PMID- 32737954
OWN - NLM
STAT- MEDLINE
DCOM- 20210818
LR  - 20221005
IS  - 1463-1318 (Electronic)
IS  - 1462-8910 (Print)
IS  - 1462-8910 (Linking)
VI  - 22
IP  - 12
DP  - 2020 Dec
TI  - Improvement of the experience of colorectal cancer patients in Sweden with a 
      regional cancer plan.
PG  - 1965-1973
LID - 10.1111/codi.15289 [doi]
AB  - AIM: The Stockholm-Gotland Regional Cancer Plan was launched in 2012 to improve 
      cancer care. A personal contact nurse (CN), an individual written care plan 
      (IWCP) and a standardized care pathway (SCP) were introduced. The aim of the 
      current study was to evaluate whether these efforts have resulted in an improved 
      experience for patients treated for colorectal cancer. METHOD: Patients treated 
      with bowel resection for colorectal cancer in the Stockholm-Gotland region 
      between 1 January 2013 and 31 December 2017 were identified through the Swedish 
      Colorectal Cancer Registry. Six to eight months postoperatively, the patients 
      received a patient-reported experience questionnaire. Patients were classified as 
      'satisfied' or 'not satisfied'. RESULTS: The questionnaire was sent to 4465 
      patients, and 3154 (70.64%) responded. The proportion of patients assigned a CN 
      increased over time (79.84%-88.44%) and so did the proportion of patients 
      receiving an IWCP (39.36%-70.00%). The waiting times were significantly shortened 
      during the study period. In multivariable analysis, access to a CN and an IWCP 
      was independently associated with increased patient satisfaction (OR 3.03, 95% CI 
      2.28-4.02 and OR 1.64, 95% CI 1.38-1.94). Patients with a long waiting time were 
      significantly less satisfied than patients with a short waiting time (OR 0.72, 
      95% CI 0.60-0.88). CONCLUSION: Implementation of a CN, IWCP and SCP has been 
      successful, measured by a higher proportion of patients gaining access to these 
      assets and shortened waiting times. This has led to an improved patient 
      experience in patients treated for colorectal cancer in the Stockholm-Gotland 
      region.
CI  - Colorectal Disease (c) 2020 The Authors. Colorectal Disease published by John Wiley 
      & Sons Ltd on behalf of Association of Coloproctology of Great Britain and 
      Ireland.
FAU - Sjovall, A
AU  - Sjovall A
AD  - Division of Coloproctology, Department of Pelvic Cancer, Karolinska University 
      Hospital, Stockholm, Sweden.
AD  - Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, 
      Sweden.
AD  - Regional Cancer Centre Stockholm-Gotland, Stockholm, Sweden.
FAU - Soderqvist, L
AU  - Soderqvist L
AD  - Department of Surgery, Sodersjukhuset, Stockholm, Sweden.
FAU - Martling, A
AU  - Martling A
AD  - Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, 
      Sweden.
FAU - Buchli, C
AU  - Buchli C
AD  - Division of Coloproctology, Department of Pelvic Cancer, Karolinska University 
      Hospital, Stockholm, Sweden.
AD  - Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, 
      Sweden.
LA  - eng
PT  - Journal Article
DEP - 20200828
PL  - England
TA  - Colorectal Dis
JT  - Colorectal disease : the official journal of the Association of Coloproctology of 
      Great Britain and Ireland
JID - 100883611
SB  - IM
MH  - *Colorectal Neoplasms/surgery
MH  - Humans
MH  - *Patient Satisfaction
MH  - Registries
MH  - Surveys and Questionnaires
MH  - Sweden
PMC - PMC7818195
OTO - NOTNLM
OT  - Colorectal cancer
OT  - Patient-reported experience measures
OT  - cancer plan
OT  - population-based
COIS- The authors have no conflicts of interest to declare.
EDAT- 2020/08/02 06:00
MHDA- 2021/08/19 06:00
PMCR- 2021/01/21
CRDT- 2020/08/02 06:00
PHST- 2020/03/11 00:00 [received]
PHST- 2020/05/30 00:00 [accepted]
PHST- 2020/08/02 06:00 [pubmed]
PHST- 2021/08/19 06:00 [medline]
PHST- 2020/08/02 06:00 [entrez]
PHST- 2021/01/21 00:00 [pmc-release]
AID - CODI15289 [pii]
AID - 10.1111/codi.15289 [doi]
PST - ppublish
SO  - Colorectal Dis. 2020 Dec;22(12):1965-1973. doi: 10.1111/codi.15289. Epub 2020 Aug 
      28.