Interdisciplinary interventions that improve patient-reported outcomes in perioperative cancer care: A systematic review of randomized control trials.
Interdisciplinary interventions that improve patient-reported outcomes in perioperative cancer care: A systematic review of randomized control trials.
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DOI：
10.1371/journal.pone.0294599
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
Giannitrapani, Karleen F.
中科院分区：
文献类型：
--
作者：
Maheta, Bhagvat J.;Singh, Nainwant K.;Lorenz, Karl A.;Fereydooni, Sarina;Dy, Sydney M.;Wong, Hong-nei;Bergman, Jonathan;Leppert, John T.;Giannitrapani, Karleen F.
通常利用跨学科团队来提高围手术期癌症护理的质量。我们的目的是确定跨学科干预的团队结构和流程，以改善癌症患者围手术期患者报告的结果。我们检索了 PubMed、EMBASE 和 CINAHL 中任意时间发表的随机对照试验，筛选了 7,195 篇文章。要纳入我们的审查，研究需要报告患者报告的结果，在围手术期进行干预，包括外科癌症治疗，并包括至少一名非医师干预临床团队成员：高级实践提供者，包括执业护士和医师助理、临床护士专家和注册护士。我们叙述性地综合了干预措施的组成部分，特别是干预临床团队成员和跨学科团队流程所承担的角色，以基于最小的临床重要差异和统计显着性来比较改善患者报告结果的干预措施。我们纳入了 34 项研究，共有 4,722 名参与者，其中 31 项报告至少在一项患者报告的结果中出现了具有临床意义的改善。纳入的研究没有总体上存在高偏倚风险。临床团队成员的常见角色包括有关诊断、治疗、应对和疼痛/症状管理的患者教育，以及有关术后问题的术后随访、资源传播和护理计划。其他干预措施包括临床团队成员与患者持续六个月或更长时间的接触以及患者护理人员的参与。未来的干预措施可能会优先支持临床团队成员的角色，包括患者教育、护理人员参与和临床随访。
Interdisciplinary teams are often leveraged to improve quality of cancer care in the perioperative period. We aimed to identify the team structures and processes in interdisciplinary interventions that improve perioperative patient-reported outcomes for patients with cancer. We searched PubMed, EMBASE, and CINAHL for randomized control trials published at any time and screened 7,195 articles. To be included in our review, studies needed to report patient-reported outcomes, have interventions that occur in the perioperative period, include surgical cancer treatment, and include at least one non physician intervention clinical team member: advanced practice providers, including nurse practitioners and physician assistants, clinical nurse specialists, and registered nurses. We narratively synthesized intervention components, specifically roles assumed by intervention clinical team members and interdisciplinary team processes, to compare interventions that improved patient-reported outcomes, based on minimal clinically important difference and statistical significance. We included 34 studies with a total of 4,722 participants, of which 31 reported a clinically meaningful improvement in at least one patient-reported outcome. No included studies had an overall high risk of bias. The common clinical team member roles featured patient education regarding diagnosis, treatment, coping, and pain/symptom management as well as postoperative follow up regarding problems after surgery, resource dissemination, and care planning. Other intervention components included six or more months of continuous clinical team member contact with the patient and involvement of the patient’s caregiver. Future interventions might prioritize supporting clinical team members roles to include patient education, caregiver engagement, and clinical follow-up.
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影响因子：
1.6
作者：
Dawdy, Krista;Bonin, Katija;Szumacher, Ewa
通讯作者：
Szumacher, Ewa
影响因子：
11.4
作者：
Edmondson, Amy C.;Harvey, Jean-Francois
通讯作者：
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影响因子：
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作者：
Hu, Min;Fan, Ziyan;Han, Yu
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影响因子：
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作者：
Chesney, Tyler R.;Coburn, Natalie;Hallet, Julie
通讯作者：
Hallet, Julie
DOI：
10.6004/jadpro.2021.12.7.5
发表时间：
2021-09
期刊：
Journal of the advanced practitioner in oncology
影响因子：
--
作者：
Austin A;Jeffries K;Krause D;Sugalski J;Sharrah K;Gross A;Bowers D;Mulkerin D;Brandt N;Begue A;Bell R;Raczyk C;Pickard T;Johnson D;Dest V;Randall R;Zecha G;Kennedy K
通讯作者：
Kennedy K