Regional University of the Northwest of the State of Rio Grande do Sul, Ijuí, Rio Grande do Sul, Brazil.
Federal University of Santa Catarina, R. Delfino Conti, 279 - Trindade, Florianópolis, Santa Catarina, 88040-535, Brazil.
Support Care Cancer. 2022 Jul;30(7):6251-6261. doi: 10.1007/s00520-022-07033-2. Epub 2022 Apr 22.
Implementing effective strategies to transition care for individuals with colorectal cancer is an important tool to qualify care for affected individuals, as well as contribute to the dispensation of continuous and quality care to patients.
To evaluate the effectiveness of strategies to transition from hospital care to the community compared to usual care for colorectal cancer patients to reduce hospital stay, readmissions at 30 days, and visit to the emergency department up to 30 days.
Systematic review and meta-analysis followed the recommendations of PRISMA statement, with protocol registered in PROSPERO (CRD 42,020,162,249). Searches were carried out in May 2020 in the following databases: PubMed/MEDLINE, LILACS, EMBASE, and Cochrane Central. Meta-analysis was performed using a random-effects model. The measure of effect used for dichotomous outcomes was relative risk, and for continuous outcomes, the difference of means was used, with their confidence intervals of 95%. Heterogeneity was evaluated using inconsistency statistics.
Of 631 identified studies, seven studies were included. The meta-analysis of the studies showed a reduction in readmissions at 30 days of 32% and a significant reduction in hospital stay time of approximately one and a half days, both of which were analyzed in favor of the group of care transition interventions.
The findings showed effective care transition strategies for the transition of colorectal cancer patients, such as post-discharge active surveillance program, standardized protocol of improved recovery, and telephone follow-up.
CRD42020162249.
实施有效的策略来过渡护理结直肠癌患者是保证患者护理质量的重要手段，也有助于为患者提供持续和高质量的护理。
评估与常规护理相比，将结直肠癌患者从医院护理过渡到社区护理的策略的有效性，以减少住院时间、30 天内再入院率和 30 天内急诊就诊次数。
系统评价和荟萃分析遵循 PRISMA 声明的建议，方案在 PROSPERO（CRD42020162249）中注册。2020 年 5 月在以下数据库中进行了检索：PubMed/MEDLINE、LILACS、EMBASE 和 Cochrane Central。使用随机效应模型进行荟萃分析。对于二分类结局，使用相对风险作为效应量；对于连续结局，使用均数差值及其 95%置信区间作为效应量。使用不一致性统计来评估异质性。
在 631 项已识别的研究中，有 7 项研究被纳入。对这些研究的荟萃分析表明，30 天内再入院率降低了 32%，住院时间显著缩短了大约一天半，这两个结果均有利于护理过渡干预组。
研究结果表明，针对结直肠癌患者的护理过渡策略是有效的，例如出院后主动监测计划、改进恢复标准化协议和电话随访。
CRD42020162249。
