C. ;

Dirksen, Carmen D. ;

van der Weijden, Trudy ;

von Meyenfeldt, Maarten F. .

BMC HEALTH SERVICES RESEARCH, 2012, 12

[2] Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes [J].

Baker, Richard ;

Camosso-Stefinovic, Janette ;

Gillies, Clare ;

Shaw, Elizabeth J. ;

Cheater, Francine ;

Flottorp, Signe ;

Robertson, Noelle .

COCHRANE DATABASE OF SYSTEMATIC REVIEWS, 2010, (03)

[3] Implementation of a short-stay programme after breast cancer surgery [J].

de Kok, M. ;

van der Weijden, T. ;

Voogd, A. C. ;

Dirksen, C. D. ;

van de Velde, C. J. H. ;

Roukema, J. A. ;

Finaly-Marais, C. ;

van der Ent, F. W. ;

von Meyenfeldt, M. F. .

BRITISH JOURNAL OF SURGERY, 2010, 97 (02) :189-194

[4] Introduction of a breast cancer care programme including ultra short hospital stay in 4 early adopter centres: framework for an implementation study [J].

de Kok, Mascha ;

Frotscher, Caroline N. A. ;

van der Weijden, Trudy ;

Kessels, Alfons G. H. ;

Dirksen, Carmen D. ;

van de Velde, Cornelis J. H. ;

Roukema, Jan A. ;

Bell, Antoine V. R. J. ;

van der Ent, Fred W. ;

von Meyenfeldt, Maarten F. .

BMC CANCER, 2007, 7

[5] Cost-effectiveness of a short stay admission programme for breast cancer surgery [J].

de Kok, Mascha ;

Dirksen, Carmen D. ;

Kessels, Alfons G. ;

van der Weijden, Trudy ;

van de Velde, Cornelis J. ;

Roukema, Jan A. ;

Bell, Antoine V. ;

van der Ent, Fred W. ;

Von Meyenfeldt, Maarten F. .

ACTA ONCOLOGICA, 2010, 49 (03) :338-346

[6] Breast and cervical cancer in 187 countries between 1980 and 2010: a systematic analysis [J].

Forouzanfar, Mohammad H. ;

Foreman, Kyle J. ;

Delossantos, Allyne M. ;

Lozano, Rafael ;

Lopez, Alan D. ;

Murray, Christopher J. L. ;

Naghavi, Mohsen .

LANCET, 2011, 378 (9801) :1461-1484

[7] Institutional Variation in the Surgical Treatment of Breast Cancer A Study of the NCCN [J].

Greenberg, Caprice C. ;

Lipsitz, Stuart R. ;

Hughes, Melissa E. ;

Edge, Stephen B. ;

Theriault, Richard ;

Wilson, John L. ;

Carter, W. Bradford ;

Blayney, Douglas W. ;

Niland, Joyce ;

Weeks, Jane C. .

ANNALS OF SURGERY, 2011, 254 (02) :339-345

[8] Diffusion of innovations in service organizations: Systematic review and recommendations [J].

Greenhalgh, T ;

Robert, G ;

Macfarlane, F ;

Bate, P ;

Kyriakidou, O .

MILBANK QUARTERLY, 2004, 82 (04) :581-629

[9] From best evidence to best practice: effective implementation of change in patients' care [J].

Grol, R ;

Grimshaw, J .

LANCET, 2003, 362 (9391) :1225-1230

[10] Sustainability science: an integrated approach for health-programme planning [J].

Gruen, Russell L. ;

Elliott, Julian H. ;

Nolan, Monica L. ;

Lawton, Paul D. ;

Parkhill, Anne ;

McLaren, Cameron J. ;

Lavis, John N. .

LANCET, 2008, 372 (9649) :1579-1589

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