Evidence map›Paper›PMID 18765323›Full record

ArticleOncology nursing forum2008

Failure to rescue in the surgical oncology population: implications for nursing and quality improvement.

Christopher R Friese, Linda H Aiken

Abstract read
In one paragraph

Article in Oncology nursing forum, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Christopher R FrieseSchool of Nursing, University of Michigan, Ann Arbor, USA. at cfriese@umich.edu
Linda H Aiken

Funding

ADVANCED TRAINING IN NURSING OUTCOMES RESEARCHT32NR007104 · NINR · UNIVERSITY OF PENNSYLVANIA · PI JACQUELINE MARGO BROOKS CARTHON, EILEEN T LAKE · 1999 to 2026
$11.6M
Outcomes of Nurse Practice EnvironmentsR01NR004513 · NINR · UNIVERSITY OF PENNSYLVANIA · PI AIKEN, LINDA H · 1997 to 2012
$5.9M
Fostering Independence in Nursing and Outcomes ResearchR00NR010750 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FRIESE, CHRISTOPHER R · 2010 to 2012
$734k
Fostering Independence in Nursing and Outcomes ResearchK99NR010750 · NINR · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FRIESE, CHRISTOPHER R · 2008 to 2009
$178k
NINR NIH HHS K99 NR010750NINR NIH HHS R00 NR010750NINR NIH HHS R01 NR004513NINR NIH HHS R01-NR04513NINR NIH HHS T32 NR007104NINR NIH HHS T32-NR07104
6 · The paper itself

Abstract

PURPOSE/

objectivesTo analyze the frequency, type, and correlates of postoperative complications for surgical patients with cancer to illustrate practical application of the failure to rescue concept in oncology nursing practice.

designSecondary analysis of inpatient claims.

settingData obtained from the Pennsylvania Health Care Cost Containment Council were linked with data from the Pennsylvania Cancer Registry. SAMPLE: 24,618 patients with solid tumors hospitalized for tumor-directed surgery in 164 acute care hospitals from 1998-1999.

methodsFrequency distributions examined the incidence of each complication, the proportion of patients who died with the complication, and complication frequency by tumor type. Chi-square tests compared the frequency of complications for patients who were admitted routinely or via the emergency department. MAIN RESEARCH VARIABLES: 30-day mortality, postoperative complications, and tumor type.

findingsThe most frequent complication in the sample was gastrointestinal bleeding (13.2%); however, 37.1% of patients who died had respiratory compromise as a complication. Admission through the emergency department was significantly associated with experiencing a complication (71.9% versus 43.9%).

conclusionsTreatable but serious postoperative complications are frequent and can be fatal in the surgical oncology population. Complication frequency and fatality vary significantly by cancer type. IMPLICATIONS FOR NURSING: The complications studied are detectable by nurses and can be managed successfully with timely intervention. Recognition of complications at an early stage and evidence-based management may assist nurses in patient rescue and, ultimately, improve quality of care.

Indexed as

AdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNeoplasmsPostoperative ComplicationsYoung Adult

Identifiers

PMID18765323
PMCPMC2562164

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.