Evidence map›Paper›PMID 38453350›Full record

ArticleCanadian journal of surgery. Journal canadien de chirurgie

A mixed-method study evaluating an innovative care model for rural patients undergoing outpatient breast surgery.

Sharon Chiu, Samantha Fowler, Sarah Bridges, Natasha Hanson, Jordan King, Sarah Street, Heather Tait, Karen Irving, Peggy McLean, Lauren McLaughlin and 1 more

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Article in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Sharon ChiuFrom the Department of Surgery, Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Chiu); the Office of Research Services, Horizon Health Network, Saint John, N.B. (Fowler, Bridges, Hanson, McLaughlin, Gulliver); the Maritime SPOR SUPPORT Unit, Saint John, N.B. (Fowler, Bridges, McLaughlin, Gulliver); the Breast Health Program, St. Joseph's Hospital, Horizon Health Network, Saint John, N.B. (King); the Breast Health Clinic, The Moncton Hospital, Horizon Health Network (Street, Tait); patient partner (Irving), Oak Bay, N.B.; patient partner (McLean), Miramichi, N.B ssychiu@gmail.com.
Samantha FowlerFrom the Department of Surgery, Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Chiu); the Office of Research Services, Horizon Health Network, Saint John, N.B. (Fowler, Bridges, Hanson, McLaughlin, Gulliver); the Maritime SPOR SUPPORT Unit, Saint John, N.B. (Fowler, Bridges, McLaughlin, Gulliver); the Breast Health Program, St. Joseph's Hospital, Horizon Health Network, Saint John, N.B. (King); the Breast Health Clinic, The Moncton Hospital, Horizon Health Network (Street, Tait); patient partner (Irving), Oak Bay, N.B.; patient partner (McLean), Miramichi, N.B.
Sarah BridgesFrom the Department of Surgery, Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Chiu); the Office of Research Services, Horizon Health Network, Saint John, N.B. (Fowler, Bridges, Hanson, McLaughlin, Gulliver); the Maritime SPOR SUPPORT Unit, Saint John, N.B. (Fowler, Bridges, McLaughlin, Gulliver); the Breast Health Program, St. Joseph's Hospital, Horizon Health Network, Saint John, N.B. (King); the Breast Health Clinic, The Moncton Hospital, Horizon Health Network (Street, Tait); patient partner (Irving), Oak Bay, N.B.; patient partner (McLean), Miramichi, N.B.
Natasha HansonFrom the Department of Surgery, Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Chiu); the Office of Research Services, Horizon Health Network, Saint John, N.B. (Fowler, Bridges, Hanson, McLaughlin, Gulliver); the Maritime SPOR SUPPORT Unit, Saint John, N.B. (Fowler, Bridges, McLaughlin, Gulliver); the Breast Health Program, St. Joseph's Hospital, Horizon Health Network, Saint John, N.B. (King); the Breast Health Clinic, The Moncton Hospital, Horizon Health Network (Street, Tait); patient partner (Irving), Oak Bay, N.B.; patient partner (McLean), Miramichi, N.B.
Jordan KingFrom the Department of Surgery, Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Chiu); the Office of Research Services, Horizon Health Network, Saint John, N.B. (Fowler, Bridges, Hanson, McLaughlin, Gulliver); the Maritime SPOR SUPPORT Unit, Saint John, N.B. (Fowler, Bridges, McLaughlin, Gulliver); the Breast Health Program, St. Joseph's Hospital, Horizon Health Network, Saint John, N.B. (King); the Breast Health Clinic, The Moncton Hospital, Horizon Health Network (Street, Tait); patient partner (Irving), Oak Bay, N.B.; patient partner (McLean), Miramichi, N.B.
Sarah StreetFrom the Department of Surgery, Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Chiu); the Office of Research Services, Horizon Health Network, Saint John, N.B. (Fowler, Bridges, Hanson, McLaughlin, Gulliver); the Maritime SPOR SUPPORT Unit, Saint John, N.B. (Fowler, Bridges, McLaughlin, Gulliver); the Breast Health Program, St. Joseph's Hospital, Horizon Health Network, Saint John, N.B. (King); the Breast Health Clinic, The Moncton Hospital, Horizon Health Network (Street, Tait); patient partner (Irving), Oak Bay, N.B.; patient partner (McLean), Miramichi, N.B.
Heather TaitFrom the Department of Surgery, Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Chiu); the Office of Research Services, Horizon Health Network, Saint John, N.B. (Fowler, Bridges, Hanson, McLaughlin, Gulliver); the Maritime SPOR SUPPORT Unit, Saint John, N.B. (Fowler, Bridges, McLaughlin, Gulliver); the Breast Health Program, St. Joseph's Hospital, Horizon Health Network, Saint John, N.B. (King); the Breast Health Clinic, The Moncton Hospital, Horizon Health Network (Street, Tait); patient partner (Irving), Oak Bay, N.B.; patient partner (McLean), Miramichi, N.B.
Karen IrvingFrom the Department of Surgery, Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Chiu); the Office of Research Services, Horizon Health Network, Saint John, N.B. (Fowler, Bridges, Hanson, McLaughlin, Gulliver); the Maritime SPOR SUPPORT Unit, Saint John, N.B. (Fowler, Bridges, McLaughlin, Gulliver); the Breast Health Program, St. Joseph's Hospital, Horizon Health Network, Saint John, N.B. (King); the Breast Health Clinic, The Moncton Hospital, Horizon Health Network (Street, Tait); patient partner (Irving), Oak Bay, N.B.; patient partner (McLean), Miramichi, N.B.
Peggy McLeanFrom the Department of Surgery, Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Chiu); the Office of Research Services, Horizon Health Network, Saint John, N.B. (Fowler, Bridges, Hanson, McLaughlin, Gulliver); the Maritime SPOR SUPPORT Unit, Saint John, N.B. (Fowler, Bridges, McLaughlin, Gulliver); the Breast Health Program, St. Joseph's Hospital, Horizon Health Network, Saint John, N.B. (King); the Breast Health Clinic, The Moncton Hospital, Horizon Health Network (Street, Tait); patient partner (Irving), Oak Bay, N.B.; patient partner (McLean), Miramichi, N.B.
Lauren McLaughlinFrom the Department of Surgery, Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Chiu); the Office of Research Services, Horizon Health Network, Saint John, N.B. (Fowler, Bridges, Hanson, McLaughlin, Gulliver); the Maritime SPOR SUPPORT Unit, Saint John, N.B. (Fowler, Bridges, McLaughlin, Gulliver); the Breast Health Program, St. Joseph's Hospital, Horizon Health Network, Saint John, N.B. (King); the Breast Health Clinic, The Moncton Hospital, Horizon Health Network (Street, Tait); patient partner (Irving), Oak Bay, N.B.; patient partner (McLean), Miramichi, N.B.
Adrienne GulliverFrom the Department of Surgery, Saint John Regional Hospital, Horizon Health Network, Saint John, N.B. (Chiu); the Office of Research Services, Horizon Health Network, Saint John, N.B. (Fowler, Bridges, Hanson, McLaughlin, Gulliver); the Maritime SPOR SUPPORT Unit, Saint John, N.B. (Fowler, Bridges, McLaughlin, Gulliver); the Breast Health Program, St. Joseph's Hospital, Horizon Health Network, Saint John, N.B. (King); the Breast Health Clinic, The Moncton Hospital, Horizon Health Network (Street, Tait); patient partner (Irving), Oak Bay, N.B.; patient partner (McLean), Miramichi, N.B.

Funding

CIHR
6 · The paper itself

Abstract

backgroundThe Delta Oasis program was launched in New Brunswick in 2006 to offer patients from rural areas who were undergoing breast cancer surgery and their families 1 night of free accommodations and a postoperative consultation with an extramural nurse. We sought to investigate patient experiences with this program.

methodsThis mixed-method retrospective study took place from 2020 to 2022 and compared the preoperative anxiety and quality of recovery of program participants and control patients who were discharged home over 100 km from hospital. We conducted 2 × 2 analysis of variance to evaluate the effects of intervention group and surgery type. We conducted semistructured interviews with intervention participants, which we then thematically analyzed. Two patient partners were engaged during data synthesis to support the interpretation of results.

resultsWe included 34 patients who participated in the program and 18 control patients. No statistically significant differences were found between treatment groups in preoperative anxiety and quality of recovery, regardless of surgery type. Thematic analysis of interviews with 17 intervention participants revealed that they were highly satisfied with the program and that the experience helped reduce stress and discomfort related to their surgery.

interpretationThe Delta Oasis program is a cost-effective alternative to inpatient care after breast cancer surgery and is highly regarded by rural patients; expansion to other regions with the inclusion of additional low-risk surgeries could help address hospital capacity issues. This study contributes to our understanding of the patient experience with the Delta Oasis program and informs the development of similar programs elsewhere.

Indexed as

Breast NeoplasmsOutpatientsFemaleHospitalizationHumansNew BrunswickRetrospective Studies

Identifiers

PMID38453350
PMCPMC10927285

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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.