"Pilot Study: Interest of the Intervention of a Nurse Coordinator in Complex Care Pathway in the Management of a Patient Treated for Hepatocellular Carcinoma (HCC)"
试验速览
- 阶段
- 不适用
- 入组人数
- 1,000
- 试验地点
- 1
- 主要终点
- Proportion of the following missions of the coordinator Nurse
研究概览
简要总结
This project is based on the assumption that the nurse coordinators of the centres have common missions at each of the key stages of patient care. These missions make the care plan more fluid and improve the quality and safety of care as well as the patient's prognosis.
The Hypothesis is that co-follow-up by a doctor and a nurse coordinator reduces time between referral to treatment, average lengths of stay, unscheduled readmissions or early emergency visits, compared to follow-up that does not involve a nurse coordinator.
详细描述
Main objective:
Describe the roles and missions of professionals dedicated to the coordination of care pathways for patients with HCC
Secondary objectives:
Compare the indicators of quality of care in HCC centres with a nurse coordinator:
- Timeframe in treatment:
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 18 Years 至 99 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Centre with interventional radiology treatment
- •Active list of patients followed for a HCC of at least 70 / year
- •Reply to the feasibility questionnaire within 60 days from receipt of the email
排除标准
- •Patient with a localized HCC diagnosis (BCLC A or B)
- •Hospitalised for a first interventional radiology treatment (radioembolisation, transarterial chemoembolization or percutaneous ablation) in one of the centres included in the study between July 1, 2017 and December 31, 2017
结局指标
主要结局
Proportion of the following missions of the coordinator Nurse
时间窗: 12 months
missions: o Initial contact of the patient with the expert centre * Organisation of the MDT meeting * Organisation of treatment and investigations * Coordination between hospital professionals * Link with community health professionals * Follow-up (post-hospitalization, treatment side effects, etc.) * Information, advice to patients * Psychological support * Implementation of care pathways * Nursing research
次要结局
- Timeframe in days between : The first contact with the centre and the first presentation at a MDT meeting(12 months)
- Timeframe in days between The first contact with the centre and the first interventional radiology treatment.(12 months)
- Timeframe in days between : The first contact with the centre and the diagnostic consultation(12 months)
- Timeframe in days between :The interventional radiology procedure and the next one for the subgroup of patients who have multiple procedures during the follow-up period(12 months)
- Length of hospital stay for a first interventional radiology treatment in patients with HCC.(12 months)
- Number of early unscheduled readmissions during the first month following interventional radiology treatment for patients included in the study.(12 months)
- Timeframe in days between :The first contact with the centre and discharge from the hospital(12 months)
- Number of emergency unit visits during the first month following hospitalization for interventional radiology treatment for patients included in the study.(12 months)