Performance of a Hospital Pathway for Patients With a New Single Brain Mass
| Autor: | Alona Muzikansky, Brian V. Nahed, Robert L. Martuza, Susann J. Jarhult, Isabel Arrillaga-Romany, Aneesh B. Singhal, William T. Curry, Jay S. Loeffler, Justin T. Jordan, Daniel P. Cahill, Joshua N. Goldstein, Tracy T. Batchelor, Adam B. Cohen |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Male medicine.medical_specialty Biopsy MEDLINE 03 medical and health sciences Young Adult 0302 clinical medicine Time to surgery Medicine Electronic Health Records Humans 030212 general & internal medicine Young adult Disease management (health) Aged Aged 80 and over Brain Diseases medicine.diagnostic_test Oncology (nursing) business.industry Critical pathways Health Policy Brain Mass Disease Management Middle Aged Readmission rate Hospitals Oncology Emergency medicine Critical Pathways Female business Emergency Service Hospital Tomography X-Ray Computed 030217 neurology & neurosurgery |
| Zdroj: | Journal of oncology practice. 15(3) |
| ISSN: | 1935-469X |
| Popis: | WHAT WE FOUND: Length of stay and time to surgery were significantly reduced after implementation of this admission pathway. Readmission rate was not adversely affected by this change. The protocol also significantly reduced the number of unnecessary body computed tomography imaging studies obtained in this patient population. CONFOUNDING FACTORS/REAL-LIFE IMPLICATIONS: The results of this study should be interpreted with their retrospective nature in mind. Further, analysis of this admission pathway did not take into consideration patient perspective or cost implications. Finally, the authors recognize that the resources for such an operational shift may only be found in large, tertiary, referral centers. Optimized specialized care for patients with new single brain masses promotes improved health care outcomes. It may also predictively reduce health care costs and improve patient satisfaction. More research is needed in this field. Limitations to our study included the inherent limitations of a retrospective pre-post design that can make it difficult to separate the effect of a specific intervention from other factors that change over time. In addition, assessment of patient satisfaction, use of diagnostic tests beyond body imaging, and advanced cost analysis could have strengthened this study. Lastly, it should be noted that the applicability of our approach may be limited to major tertiary centers with enough resources to implement such a pathway. |
| Databáze: | OpenAIRE |
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