护士导航对加拿大地区癌症中心乳腺癌护理等待时间的影响。
Influence of nurse navigation on wait times for breast cancer care in a Canadian regional cancer center.
机构信息
BC Cancer Agency (BCCA SAH-CSI), Kelowna, BC, Canada; Surgical Oncology Network, BCCA, Vancouver, BC, Canada.
Surgical Oncology Network, BCCA, Vancouver, BC, Canada; Cancer Surveillance & Outcomes, BCCA, Vancouver, BC, Canada.
出版信息
Am J Surg. 2014 May;207(5):686-91; discussion 691-2. doi: 10.1016/j.amjsurg.2014.01.002. Epub 2014 Feb 19.
BACKGROUND
The wait times for breast cancer care in our region do not meet acceptable benchmarks. We implemented the Interior Breast Rapid Access Investigation and Diagnosis (IB-RAPID) nurse navigation program to address this issue.
METHODS
The IB-RAPID prospective database was reviewed for patients entering the program between April 1, 2011 and April 30, 2012 (2011/2012 cohort), and was compared with patients from the same area in 2010. The main end point was the time between the 1st diagnostic imaging test and the surgery. Multiple linear regression was performed to investigate factors influencing the wait times.
RESULTS
The wait times decreased with the introduction of IB-RAPID (59 vs 48 days; median). Stage of disease, total number of biopsies, and magnetic resonance imaging (MRI) use influenced wait times. MRI significantly delayed surgical intervention in both groups with those not having an MRI having a shorter wait time to surgery (68.5 vs 57.6 days; mean) in 2011/2012.
CONCLUSION
The implementation of nurse navigation for patients with breast cancer appears to be effective at reducing the wait times for surgical treatment.
背景
我们所在地区的乳腺癌治疗等待时间不符合可接受的标准。我们实施了内陆乳腺快速准入调查和诊断（IB-RAPID）护士导航计划来解决这个问题。
方法
对 2011 年 4 月 1 日至 2012 年 4 月 30 日（2011/2012 队列）进入该计划的患者的 IB-RAPID 前瞻性数据库进行了回顾，并与 2010 年同一地区的患者进行了比较。主要终点是首次诊断性影像学检查和手术之间的时间。进行了多元线性回归分析，以研究影响等待时间的因素。
结果
随着 IB-RAPID 的引入，等待时间缩短（59 天比 48 天；中位数）。疾病分期、活检总数和磁共振成像（MRI）的使用影响等待时间。在两组中，MRI 都显著延迟了手术干预，在 2011/2012 年，未行 MRI 的患者手术等待时间更短（68.5 天比 57.6 天；均值）。
结论
为乳腺癌患者实施护士导航似乎能有效缩短手术治疗的等待时间。
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