Department of Community Health Sciences & O'Brien Institute for Public Health, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada
Department of Oncology & Arnie Charbonneau Cancer Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
BMJ Open. 2021 Jan 25;11(1):e043374. doi: 10.1136/bmjopen-2020-043374.
Transitions in Care (TiC) are vulnerable periods in care delivery associated with adverse events, increased cost and decreased patient satisfaction. Patients with cancer encounter many transitions during their care journey due to improved survival rates and the complexity of treatment. Collectively, improving TiC is particularly important among patients with cancer. The objective of this scoping review is to synthesise and map the existing literature regarding TiC among patients with cancer in order to explore opportunities to improve TiC among patients with cancer.
This scoping review will follow the Preferred Reporting Items for Systematic Reviews and Meta-Analysis-Scoping Review Extension and the Joanna Briggs Institute methodology. The PubMed cancer filter and underlying search strategy will be tailored to each database (Embase, Cochrane, CINAHL and PsycINFO) and combined with search terms for TiC. Grey literature and references of included studies will be searched. The search will include studies published from database inception until 9 February 2020. Quantitative and qualitative studies will be included if they describe transitions between any type of healthcare provider or institution among patients with cancer. Descriptive statistics will summarise study characteristics and quantitative data of included studies. Qualitative data will be synthesised using thematic analysis.
Our objective is to synthesise and map the existing evidence; therefore, ethical approval is not required. Evidence gaps around TiC will inform a programme of research aimed to improve high-risk transitions among patients with cancer. The findings of this scoping review will be published in a peer-reviewed journal and widely presented at academic conferences. More importantly, decision makers and patients will be provided a summary of the findings, along with data from a companion study, to prioritise TiC in need of interventions to improve continuity of care for patients with cancer.
过渡护理（TiC）是护理提供过程中的脆弱时期，与不良事件、成本增加和患者满意度降低有关。由于癌症患者的生存率提高和治疗的复杂性，他们在护理过程中会经历许多过渡。总的来说，改善癌症患者的 TiC 尤为重要。本综述的目的是综合和绘制现有的关于癌症患者 TiC 的文献，以探索改善癌症患者 TiC 的机会。
本综述将遵循系统评价和荟萃分析扩展的首选报告项目和 Joanna Briggs 研究所方法。将根据每个数据库（Embase、Cochrane、CINAHL 和 PsycINFO）调整 PubMed 癌症过滤器和基础搜索策略，并结合 TiC 的搜索词。将搜索包括从数据库创建开始到 2020 年 2 月 9 日发表的研究。如果研究描述了癌症患者之间任何类型的医疗保健提供者或机构之间的过渡，则将纳入定量和定性研究。将使用主题分析对定性数据进行综合。
我们的目标是综合和绘制现有的证据；因此，不需要伦理批准。TiC 方面的证据差距将为旨在改善癌症患者高风险过渡的研究计划提供信息。本综述的结果将发表在同行评议的期刊上，并在学术会议上广泛介绍。更重要的是，决策者和患者将获得研究结果的摘要，以及来自伴随研究的数据，以确定需要干预的 TiC，以改善癌症患者的护理连续性。
