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Rigshospitalet - en del af Københavns Universitetshospital
Udgivet

Fast-track surgery for breast cancer is possible

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Temporal trends in length of stay and readmissions after fast-track hip and knee arthroplasty

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Hydrochloric acid prolongs the lifetime of central venous catheters in haematologic patients with bacteraemia

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Successful paediatric renography does not require sedation

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Indwelling urinary catheterisation may increase risk of complications in hip and knee arthroplasty

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  5. The clinical use of hyperbaric oxygen in the treatment of Danish patients with diabetic foot ulcers

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. A national center for persistent severe pain after groin hernia repair: Five-year prospective data

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Temporal trends in length of stay and readmissions after fast-track hip and knee arthroplasty

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Indwelling urinary catheterisation may increase risk of complications in hip and knee arthroplasty

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  4. Postoperative cognitive dysfunction is rare after fast-track hip- and knee arthroplasty - But potentially related to opioid use

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer 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