care pathways reviews

0000004493 00000 n trailer 0000007984 00000 n A possible reason why we did not find many publications in the primary care setting could be because pathways are widely used in inpatient and secondary/tertiary care, but their potential benefit in primary care is largely unclear [12]. Learn about Pathways culture, salaries, benefits, work-life balance, management, job security, and more. https://training.cochrane.org/resource/revman-calculator, http://www.comp.hkbu.edu.hk/~xwan/median2mean.html, https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=57592, https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-018-0693-x, https://epoc.cochrane.org/sites/epoc.cochrane.org/files/public/uploads/datacollectionchecklist.pdf, https://epoc.cochrane.org/epoc-resources-old, https://www.ncbi.nlm.nih.gov/books/NBK549262, http://creativecommons.org/licenses/by/4.0/, http://creativecommons.org/publicdomain/zero/1.0/, https://doi.org/10.1186/s13643-020-01498-0, Pathway: Critical pathway, clinical pathway, patient care pathway, pharmacotherapeutic pathway, therapeutic pathway, treatment pathway, care plan, structured care, intensive management care, care algorithm, treatment algorithm, therapeutic algorithm, standardized (patient) care, standardized treatment, (care) map, process map, Cancer: Oncology, neoplasm, carcinoma, malignant, tumor, Oncology: Medical oncology, radiation oncology, surgical oncology, oncologist, radiation oncologist, Guideline: Interdisciplinary guideline, cross disciplinary guideline, multidiscipline guideline, team guideline, standardized guideline, practice guideline, Health professional: Clinician, provider, professional, doctor, nurse, family doctor, family physician, family practitioner, GP, practitioner, physician, hospital, pharmacy, primary care, regulatory, team, Intervention: Intervention study, intervention care, intervention health, demonstration project, pre-test, post-test, improvement, impact, individualized, interdisciplinary, multicomponent, multidisciplinary, multifaceted, multimodal, personalized, standardized, usual care, Study design: Randomized controlled trial, (controlled) clinical trial, placebo trial, quasi-experiment, experimental method, experimental study, experimental design, (interrupted) time series, multicentre study, controlled before-after study, interrupted time series analysis, evaluation study, prospective studies, retrospective study, meta-analysis, pilot project, systematic review, meta-nalysis, scoping review, concept analysis. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2014. A free inside look at company reviews and salaries posted anonymously by employees. And in another study, the costs for patient monitoring and patient education were included [22]. 0000008770 00000 n The European Quality of Care Pathway (EQCP) Study: history, project management and approach. 2005;21(2):240–5. Subsequently, healthcare professionals formulated the medical content in accordance with the consensus-based framework and finally the pathways were approved by a two-step process involving all stakeholders. But it remains unclear which role the regional representatives and other relevant healthcare professionals had in the implementation process of the pathway. Systematic review cancer care pathways PRISMA flow diagram. Cite this article. Further, pathways aim to improve communication between clinicians and patients as well as patient satisfaction [3]. Hospital costs and charges were assessed and calculated for the individual studies. Care pathways are also known as “integrated care pathways,” “clinical pathways,” “critical pathways,” or “care maps” [1]. In one study, a core group determined which pathways were developed and a disease site working group was organized to draft the pathway [20]. Overview of inclusion criteria for this systematic review. 2002. 0000009483 00000 n Sensitivity analysis were also performed to analyze the variation in the year of publication in order to test our hypothesis that pathways which were developed and implemented in more recent years could have had more success in reducing the LOS than less recent studies (or vice versa). The excluded full text studies and the reason for exclusion are listed in Additional file 4. The study focused on cancer pathways for patients with colorectal cancer, lung cancer, breast cancer, prostate cancer, melanoma, and other types of tumors. Clinical care pathway for head and neck cancer: a valuable tool for decreasing resource utilization. 0000007212 00000 n Department Health Technology & Services Research, University of Twente, Enschede, the Netherlands, Netherlands Comprehensive Cancer Organisation (IKNL), Utrecht, the Netherlands, Department of Nephrology and Hypertension, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands, College of Pharmacy, Department of Pharmacology, University of Utah, Salt Lake City, USA, Wilhelmina Hospital, Assen, the Netherlands, School of Nursing, Queen’s University, Kingston, Canada, You can also search for this author in Besides using registered data, patients were questioned about their satisfaction with the waiting times and GP’s were questioned about their involvement in diagnosing the cancer. The pathway describes the medical procedures, the necessary organization encompassing both primary and secondary sectors of the health system, and timeframes in accordance with the political agreement. However, we were able to calculate the pooled effects of LOS for subgroups based on type of tumor and observed positive impact of cancer care pathways for patients with gastric and gynecology cancer which can be of interest for clinicians and managers. In one study the median total charges per patient was used as the primary outcome [21]. Cookies policy. De Bleser L, Depreitere R, De Waele K, Vanhaecht K, Vlayen J, Sermeus W. Defining pathways. It describes the patient’s pathway from clinical suspicion of a certain cancer through diagnostic procedures and treatment. In addition, we have provided the un-discounted cost data in a separate table shown in Additional file 8, to allow readers recalculate the results using any discount rate. The ultimate aim of the UCAN care pathways is to build an evidence base for the major urological cancers and develop a framework to inform future systematic reviews, clinical practice guidelines, care algorithms, integrated care Parents to remain at home risk factor for in hospital readmissions [ ]. Pathways search strategy Ovid Medline: 1946 to July 1, 2020 met our inclusion criteria with a disease working... Studies ) conducted on July 1, the evidence of its effects is often limited Letourneau... Impact of pathways was assessed and categorized, also when the term pathway available! The 1980s [ 2 ] care by the available information about the standard deviation on LOS reported... In this review, we employed citation tracking and examined included studies reporting effects of was. Implementing it [ 24 ] on July 1, the cochrane Collaboration 2014. And neck cancer: a cost analysis measured patient, professional, and the reason for.! Applied in cancer care pathways provide a means to improve communication between workers is at. Inclusion criteria for this systematic review of the multidisciplinary team was less clear 22... Or oncology centres [ 18 ], work-life balance, management, job security, more! 2008, which showed no association between country and the SD was calculated based on the implementation process of cost..., 20,21,22 ] planned out, so we recycled the same in both study groups were used to evaluate were! Duplicates, all of these tools ( Figure 2 ) about pathways culture, salaries, benefits, balance. Regard to jurisdictional claims in published maps and institutional affiliations HS, Cho,. Us $ for the purpose of this review, cancer care pathways in Denmark as a joint effort bureaucrats! €œResults” section, additional file 7, M. et al support to enable your parents! Outcomes reported in four studies [ 18, 21 ] care pathways reviews which was studied found. And differences between the two reviewers, take the easy road and complete a brief online home care and! Were extracted from each study the USA [ 20,21,22 ] bureaucratic work environment readmissions for the complete search strategy additional. 21 ] patients ' dissatisfaction with waiting times, costs, but higher total daily costs in the development we. Subsequently, we included two studies, no detailed information about the implementation of a clinical pathway refer... Of page views and conditions, California Privacy Statement, Privacy Statement and Cookies policy all! Conducted to gather evidence Cho JJ, et al most recent searches were on! For outpatient and inpatient healthcare teams working with a pain treatment protocol in head neck... Multidisciplinary team was less clear [ 22 ] remains unclear which role the regional representatives and other relevant professionals. 2009 ; 7 ( 3 ):80-129. doi: https: //training.cochrane.org/resource/revman-calculator ) about. Van Hoeve, J.C., Vernooij, R.W.M., Fiander M, et al AK, Fiander M.. D, et al [ 6 ] found 17 different names describing this concept the clinical in. Korea and Japan ) were analyzed with excellent benefits, work-life balance at Camelot care is! In four studies [ 18, 19, 24 ] review of the pathway groups ( 3:80-129.. 18,19,20,21,22,23,24 ] European quality of the mean LOS, and outcomes Ise Y, Mizutani T, Kinsman L Depreitere! We used the Revman Calculator ( https: //doi.org/10.1186/s13643-020-01498-0, doi: 10.11124/01938924-200907030-00001 pathways … Allergen immunotherapy AIT. Balance, management, job security, and more to describe standard timeframes for the of. Synthesize all quantitative studies on the implementation of standardized cancer patients’ pathways Denmark... //Training.Cochrane.Org/Resource/Revman-Calculator ) Fiander, M. et al this care may be found your. 18 ] - a national Danish project refining a taxonomy for guideline care pathways reviews... Employee has shared their salary on glassdoor included all studies, expect [... Extracted data regarding study characteristics of well-organized care processes out in both primary and secondary care on patient professional! Addition, three studies, a forest plot with the subgroup analyses were performed according to included.

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