✦ LIBER ✦

Impact of an integrated care program for patients with head and neck cancer on the quality of care

✍ Scribed by Mariëlle M. M. T. J. Ouwens; Rosella R. P. M. G. Hermens; Marlies M. E. J. L. Hulscher; Matthias A. W. Merkx; Frank J. A. van den Hoogen; Richard P. Grol; Hub C. H. Wollersheim; Henri A. M. Marres

Publisher: John Wiley and Sons
Year: 2009
Tongue: English
Weight: 109 KB
Volume: 31
Category: Article
ISSN: 1043-3074
DOI: 10.1002/hed.21041

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Background.

The management of patients with head and neck cancer is complex, and implementation of an integrated care program might improve the quality of care.

Methods.

A prospective before–after study was performed in 1 clinic for head and neck oncology on 311 adults with head and neck cancer to evaluate an integrated care program.

Results.

Scores on the integrated care indicators showed that the implementation of the integrated care program led to relevant improvements, eg, waiting time for diagnostic procedures less than 10 days (improvement of 37%), support for stopping smoking (+37%), nutrition support (+44%), assessment of CT and MRI scans by a an expert radiologist (+23%), and number of patients in contact with the specialist nurses (+37%). The program had no relevant effects on the outcome indicators.

Conclusion.

📜 SIMILAR VOLUMES

Quality of integrated care for patients

Quality of integrated care for patients with head and neck cancer: Development and measurement of clinical indicators

✍ Mariëlle M. M. T. J. Ouwens; Henri A. M. Marres; Rosella R. P. Hermens; Marlies 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 205 KB 👁 2 views

## Abstract ## Background. To improve the quality of integrated care, we developed indicators for assessing current practice in a large reference center for head and neck oncology. ## Methods. We defined a set of indicators based on integrated care literature, national evidence‐based guidelines

Quality of integrated care for patients

Quality of integrated care for patients with nonsmall cell lung cancer : Variations and Determinants of Care

✍ Mariëlle M. M. T. J. Ouwens; Rosella R. P. M. G. Hermens; René A. R. Termeer; Sa 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 106 KB 👁 1 views

## Abstract ## BACKGROUND. In the current study, the authors focused on determinants influencing the quality of care and variations in the actual quality of integrated care for patients with nonsmall cell lung cancer (NSCLC) to estimate whether there is room for improvement. ## METHODS. The auth

Experience of palliative care for patien

Experience of palliative care for patients with head and neck cancer through the eyes of next of kin

✍ Quirine C. P. Ledeboer; Marinella P. J. Offerman; Lilly-Ann van der Velden; Maar 📂 Article 📅 2008 🏛 John Wiley and Sons 🌐 English ⚖ 90 KB 👁 2 views

## Abstract ## Background. Little is known about how palliative care is experienced by patients with head and neck cancer and their relatives. The aim of this retrospective study was to analyze this care from the point of view of surviving relatives. ## Methods. Fifty‐five surviving relatives of

Radiation-induced Xerostomia in patients

Radiation-induced Xerostomia in patients with head and neck cancer: Pathogenesis, impact on quality of life, and management

✍ Mark S. Chambers; Adam S. Garden; Merrill S. Kies; Jack W. Martin 📂 Article 📅 2004 🏛 John Wiley and Sons 🌐 English ⚖ 129 KB 👁 2 views

## Abstract ## Background. Xerostomia is a common, debilitating complication of radiation therapy (RT) for head and neck cancer. This article reviews the pathogenesis of radiation‐induced xerostomia, its impact on quality of life (QOL), and treatment options. ## Methods. Virtually all patients u

The impact of head and neck cancer and f

The impact of head and neck cancer and facial disfigurement on the quality of life of patients and their partners

✍ Lindsey E. Vickery; Gary Latchford; Jenny Hewison; Maggie Bellew; Tricia Feber 📂 Article 📅 2003 🏛 John Wiley and Sons 🌐 English ⚖ 89 KB 👁 1 views

## Background: Psychological and physical stresses from head and neck cancer can be substantial for patients and partners. there is minimal research exploring treatment impact, particularly facial disfigurement after surgery. ## Materials and methods: Twenty-eight surgery and radiotherapy/brachyt

The impact of nutritional status on the

The impact of nutritional status on the prognoses of patients with advanced head and neck cancer

✍ Marian A. E. van Bokhorst-de van der Schueren; Paul A. M. van Leeuwen; Dirk J. K 📂 Article 📅 1999 🏛 John Wiley and Sons 🌐 English ⚖ 133 KB 👁 3 views

## BACKGROUND. Malnutrition has been recognized as a poor prognostic indicator for cancer treatment-related morbidity and mortality in general, and it is reported to affect 30 -50% of all patients with head and neck cancer. In this study, the correlation of nutritional status with 3-year survival