Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital

Assessment of rehabilitation needs in colorectal cancer treatment: Results from a mixed audit and qualitative study in Denmark

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Length of hospital stay after cesarean section in Denmark from 2004 to 2016: a national register-based study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. A simple method to secure data-driven improvement of perioperative care

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Perioperative nutrition: Recommendations from the ESPEN expert group

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  4. A three-year national follow-up study on the development of community-level cancer rehabilitation in Denmark

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

Background Systematic assessments of cancer patients' rehabilitation needs are a prerequisite for devising appropriate survivorship programs. Little is known about the fit between needs assessment outlined in national rehabilitation policies and clinical practice. This study aimed to explore clinical practices related to identification and documentation of rehabilitation needs among patients with colorectal cancer at Danish hospitals. Material and methods A retrospective clinical audit was conducted utilizing data from patient files randomly selected at surgical and oncology hospital departments treating colorectal cancer patients. Forty patients were included, 10 from each department. Semi-structured interviews were carried out among clinical nurse specialists. Audit data was analyzed using descriptive statistics, qualitative data using thematic analysis. Results Documentation of physical, psychological and social rehabilitation needs initially and at end of treatment was evident in 10% (n = 2) of surgical patient trajectories and 35% (n = 7) of oncology trajectories. Physical rehabilitation needs were documented among 90% (n = 36) of all patients. Referral to municipal rehabilitation services was documented among 5% (n = 2) of all patients. Assessments at surgical departments were shaped by the inherent continuous assessment of rehabilitation needs within standardized fast-track colorectal cancer surgery. In contrast, the implementation of locally developed assessment tools inspired by the distress thermometer (DT) in oncology departments was challenged by a lack of competencies and funding, impeding integration of data into patient files. Conclusion Consensus must be reached on how to ensure more systematic, comprehensive assessments of rehabilitation needs throughout clinical cancer care. Fast-track surgery ensures systematic documentation of physical needs, but the lack of inclusion of data collected by the DT in oncological departments questions the efficacy of assessment tools and points to a need for distinguishing between surgical and oncological settings in national rehabilitation policies.

TidsskriftActa oncologica
Udgave nummer6
Sider (fra-til)705–711
Antal sider7
StatusUdgivet - 2016

ID: 46026962