Forskning
Udskriv Udskriv
Switch language
Rigshospitalet - en del af Københavns Universitetshospital
Udgivet

Fast-track surgery for breast cancer is possible

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Danish expanded newborn screening is a successful preventive public health programme

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Analgesics use and withdrawal in people with dementia - a register-based Danish study and a systematic review

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  3. Everolimus as adjunctive treatment in tuberous sclerosis complex-associated epilepsy in children

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Regional and socioeconomic variation in survival of melanoma patients in Denmark

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Challenges in optimising recovery after emergency laparotomy

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  2. Enhanced postoperative recovery: good from afar, but far from good?

    Publikation: Bidrag til tidsskriftReviewForskningpeer review

  3. Enhanced Recovery After Head and Neck Cancer Reconstruction With a Free Flap-What Is Next?

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Functional recovery after knee arthroplasty with regional analgesia

    Publikation: Bidrag til tidsskriftKommentar/debatForskningpeer review

Vis graf over relationer
INTRODUCTION: Breast cancer is common among Danish women with more than 4,100 new cases annually. In 2008 the concept of fast-track surgery was introduced at the Department of Breast Surgery at Rigshospitalet, Copenhagen. The aim of this study is to describe the new clinical pathway for breast cancer patients after implementation of a fast-track surgery programme. MATERIAL AND METHODS: A clinical pathway of all involved disciplines was developed including anaesthetic, analgesics, nausea and vomiting, drain and wound management, discharge assessment and psychosocial support. RESULTS: The overall mean length of stay (LOS) decreased from 3.6 days before introduction of fast-track surgery to 1.2 days after its implementation. The largest decrease was observed among patients undergoing mastectomy, where LOS was reduced from 5.0 to 1.6 days. The number of beds at the department was reduced by about 30% and a nurse-led clinic was established which enabled nurses to take charge of wound management, seromas, temporary breast prostheses and psychosocial and rehabilitation aspects in the outpatient clinic. Additionally, the previously available telephone counselling service was intensified to provide immediate advice and support. CONCLUSION: The results confirm that a short stay can be successfully carried out for breast cancer patients. Implementing the fast-track programme involved the introduction of a clear clinical pathway for the patients and more effective daily routines. Patients felt safe and confident after early discharge. FUNDING: not relevant. TRIAL REGISTRATION: not relevant.
OriginalsprogEngelsk
TidsskriftDanish Medical Journal
Vol/bind60
Udgave nummer5
Sider (fra-til)A4615
Antal sider5
ISSN2245-1919
StatusUdgivet - maj 2013

ID: 38615123