Oncology Department Clinical University Hospital of Valladolid, 47005 Valladolid, Spain.
Clin Med Insights Oncol. 2010 Oct 12;4:111-5. doi: 10.4137/CMO.S4651.
Rectal cancer is a highly prevalent disease which needs a multidisciplinary approach to be treated. The absence of specific protocols implies a significant and unjustifiable variability among the different professionals involved in this disease. The purpose is to develop a clinical pathway based on the analysis process and aims to reduce this variability and to reduce unnecessary costs.
We created a multidisciplinary team with contributors from every clinical area involved in the diagnosis and treatment in this disease. We held periodic meetings to agree on a protocol based on the best available clinical practice guidelines. Once we had agreed on the protocol, we implemented its use as a standard in our institution. Every patient older than 18 years who was diagnosed with rectal cancer was considered a candidate to be treated via the pathway.
We evaluated 48 patients during the course of this study. Every parameter measured was improved after the implementation of the pathway, except the proportion of patients with 12 nodes or more analysed. The perception that our patients had about this project was very good.
Clinical pathways are needed to improve the quality of health care. This kind of project helps reduce hospital costs and optimizes the use of limited resources. On the other hand, unexplained variability is also reduced, with consequent benefits for the patients.
直肠癌是一种高发疾病，需要多学科方法进行治疗。缺乏特定的方案意味着涉及该疾病的不同专业人员之间存在显著且不合理的差异。目的是制定一个临床路径，该路径基于分析过程，旨在减少这种变异性并降低不必要的成本。
我们创建了一个多学科团队，团队成员来自于参与该疾病诊断和治疗的每一个临床领域。我们定期开会，根据最佳的现有临床实践指南，就协议达成一致。一旦我们达成了协议，就将其作为标准在我们的机构中实施。每一位年龄大于 18 岁、被诊断为直肠癌的患者，都被认为是通过该途径进行治疗的候选者。
在这项研究过程中，我们评估了 48 名患者。除了分析的淋巴结数达到 12 个或更多的患者比例外，实施路径后所有测量的参数都得到了改善。患者对这个项目的看法非常好。
临床路径是提高医疗保健质量所必需的。这种项目有助于降低医院成本并优化有限资源的利用。另一方面，还可以减少无法解释的变异性，从而使患者受益。
