Care Pathways for Colorectal Cancer Surgery

NCT ID: NCT02965794

Last Updated: 2020-01-28

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 480 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2014-10-31
• Study Completion Date: 2019-11-30

Brief Summary

EVALUATE THE CARE PROCESS AND THE QUALITY OF CARE FOR ADULT CANCER PATIENTS WHO ARE ADMITTED FOR COLORECTAL SURGERY

Detailed Description

This descriptive study uses an interrupted time series approach combining a retrospective with a prospective multicenter design to evaluate the current state of the care process for adult colorectal cancer patients who are admitted for surgery. This study will give attention to evidence based key interventions, follow-up and interprofessional teamwork necessary to provide appropriate care. In 4 countries (Belgium, Germany, France and The Netherlands) 3 hospitals will participate (total number of hospitals is 12). They will perform a clinical audit of the actual organization of the care process, and a team audit on the level of interprofessional teamwork. Each team will develop and implement a quality improvement initiative based on the concept of care pathways, the findings from the audit and the available evidence, and will measure the effect of their improvement strategy.

Conditions

Cancer

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: RETROSPECTIVE

Study Groups

Usual care

quality of care will be measured in the participating hospitals, using a retrospective patient record analysis

No interventions assigned to this group

Care Pathway

Care pathways for colorectal cancer

Care pathways for colorectal cancer

Intervention Type: OTHER

development of a care pathway for this patient group

Interventions

Care pathways for colorectal cancer

development of a care pathway for this patient group

Intervention Type: OTHER

Other Intervention Names

care pathway; clinical pathway; critical pathway

Eligibility Criteria

Inclusion Criteria

1. All consecutive scheduled admissions starting September 2, 2013;

2. Minimum age of 18 years;

3. Elective admission for colorectal cancer surgery

Exclusion Criteria

1. Emergency (not planned) admission for colorectal cancer surgery;

2. Patients with severe dementia (DSM IV) or severe concomitant disease that may affect very short-term outcome (life expectancy less than 3 months) and hence influence deviations from standard acute care.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

KU Leuven

OTHER

Sponsor Role: collaborator

European Pathway Association

OTHER

Sponsor Role: lead

Responsible Party

Dr. Kris Vanhaecht

Professor in Healthcare Quality Management

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Kris Vanhaecht, PhD

Role: PRINCIPAL_INVESTIGATOR

KU Leuven

Locations

KULeuven

Leuven, , Belgium

Countries

Belgium

References

van Zelm R, Coeckelberghs E, Sermeus W, Wolthuis A, Bruyneel L, Panella M, Vanhaecht K. A mixed methods multiple case study to evaluate the implementation of a care pathway for colorectal cancer surgery using extended normalization process theory. BMC Health Serv Res. 2021 Jan 4;21(1):11. doi: 10.1186/s12913-020-06011-w.

Reference Type: DERIVED

PMID: 33397382 (View on PubMed)

Other Identifiers

CP4NutriGICAN2014

Identifier Type: -

Identifier Source: org_study_id