Care Transitions of Colorectal Cancer Patients from Hospital to Community: Systematic Review and Meta-analysis Protocol

Autores/as

DOI:

https://doi.org/10.15649/cuidarte.2285

Palabras clave:

Colorectal Neoplasms, Patient Transfer, Patient Readmission, Systematic review, Meta-analysis

Resumen

Objective: To evaluate the effectiveness of care transition strategies from hospital-to-community compared to usual care for patients with colorectal cancer to reduce hospital stay, 30-day readmissions, and emergency room visits up to 30 days. Methods: Systematic review and meta‐analysis protocol that followed the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols (PRISMA-P). The protocol was registered on PROSPERO (CRD42020162249). We will include studies available in the electronic databases PubMed/Medline, Embase, Cochrane CENTRAL and LILACS with care transition strategies/actions from hospital to community as the primary outcome. Eligible studies will be selected, and data will be combined and synthesized using Review Manager (RevMan 5.4) software. We will combine risk ratios or odds ratios for dichotomous data and mean differences for continuous data using a random effects model. Discussion: This review will contribute to the practice and development of effective and safe care transition strategies from hospital to community for colorectal cancer patients. There is an expectation that this review will provide much needed evidence that effective care transitions could reduce short term hospital readmission, and may thus provide added value in the care of colorectal cancer patients. Conclusion: The results of the review will be used to provide clear recommendations for hospital and primary care management to improve care transitions and, as a result, also improve integration in the healthcare system.

How to cite this article: Boell, Julia Estela Willrich; Trindade, Letícia Flores; Kolankiewicz, Adriane Cristina Bernat; Cañon-Montañez, Wilson; Pituskin, Edith; Lorenzini, Elisiane. Care Transitions of Colorectal Cancer Patients from Hospital to Community: Systematic Review and Meta-analysis Protocol. 2021;12(3):e2285. http://dx.doi.org/10.15649/cuidarte.2285    

Biografía del autor/a

Julia Estela Willrich Boell, Federal University of Santa Catarina, Florianópolis, SC

RN, PhD. Federal University of Santa Catarina, Florianópolis, SC, Brazil.

Letícia Flores Trindade, Regional University of the Northwest of the State of Rio Grande do Sul, Ijuí

RN, MN. Regional University of the Northwest of the State of Rio Grande do Sul, Ijuí, Rio Grande do Sul, Brazil.

Adriane Cristina Bernat Kolankiewicz, Regional University of the Northwest of the State of Rio Grande do Sul, Ijuí

RN. PhD. Regional University of the Northwest of the State of Rio Grande do Sul, Ijuí, Rio Grande do Sul, Brazil.

Wilson Cañon-Montañez, RN, MSc, PhD, Facultad de Enfermería, Universidad de Antioquia.

RN. PhD. Faculty of Nursing, Universidad de Antioquia, Medellín, Antioquia, Colombia.

Edith Pituskin, Faculty of Nursing University of Alberta

RN, MN, PhD. Faculty of Nursing University of Alberta, Edmonton, Alberta, Canada.

Elisiane Lorenzini, Federal University of Santa Catarina, Florianópolis, Santa Catarina

RN. PhD. Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil.

Referencias

Lin L, Yan L, Liu Y, Yuan F, Li H, Ni J. Incidence and death in 29 cancer groups in 2017 and trend analysis from 1990 to 2017 from the Global Burden of Disease Study. J Hematol Oncol 2019;12(1): 96. https://doi.org/10.1186/s13045-019-0783-9

Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin. 2021;71(3):209-249. https://doi.org/10.3322/caac.21660

Lorenzini E, Boell JEW, Oelke ND, Rodrigues CD, Trindade LF, Winter VDB, et al. Care transition from hospital to home: cancer patients’ perspective. BMC Res Notes 2020;13(1):267. https://doi.org/10.1186/s13104-020-05099-x

Lorenzini E, Boell JEW, Oelke ND, Rodrigues C D, Trindade LF, Winter VDB, et al. Cancer patient´s care transition database.xlsx. figshare. Dataset 2020. https://doi.org/10.6084/m9.figshare.11831343.v3

Renna JNL, Silva GA. Temporal trend and associated factors to advanced stage at diagnosis of cervical cancer: Analysis of data from hospital based cancer registries in Brazil, 2010-2012. Epidemiol Serv Saude 2018, 27(2);e2017285. https://doi.org/10.5123/S1679-49742018000200003

Teston EF, Fukumori EFC, Beneditti GMS, Spigolon DN, Costa MAR, Marcon SS. Feelings and difficulties experienced by cancer patients along the diagnostic and therapeutic itineraries. Escola Anna Nery 2018;22(4):e20180017. https://doi.org/10.1590/2177-9465-ean-2018-0017

Goldman RE, Figueiredo EN, Fustinoni SM, Souza KMJ, Almeida AM, Gutiérrez MGR. Brazilian breast cancer care network: The perspective of health managers. Rev Bras Enferm 2019; 72(suppl 1):274-281. https://doi.org/10.1590/0034-7167-2017-0479

Singer SJ, Burgers J, Friedberg M, Rosenthal MB, Leape L, Schneider E. Defining and Measuring Integrated Patient Care: Promoting the Next Frontier in Health Care Delivery. Med Care Res Rev 2011;68(1):112–27. https://doi.org/10.1177/1077558710371485

Wakiuchi J, Marcon SS, Oliveira DC, Sales CA. Chemotherapy under the perspective of the person with cancer: a structural analysis. Texto & Contexto – Enfermagem 2019; 28:e20180025. https://doi.org/10.1590/1980-265x-tce-2018-0025

Fowler H, Belot A, Ellis L, Maringe C, Luque-Fernandez MA, Njagi EN, et al. Comorbidity prevalence among cancer patients: a population-based cohort study of four cancers. BMC Cancer 2020;20(1):2. https://doi.org/10.1186/s12885-019-6472-9

Dusek B, Pearce N, Harripaul A, Lloyd M. Care transitions: A systematic review of best practices. J Nurs Care Qual 2015;30(3):233-239. https://doi.org/10.1097/NCQ.0000000000000097

Registered Nurses' Association of Ontario. Care transitions [RNAO]. Clinical Best Practice Guidelines. 2014. https://rnao.ca/sites/rnao-ca/files/Care_Transitions_BPG.pdf

Baxter R., O'Hara J, Murray J, Sheard L, Cracknell A, Foy R, et al. Partners at care transitions: Exploring healthcare professionals' perspectives of excellence at care transitions for older people. BMJ Open 2018;8(9):e022468. https://doi.org/10.1136/bmjopen-2018-022468

Facchinetti G, D’Angelo D, Piredda M, Petitti T, Matarese M, Oliveti A. Continuity of care interventions for preventing hospital readmission of older people with chronic diseases: A meta-analysis. Int J Nurs Stud 2020;101:103396. https://doi.org/10.1016/j.ijnurstu.2019.103396

Coleman EA, Boult C, American Geriatrics Society Health Care Systems Committee. Improving the quality of transitional care for persons with complex care needs. J Am Geriatr Soc 2003;51(4):556-557. https://doi.org/10.1046/j.1532-5415.2003.51186.x

Lima MADS, Magalhães AMM, Oelke ND, Marques GQ, Lorenzini E, Weber LAF, Fan I. Care transition strategies in Latin American countries: an integrative review. Rev Gaucha Enferm 2018;39:e20180119. https://doi.org/10.1590/1983-1447.2018.20180119

Rohsig V, Silva P, Teixeira R, Lorenzini E, Maestri R, Saraiva T, Souza A. Nurse navigation program: Outcomes from a breast cancer center in Brazil. Clin J Oncol Nurs 2019;23(1):E25-E31. https://doi.org/10.1188/19.CJON.E25-E31

Durcinoska I, Young JM, Solomon MJ. Patterns and predictors of colorectal cancer care coordination: A population-based survey of Australian patients. Cancer 2017;123(2):319-326. https://doi.org/10.1002/cncr.30326

Conn LG, Mobilio MH, Rotstein OD, Blacker S. Cancer patient experience with navigation service in an urban hospital setting: a qualitative study. Eur J Cancer Care (Engl) 2016;25(1):132-140. https://doi.org/10.1111/ecc.12247

Borenstein M, Hedges LV, Higgins JP, Rothstein HR. A basic introduction to fixed-effect and random-effects models for meta-analysis. Res Synth Methods 2010;1(2):97-111. https://doi.org/10.1002/jrsm.12

Moher D, Shamseer L, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 statement. Syst Rev 2015;4(1):1. https://doi.org/10.1186/2046-4053-4-1

Shah PM, Johnston L, Sarosiek B, Harrigan A, Friel CM, Thiele RH, et al. Reducing Readmissions While Shortening Length of Stay: The Positive Impact of an Enhanced Recovery Protocol in Colorectal Surgery. Dis Colon Rectum. 2017;60(2):219-227. https://doi.org/10.1097/DCR.0000000000000748

Viana LRC, Pimenta CJL, Ferreira GRS, Oliveira JS, Costa TF, Costa KNFM. Health-related quality of life and therapeutic adherence in breast and prostate cancer. Texto Contexto Enferm. 2021;30:e20200217. https://doi.org/10.1590/1980-265X-TCE-2020-0217 24. Borsuk DJ, Al-Khamis A, Geiser AJ, Zhou D, Warner C, Kochar K, et al. S128: Active post discharge surveillance program as a part of Enhanced Recovery After Surgery protocol decreases emergency department visits and readmissions in colorectal patients. Surg Endosc. 2019;33(11):3816-3827. https://doi.org/10.1007/s00464-019-06725-x

Goldenberg BA, Carpenter-Kellett T, Gingerich JR, Nugent Z, Sisler JJ. Moving forward after cancer: successful implementation of a colorectal cancer patient-centered transitions program. J Cancer Surviv. 2020;14(1):4-8. https://doi.org/10.1007/s11764-019-00819-0

Alavi M, Hunt GE, Visentin DC, Watson R, Thapa DK, Cleary M. Using risk and odds ratios to assess effect size for meta-analysis outcome measures. J Adv Nurs 2020;76(12):3231-3234. https://doi.org/10.1111/jan.14528

Silva TTM, Araújo NM, Sarmento SDG, Castro GL, Dantas DV, Dantas RAN. Impact of COVID-19 in patients with cancer: a scoping review. Texto Contexto Enferm. 2021;30:e20200415. https://doi.org/10.1590/1980-265X-TCE-2020-0415

Publicado

2021-08-20

Cómo citar

1.
Boell JEW, Trindade LF, Kolankiewicz ACB, Cañon-Montañez W, Pituskin E, Lorenzini E. Care Transitions of Colorectal Cancer Patients from Hospital to Community: Systematic Review and Meta-analysis Protocol. Revista Cuidarte [Internet]. 20 de agosto de 2021 [citado 22 de diciembre de 2024];12(3). Disponible en: https://revistas.udes.edu.co/cuidarte/article/view/2285

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