Evidence map›Paper›PMID 33373026›Full record

ArticleJournal of cancer research and clinical oncology2021

Health services research in colorectal cancer: a quasi-experimental interventional pilot study on in- and outpatient oncology.

Margarete Reiter, Michael Gerken, Patricia Lindberg-Scharf, Alois Fuerst, Gudrun Liebig-Hörl, Olaf Ortmann, Ingeborg Eberl, Sabine Bartholomeyczik

Open access · hybridAbstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.1field-weighted citation impact, top 48% of its field
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

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. 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

8 authors at 5 institutions in 1 country.

Margarete ReiterDiplom-Kauffrau, Faculty of Health, School of Nursing Science, PhD Student at the Witten/Herdecke University, Stockumer Straße 12, 58453, Witten, Germany. Margarete.Reiter@t-online.de.ORCID http://orcid.org/0000-0001-6889-3077
Michael GerkenTumor Center Regensburg-Institute of Quality Management and Health Services Research of the University of Regensburg, Coordination, Epidemiology, Am Biopark 9, 93053, Regensburg, Germany.
Patricia Lindberg-ScharfTumor Center Regensburg-Institute of Quality Management and Health Services Research of the University of Regensburg, Section Quality of Life, Am Biopark 9, 93053, Regensburg, Germany.
Alois FuerstDirector of the Department of General and Visceral Surgery, Caritas-Hospital Sankt Josef, Landshuter Straße 65, 93053, Regensburg, Germany.
Gudrun Liebig-HörlMedical Coordinator of Colon Cancer Center, Caritas-Hospital Sankt Josef, Landshuter Straße 65, 93053, Regensburg, Germany.
Olaf OrtmannDirector of the Department of Gynecology and Obstetrics, University Medical Center Regensburg, Caritas-Hospital Sankt Josef, Landshuter Straße 65, 93053, Regensburg, Germany.
Ingeborg EberlFaculty of Social Work, Catholic University of Eichstätt-Ingolstadt, Kapuzinergasse 2, 85072, Eichstätt, Germany.
Sabine BartholomeyczikFaculty of Health, School of Nursing Science, Witten/Herdecke University, Stockumer Straße 12, 58453, Witten, Germany.
Caritas-Krankenhaus St. Josef · DEUniversity of Regensburg · DEWitten/Herdecke University · DECatholic University of Eichstätt-Ingolstadt · DEUniversity Hospital Regensburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDue to frequent treatment side effects and weight loss, colorectal cancer patients require oncologic care and nutritional counseling both during and after hospitalization. The current study evaluated differences in discharge and side effects management and nutritional behavior between colorectal cancer patients of a control group without systematic counseling and of an intervention group with access to structured in- and outpatient oncology nurse and nutritional counseling.

methodsThe presented explorative, quantitative, single-center, interventional pilot study is a health services research project with a quasi-experimental design. Using a self-designed standardized questionnaire, data were collected from the control group (n = 75) before and from the intervention group (n = 114) after the introduction of in- and outpatient oncology nurse and structured systematic nutritional counseling. The in- and outpatient counseling services were developed and evaluated in the form of a structured nurse-led counseling concept.

resultsIntervention group patients profited significantly from inpatient oncology nurse counseling in seven different areas of discharge management. No differences were observed concerning patient-reported general and gastrointestinal side effects except for xerostomia and dysphagia, but of the patients participating in both in- and outpatient oncology nurse counseling, 90.0% were better able to cope with general side effects of treatment. Patients with in- and outpatient structured systematic nutritional counseling more frequently received nutritional information (p = 0.001), were better at gauging food intolerances (p = 0.023), and followed the dietician's advice in cases of gastrointestinal side effects significantly more often (p = 0.003) than control patients. Counselor-reported outcomes concerning gastrointestinal side effects showed improvement in most of the patients taking part in systematic in- and outpatient nutritional counseling, except for weight loss in 4 patients.

conclusionIn- and outpatient counseling in discharge and side effects management and nutrition improve the outcomes of colorectal cancer patients. Outpatient counseling should be further developed and evaluated in future studies.

Indexed as

AftercareHealth Services ResearchAdultAgedAged, 80 and overCase-Control StudiesColorectal NeoplasmsCounselingFemaleHospitalizationHumansInpatientsMaleMedical OncologyMiddle AgedNon-Randomized Controlled Trials as TopicColorectal cancerDrug-related side effects and adverse reactionsHealth services researchNutritional counselingOncology nurse counseling

Identifiers

PMID33373026
PMCPMC8076149
OpenAlexW3118173431

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.