Is nurse‐led case management effective in improving treatment outcomes for cancer patients? A systematic review and meta‐analysis
Aims To identify and synthesize the outcomes of nurse‐led case management interventions for improving cancer treatment. Design Systematic review with meta‐analysis. Data sources PubMed, MEDLINE, CINAHL, EMBASE, Cochrane Library and CEPS were searched for articles published from inception till June 2...
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Veröffentlicht in: | Journal of advanced nursing 2021-10, Vol.77 (10), p.3953-3963 |
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container_title | Journal of advanced nursing |
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creator | Wu, Yi Lin Padmalatha K.M., Sriyani Yu, Tsung Lin, Yi‐Hsuan Ku, Han‐Chang Tsai, Yi‐Tseng Chang, Ying‐Ju Ko, Nai‐Ying |
description | Aims
To identify and synthesize the outcomes of nurse‐led case management interventions for improving cancer treatment.
Design
Systematic review with meta‐analysis.
Data sources
PubMed, MEDLINE, CINAHL, EMBASE, Cochrane Library and CEPS were searched for articles published from inception till June 2019, and search was finalized in January 2020.
Review Methods
The review followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement guidelines. The quality of evidence was assessed using Joanna Briggs Institute Critical Appraisal Tools. Outcomes were analysed by using a pool of data of 95% confidence intervals (CIs), p value and fitting model based on heterogeneity of test results.
Results
Eleven articles were included in the meta‐analysis. When compared with the regular care group, the nurse‐led case management group had: 1) shorter time from diagnosis to treatment by 9.07 days, 2) an improved treatment completion rates (OR = 2.45) and 3) more number of patients received hormone therapy.
Conclusion
The synthesized results presented that nurse‐led case management is more effective than regular care in improving treatment timeliness, treatment completion rates and hormone therapy rates. |
doi_str_mv | 10.1111/jan.14874 |
format | Article |
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To identify and synthesize the outcomes of nurse‐led case management interventions for improving cancer treatment.
Design
Systematic review with meta‐analysis.
Data sources
PubMed, MEDLINE, CINAHL, EMBASE, Cochrane Library and CEPS were searched for articles published from inception till June 2019, and search was finalized in January 2020.
Review Methods
The review followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement guidelines. The quality of evidence was assessed using Joanna Briggs Institute Critical Appraisal Tools. Outcomes were analysed by using a pool of data of 95% confidence intervals (CIs), p value and fitting model based on heterogeneity of test results.
Results
Eleven articles were included in the meta‐analysis. When compared with the regular care group, the nurse‐led case management group had: 1) shorter time from diagnosis to treatment by 9.07 days, 2) an improved treatment completion rates (OR = 2.45) and 3) more number of patients received hormone therapy.
Conclusion
The synthesized results presented that nurse‐led case management is more effective than regular care in improving treatment timeliness, treatment completion rates and hormone therapy rates.</description><identifier>ISSN: 0309-2402</identifier><identifier>EISSN: 1365-2648</identifier><identifier>DOI: 10.1111/jan.14874</identifier><identifier>PMID: 33942383</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Cancer ; cancer nursing care ; Case management ; Clinical outcomes ; Endocrine therapy ; Hormone replacement therapy ; Medical diagnosis ; Meta-analysis ; Nurse led care ; Nursing ; oncology ; Systematic review</subject><ispartof>Journal of advanced nursing, 2021-10, Vol.77 (10), p.3953-3963</ispartof><rights>2021 John Wiley & Sons Ltd</rights><rights>2021 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-224fd2d663a9214da8cb529178ccf25b4e114b30b22552433aa5e168fdf44dda3</citedby><cites>FETCH-LOGICAL-c3534-224fd2d663a9214da8cb529178ccf25b4e114b30b22552433aa5e168fdf44dda3</cites><orcidid>0000-0002-2747-7015 ; 0000-0002-3839-9964 ; 0000-0002-3007-2537</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjan.14874$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjan.14874$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33942383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wu, Yi Lin</creatorcontrib><creatorcontrib>Padmalatha K.M., Sriyani</creatorcontrib><creatorcontrib>Yu, Tsung</creatorcontrib><creatorcontrib>Lin, Yi‐Hsuan</creatorcontrib><creatorcontrib>Ku, Han‐Chang</creatorcontrib><creatorcontrib>Tsai, Yi‐Tseng</creatorcontrib><creatorcontrib>Chang, Ying‐Ju</creatorcontrib><creatorcontrib>Ko, Nai‐Ying</creatorcontrib><title>Is nurse‐led case management effective in improving treatment outcomes for cancer patients? A systematic review and meta‐analysis</title><title>Journal of advanced nursing</title><addtitle>J Adv Nurs</addtitle><description>Aims
To identify and synthesize the outcomes of nurse‐led case management interventions for improving cancer treatment.
Design
Systematic review with meta‐analysis.
Data sources
PubMed, MEDLINE, CINAHL, EMBASE, Cochrane Library and CEPS were searched for articles published from inception till June 2019, and search was finalized in January 2020.
Review Methods
The review followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement guidelines. The quality of evidence was assessed using Joanna Briggs Institute Critical Appraisal Tools. Outcomes were analysed by using a pool of data of 95% confidence intervals (CIs), p value and fitting model based on heterogeneity of test results.
Results
Eleven articles were included in the meta‐analysis. When compared with the regular care group, the nurse‐led case management group had: 1) shorter time from diagnosis to treatment by 9.07 days, 2) an improved treatment completion rates (OR = 2.45) and 3) more number of patients received hormone therapy.
Conclusion
The synthesized results presented that nurse‐led case management is more effective than regular care in improving treatment timeliness, treatment completion rates and hormone therapy rates.</description><subject>Cancer</subject><subject>cancer nursing care</subject><subject>Case management</subject><subject>Clinical outcomes</subject><subject>Endocrine therapy</subject><subject>Hormone replacement therapy</subject><subject>Medical diagnosis</subject><subject>Meta-analysis</subject><subject>Nurse led care</subject><subject>Nursing</subject><subject>oncology</subject><subject>Systematic review</subject><issn>0309-2402</issn><issn>1365-2648</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp1kbFuFDEQhi1ERI5AwQsgSzRQbGKPvXu7FTpFJCSKoIF65bXHkU9r72F7L7qOhj7PyJPElwsUSLix5Pn8zYx-Qt5wdsrLOVurcMplu5TPyIKLpq6gke1zsmCCdRVIBsfkZUprxrgAgBfkWIhOgmjFgvy6SjTMMeHvn_cjGqpVQupVULfoMWSK1qLObovUBer8Jk5bF25pjqjyIzDNWU8eE7VTLL-Dxkg3KrtSSx_piqZdyujLg6YRtw7vqAqGesyqdCx9xl1y6RU5smpM-PrpPiHfLz59O_9c3Xy9vDpf3VRa1EJWANIaME0jVAdcGtXqoYaOL1utLdSDRM7lINgAUNcghVCqRt601lgpjVHihLw_eMseP2ZMufcuaRxHFXCaUw81AC--ri3ou3_Q9TTHMu-eWoolg4bvqQ8HSscppYi230TnVdz1nPX7bPqSTf-YTWHfPhnnwaP5S_4JowBnB-DOjbj7v6m_Xn05KB8A7yObsQ</recordid><startdate>202110</startdate><enddate>202110</enddate><creator>Wu, Yi Lin</creator><creator>Padmalatha K.M., Sriyani</creator><creator>Yu, Tsung</creator><creator>Lin, Yi‐Hsuan</creator><creator>Ku, Han‐Chang</creator><creator>Tsai, Yi‐Tseng</creator><creator>Chang, Ying‐Ju</creator><creator>Ko, Nai‐Ying</creator><general>Wiley Subscription Services, Inc</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-2747-7015</orcidid><orcidid>https://orcid.org/0000-0002-3839-9964</orcidid><orcidid>https://orcid.org/0000-0002-3007-2537</orcidid></search><sort><creationdate>202110</creationdate><title>Is nurse‐led case management effective in improving treatment outcomes for cancer patients? A systematic review and meta‐analysis</title><author>Wu, Yi Lin ; Padmalatha K.M., Sriyani ; Yu, Tsung ; Lin, Yi‐Hsuan ; Ku, Han‐Chang ; Tsai, Yi‐Tseng ; Chang, Ying‐Ju ; Ko, Nai‐Ying</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-224fd2d663a9214da8cb529178ccf25b4e114b30b22552433aa5e168fdf44dda3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cancer</topic><topic>cancer nursing care</topic><topic>Case management</topic><topic>Clinical outcomes</topic><topic>Endocrine therapy</topic><topic>Hormone replacement therapy</topic><topic>Medical diagnosis</topic><topic>Meta-analysis</topic><topic>Nurse led care</topic><topic>Nursing</topic><topic>oncology</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wu, Yi Lin</creatorcontrib><creatorcontrib>Padmalatha K.M., Sriyani</creatorcontrib><creatorcontrib>Yu, Tsung</creatorcontrib><creatorcontrib>Lin, Yi‐Hsuan</creatorcontrib><creatorcontrib>Ku, Han‐Chang</creatorcontrib><creatorcontrib>Tsai, Yi‐Tseng</creatorcontrib><creatorcontrib>Chang, Ying‐Ju</creatorcontrib><creatorcontrib>Ko, Nai‐Ying</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of advanced nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wu, Yi Lin</au><au>Padmalatha K.M., Sriyani</au><au>Yu, Tsung</au><au>Lin, Yi‐Hsuan</au><au>Ku, Han‐Chang</au><au>Tsai, Yi‐Tseng</au><au>Chang, Ying‐Ju</au><au>Ko, Nai‐Ying</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Is nurse‐led case management effective in improving treatment outcomes for cancer patients? A systematic review and meta‐analysis</atitle><jtitle>Journal of advanced nursing</jtitle><addtitle>J Adv Nurs</addtitle><date>2021-10</date><risdate>2021</risdate><volume>77</volume><issue>10</issue><spage>3953</spage><epage>3963</epage><pages>3953-3963</pages><issn>0309-2402</issn><eissn>1365-2648</eissn><abstract>Aims
To identify and synthesize the outcomes of nurse‐led case management interventions for improving cancer treatment.
Design
Systematic review with meta‐analysis.
Data sources
PubMed, MEDLINE, CINAHL, EMBASE, Cochrane Library and CEPS were searched for articles published from inception till June 2019, and search was finalized in January 2020.
Review Methods
The review followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement guidelines. The quality of evidence was assessed using Joanna Briggs Institute Critical Appraisal Tools. Outcomes were analysed by using a pool of data of 95% confidence intervals (CIs), p value and fitting model based on heterogeneity of test results.
Results
Eleven articles were included in the meta‐analysis. When compared with the regular care group, the nurse‐led case management group had: 1) shorter time from diagnosis to treatment by 9.07 days, 2) an improved treatment completion rates (OR = 2.45) and 3) more number of patients received hormone therapy.
Conclusion
The synthesized results presented that nurse‐led case management is more effective than regular care in improving treatment timeliness, treatment completion rates and hormone therapy rates.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>33942383</pmid><doi>10.1111/jan.14874</doi><tpages>11</tpages><orcidid>https://orcid.org/0000-0002-2747-7015</orcidid><orcidid>https://orcid.org/0000-0002-3839-9964</orcidid><orcidid>https://orcid.org/0000-0002-3007-2537</orcidid></addata></record> |
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source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley Online Library Journals Frontfile Complete |
subjects | Cancer cancer nursing care Case management Clinical outcomes Endocrine therapy Hormone replacement therapy Medical diagnosis Meta-analysis Nurse led care Nursing oncology Systematic review |
title | Is nurse‐led case management effective in improving treatment outcomes for cancer patients? A systematic review and meta‐analysis |
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