Advertisement

Topics

The Effect of Case Management in Complex Cancer Pathways

2014-08-27 03:24:15 | BioPortfolio

Summary

Introduction: Case management (CM) has been proposed as a method for optimizing the course of treatment for complicated cancer patients. However evidence of the effect of CM is limited and methodologically rigorous research is needed.

Aim: To analyze effects of Nurse CM in complicated cancer care.

Methods: The study is designed as a two-arm randomized controlled trial (RCT) including approximately 280 colorectal cancer patients.

Intervention group patients will be offered usual medical treatment plus supportive intervention from a case manager. Control group patients will receive usual medical and supportive treatment.

The intervention: Case managers are registered nurses and possess thorough knowledge of cancer treatment and pathways. Core intervention elements: Planned and ad hoc personal and telephone contacts, surveillance of care pathways, coordination and dissemination of care plan (including transfer of patient-specific information to other departments and general practice).

Primary outcomes: Patient evaluations of care pathways and "Quality of Life" (questionnaires).

Secondary outcomes: Use of health care services and care process measures (The National Health Insurance Service Registry and The National Patient Registry; and GPs' evaluations of continuity of care (questionnaire).

Schedule:

- "Case management used to optimize cancer care pathways: A systematic Review" has been published in BMC Health Services Research.

- The CM manual has been written. Questionnaires are under development and pilot testing.

- Two case managers have been appointed 1. January 2009.

- After training and pilot testing of the intervention the RCT will begin in March 2009. Inclusion period is 12 months.

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Health Services Research

Conditions

Colonic Neoplasms

Intervention

Nurse case management

Location

Department P, Aarhus University Hospital
Aarhus C
Denmark
8000

Status

Recruiting

Source

University of Aarhus

Results (where available)

View Results

Links

Published on BioPortfolio: 2014-08-27T03:24:15-0400

Clinical Trials [905 Associated Clinical Trials listed on BioPortfolio]

Randomized Trial to Evaluate the Effectiveness of Nurse Case Management

The management of high-risk pregnancies require substantial use of medical resources. Our goal is to determine the effectiveness of a nurse case management program in which case managers ...

Nurse Case Management to Improve Hepatitis C Care in HIV Co-infection

Effective all-oral medications are finally available to cure hepatitis C virus, which affects more than 4 million Americans and one-in-four people living with HIV. However, many barriers e...

Evaluation of a Nurse Case Management Model for Chronic Heart Failure

Despite established clinical practice guidelines, wide variations exist in the care of chronic heart failure (CHF) patients in Veterans Health Administration. Previous randomized, control...

Effect of Case-Management Using Home Monitoring on Diabetes and Blood Pressure Outcomes

This is a randomized trial designed to determine if adoption of the chronic care model in conjunction with nurse case management, home telemonitoring, and home HbA1c monitoring can improve...

A Case Management Study Targeted to Reduce Health Care Utilization for Frequent Emergency Department Visitors

The aim of the study is to determine whether a nurse-managed telephone-based case-management intervention can reduce healthcare utilization and improve self-assessed health status in frequ...

PubMed Articles [15934 Associated PubMed Articles listed on BioPortfolio]

Colonic ischemia mimicking obstruction due to sigmoid colon cancer: A case report.

Colonic ischemia is challenging to diagnose preoperatively. We present a patient with colonic ischemia, initially considered to have colonic obstruction. We review the history, physical findings, imag...

Unusual case of intraluminal cecal recurrence of a low grade appendiceal mucinous neoplasm (LAMN)-Case report and brief literature review.

Appendiceal mucinous neoplasms exhibit a wide spectrum of clinical behavior, ranging from neoplasms which are relatively slow-growing but with considerable risk for recurrence and eventual death and t...

Effect of a nurse case management intervention for hypertension self-Management in low-income African Americans.

Effectiveness of case management performed by nurses for blood pressure control in adults with hypertension: a systematic review protocol.

The question of this review is: what is the effectiveness of nurse case management in primary healthcare for improving blood pressure, in adults over 18 years with hypertension?The objective of this r...

Rural Community Case Management Experience for Bachelor of Science in Nursing Students: A Focus Group Evaluation.

This presentation concerns the evaluation of an additional clinical experience in case management for senior baccalaureate students. During their final leadership course, nursing students can elect to...

Medical and Biotech [MESH] Definitions

Management control systems for structuring health care delivery strategies around case types, as in DRGs, or specific clinical services.

Evidence-based nursing, midwifery and healthcare grounded in research and scholarship. Practitioners include nurse practitioners, clinical nurse specialists, nurse anesthetists, and nurse midwives.

Tumors or cancer of the COLON.

Inflammation of the COLONIC DIVERTICULA, generally with abscess formation and subsequent perforation.

Coordination of nursing services by various nursing care personnel under the leadership of a professional nurse. The team may consist of a professional nurse, nurses' aides, and the practical nurse.

More From BioPortfolio on "The Effect of Case Management in Complex Cancer Pathways"

Advertisement
Quick Search
Advertisement
Advertisement

 

Relevant Topics

Head and neck cancers
Cancer can occur in any of the tissues or organs in the head and neck. There are over 30 different places that cancer can develop in the head and neck area. Mouth cancers (oral cancers)  - Mouth cancer can develop on the lip, the tongue, the floor...

Cancer
  Bladder Cancer Brain Cancer Breast Cancer Cancer Cervical Cancer Colorectal Head & Neck Cancers Hodgkin Lymphoma Leukemia Lung Cancer Melanoma Myeloma Ovarian Cancer Pancreatic Cancer ...


Searches Linking to this Trial