Performance of a Hospital Pathway for Patients With a New Single Brain Mass

Author:

Arrillaga-Romany Isabel1,Curry William T.1,Jordan Justin T.1,Cahill Daniel P.1,Nahed Brian V.1,Martuza Robert L.1,Loeffler Jay S.1,Järhult Susann J.1,Muzikansky Alona1,Cohen Adam B.1,Singhal Aneesh B.1,Goldstein Joshua N.1,Batchelor Tracy T.1

Affiliation:

1. Massachusetts General Hospital and Harvard Medical School, Boston, MA

Abstract

WHAT WE FOUND: Length of stay and time to surgery were significantly reduced after implementation of this admission pathway. Readmission rate was not adversely affected by this change. The protocol also significantly reduced the number of unnecessary body computed tomography imaging studies obtained in this patient population. CONFOUNDING FACTORS/REAL-LIFE IMPLICATIONS: The results of this study should be interpreted with their retrospective nature in mind. Further, analysis of this admission pathway did not take into consideration patient perspective or cost implications. Finally, the authors recognize that the resources for such an operational shift may only be found in large, tertiary, referral centers. Optimized specialized care for patients with new single brain masses promotes improved health care outcomes. It may also predictively reduce health care costs and improve patient satisfaction. More research is needed in this field. Limitations to our study included the inherent limitations of a retrospective pre-post design that can make it difficult to separate the effect of a specific intervention from other factors that change over time. In addition, assessment of patient satisfaction, use of diagnostic tests beyond body imaging, and advanced cost analysis could have strengthened this study. Lastly, it should be noted that the applicability of our approach may be limited to major tertiary centers with enough resources to implement such a pathway.

Publisher

American Society of Clinical Oncology (ASCO)

Subject

Health Policy,Oncology (nursing),Oncology

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Timing of glioblastoma surgery and patient outcomes: a multicenter cohort study;Neuro-Oncology Advances;2021-01-01

2. Evaluation of a supratentorial parenchymal lesion;Neuro-Oncology for the Clinical Neurologist;2021

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