Shankland Kate, Kirkbride Peter, Bourke Anne-Marie, Price James, Walkington Lucy, Danson Sarah
Department of Oncology, Weston Park Hospital, Sheffield, UK.
Department of Palliative Medicine, Royal Hallamshire Hospital, Sheffield, UK.
J Comorb. 2012 Nov 5;2:10-17. doi: 10.15256/joc.2012.2.8. eCollection 2012.
An Acute Oncology Service (AOS) is paramount to providing timely and improved pathways of care for patients who are admitted to hospital with cancer-related problems or suspected cancer.
To establish an AOS pilot study to decide how best to implement such a service locally.
The AOS, which included collaboration between the oncology and palliative care teams at the Northern General Hospital in Sheffield, UK, ensured that the majority of oncology patients in the region received timely assessment by an oncologist if they became acutely unwell as a result of their cancer or its treatment. The AOS consisted of a thrice-weekly ward round, and daily telephone advice service.
We report on patient data during the first 12 months of the pilot study. Delivery of the AOS enhanced communication between the services and provided inter-professional education and support, resulting in earlier oncological team involvement in the management of patients with cancer admitted under other teams, as well as provision of advice to patients and their caregivers and families. Provision of the AOS shortened the mean length of hospital stay by 6 days. Two case studies are presented to illustrate the typical challenges faced when managing these patients.
Establishment of the AOS enabled effective collaboration between the oncology and other clinical teams to provide a rapid and streamlined referral pathway of patients to the AOS. Locally, this process has been supported by the development of acute oncology protocols, which are now in use across the local cancer network. Journal of Comorbidity 2012;2:10-17.
急性肿瘤服务（AOS）对于为因癌症相关问题或疑似癌症而住院的患者提供及时且改善的护理途径至关重要。
开展一项AOS试点研究，以确定在当地如何最佳地实施此类服务。
AOS包括英国谢菲尔德北部总医院肿瘤学和姑息治疗团队之间的合作，确保该地区大多数肿瘤患者如果因癌症或其治疗而病情急性恶化，能及时得到肿瘤学家的评估。AOS包括每周三次的病房查房和每日电话咨询服务。
我们报告了试点研究前12个月的患者数据。AOS的实施加强了各服务部门之间的沟通，提供了跨专业教育和支持，使得肿瘤团队能更早参与到由其他团队收治的癌症患者的管理中，同时也为患者及其护理人员和家属提供了建议。AOS的提供使平均住院时间缩短了6天。文中呈现了两个案例研究，以说明管理这些患者时面临的典型挑战。
AOS的建立使肿瘤学和其他临床团队之间能进行有效合作，为患者提供快速且简化的转诊途径至AOS。在当地，这一过程得到了急性肿瘤治疗方案的支持，这些方案目前正在当地癌症网络中使用。《共病杂志》2012年；2：10 - 17。
