Evidence map›Paper›PMID 34731447›Full record

ArticleOncology and therapy2021

Implementing a Standardized Care Pathway Integrating Oncology, Palliative Care and Community Care in a Rural Region of Mid-Norway.

Anne-Tove Brenne, Erik Torbjørn Løhre, Anne Kari Knudsen, Morten Thronæs, Jo-Åsmund Lund, Nina Kongshaug, Marte Nilssen Neverdal, Kristina Rystad, Marianne Haug Johansen, Tone Inga Braseth and 1 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Oncology and therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 22% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Revisiting Alma Ata: A Blueprint for Cancer Care.Cancer control : journal of the Moffitt Cancer Center
    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

11 authors at 2 institutions in 1 country.

Anne-Tove Brenne *Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Postbox 8905, NO-7491, Trondheim, Norway. anne.tove.brenne@ntnu.no.ORCID http://orcid.org/0000-0003-2730-6299
Erik Torbjørn Løhre *Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Postbox 8905, NO-7491, Trondheim, Norway.
Anne Kari KnudsenEuropean Palliative Care Research Centre (PRC), Department of Oncology, Oslo University Hospital, Oslo, Norway.
Morten ThronæsDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Postbox 8905, NO-7491, Trondheim, Norway.
Jo-Åsmund LundDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Postbox 8905, NO-7491, Trondheim, Norway.
Nina KongshaugDepartment of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences, NTNU-Norwegian University of Science and Technology, Postbox 8905, NO-7491, Trondheim, Norway.
Marte Nilssen NeverdalDepartment of Industrial Economics and Technology Management, Faculty of Economics and Management, Norwegian University of Science and Technology, Trondheim, Norway.
Kristina RystadDepartment of Industrial Economics and Technology Management, Faculty of Economics and Management, Norwegian University of Science and Technology, Trondheim, Norway.
Marianne Haug JohansenCancer Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Tone Inga BrasethCancer Clinic, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway.
Stein KaasaEuropean Palliative Care Research Centre (PRC), Department of Oncology, Oslo University Hospital, Oslo, Norway.
Norwegian University of Science and Technology · NOOslo University Hospital · NO

Funding

Ekstrastiftelsen Helse og Rehabilitering 148113Helsedirektoratet 11/2341-26
6 · The paper itself

Abstract

introductionTo improve quality across levels of care, we developed a standardized care pathway (SCP) integrating palliative and oncology services for hospitalized and home-dwelling palliative cancer patients in a rural region.

methodsA multifaceted implementation strategy was directed towards a combination of target groups. The implementation was conducted on a system level, and implementation-related activities were registered prospectively. Adult patients with advanced cancer treated with non-curative intent were included and interviewed. Healthcare leaders (HCLs) and healthcare professionals (HCPs) involved in the development of the SCP or exposed to the implementation strategy were interviewed. In addition, HCLs and HCPs exposed to the implementation strategy answered standardized questionnaires. Hospital admissions were registered prospectively.

resultsTo assess the use of the SCP, 129 cancer patients were included. Fifteen patients were interviewed about their experiences with the patient-held record (PHR). Sixty interviews were performed among 1320 HCPs exposed to the implementation strategy. Two hundred and eighty-seven HCPs reported on their training in and use of the SCP. Despite organizational cultural differences, developing an SCP integrating palliative and oncology services across levels of care was feasible. Both HCLs and HCPs reported improved quality of care in the wake of the implementation process. Two and a half years after the implementation was launched, 28% of the HCPs used the SCP and 41% had received training in its use. Patients reported limited use and benefit of the PHR.

conclusionAn SCP may be a usable tool for integrating palliative and oncology services across care levels in a rural region. An extensive implementation process resulted in improvements of process outcomes, yet still limited use of the SCP in clinical practice. HCLs and HCPs reported improved quality of cancer care following the implementation process. Future research should address mandatory elements for usefulness and successful implementation of SCPs for palliative cancer patients.

Indexed as

Cancer careImplementation researchIntegrationLevels of carePalliative careStandardized care pathway

Identifiers

PMID34731447
PMCPMC8593089
OpenAlexW3208732045

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.