| Nurse or surgeon follow-up after rectal cancer: a randomized trial. | |
| | |
MedLine Citation:
|
PMID: 20478003 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
|
Aim Follow-up programmes consume a large amount of resources with less time for the surgeon to take on new patients. The aim of this randomized study was to compare patient satisfaction, resource utilization and medical safety in patients curatively operated for rectal cancer who were followed up by either a surgeon or a nurse. Method The nurse was trained by the colorectal surgeon before the start of the study. Curatively operated patients were asked to give their consent to participate. Randomization was performed by the stoma therapist. After each consultation, the patient completed a questionnaire. Results A total of 110 patients (58 men) age 68 (range 41-87) years were included between 2002 and 2005. Only three patients refused participation. Patient satisfaction was high according to the Visual Analogue Scale (VAS): 9.4 for the surgeon and 9.5 for the nurse (NS). Consultation time was longer for the nurse: 24 vs 15 min (P = 0.001), with more blood samples being taken (29%vs 7%, P = 0.002). Radiological investigations exceeding the routine were made in 11%vs 4% (NS) cases. Surgical assistance was needed in 13 of 182 consultations with the nurse [mean 6 (1-15) min, total 75 min]. Distant metastases were detected in seven patients in the surgeon group and eight in the nurse group (P = 0.953). Total costs of follow-up did not differ. Conclusion Patient satisfaction was equally high for the specialist nurse as for the colorectal surgeon. On only a few occasions was surgical assistance necessary and total costs for the follow-up showed no difference. Medical safety appeared uncompromised. Nurse-led follow-up is encouraged. |
| | |
Authors:
|
E Strand; I Nygren; L Bergkvist; K Smedh |
Related Documents
:
|
14622863 - Comprehensive care for adults with congenital heart disease: expanding roles for nurses. 2357313 - Critical care nursing for the patient with a spinal cord injury. 14690353 - Peritraumatic versus persistent dissociation in acute stress disorder. |
Publication Detail:
|
Type: Journal Article Date: 2010-05-17 |
Journal Detail:
|
Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: 13 ISSN: 1463-1318 ISO Abbreviation: Colorectal Dis Publication Date: 2011 Sep |
Date Detail:
|
Created Date: 2011-08-18 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: England |
Other Details:
|
Languages: eng Pagination: 999-1003 Citation Subset: IM |
Copyright Information:
|
© 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland. |
Affiliation:
|
Colorectal Unit, Department of Surgery and Centre for Clinical Research, Uppsala University, Central Hospital, Västerås, Sweden. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: A contraction response of the internal anal sphincter to Botulinum toxin: does low-pressure chronic ...
Next Document: Measurement of anal cushions in continent women.