Symptoms and General Pathology

All Conditions

Behaviors and Mental Disorders

Fatigue

Quality of Life

A single-faceted patient-directed (PD) strategy that will embed the change at patient level.

A multi-faceted (MF) strategy that will embed the change at the patient, professional and organizational levels.

The patient-directed strategy will be designed to embed the success of implementation of PCRPs by influencing the patients.

The patient-directed (PD) strategy

The multi-faceted strategy will be designed to embed the success by not only influencing the patients, but also professionals and organizational aspects.

The multi-faceted (MF) strategy

C. IJsbrandy, MD

R.P.M.G. Hermens, PhD

C. IJsbrandy, drs.

The aim of this study is to develop and identify the most effective strategy to implement PCRPs into daily care. We want to assess the added value of a multi-faceted strategy compared with a single-faceted patient-directed strategy.

The aim of this study is to develop and identify the most effective strategy to implement PCRPs into daily care. We want to assess the added value of a multi-faceted strategy compared with a single-faceted patient-directed strategy.

We will conduct a clustered controlled before and after study (CBA) in the Netherlands that compares two strategies to implement PCRPs. The patient-directed (PD) strategy (five hospitals) will focus on change at the patient level. The multi-faceted (MF) strategy (five hospitals) will focus on change at the patient, professional and organizational levels. Eligibility criteria are as follows: (A) patients: adults; preferably (history of) cancer in the gastro-intestinal, reproductive and/or urological system; successful primary treatment; and without recurrence/metastases. (B) Healthcare professionals: involved in cancer care.

A stepwise approach will be followed:

Step 1: Analysis of the current implementation of PCRPs and the examination of barriers and facilitators for implementation, via a qualitative study with patients (four focus groups n = 10-12) and their healthcare workers (four focus groups n = 10-12 and individual interviews n = 30-40) and collecting data on adherence to quality indicators (n = 500 patients, 50 per hospital).

Step 2: Selection and development of interventions to create a PD and MF strategy during expert's roundtable discussions, using the knowledge gained in step 1 and a literature search of the effect of strategies for implementing PCRPs.

Step 3: Test and compare both strategies with a clustered CBA (effectiveness, process evaluation and costs), by data extraction from existing registration systems, questionnaires and interviews. For the effectiveness and cost-effectiveness, n = 500 patients, 50 per hospital. For the process evaluation, n=50 patients, 5 per hospital, and n = 40 healthcare professionals, 4 per hospital.

Implementation of Physical Cancer Rehabilitation Programmes in a European Healthcare System.

An Evaluation of a Patient-directed Strategy Compared With a Multi-faceted Strategy to Implement Physical Cancer Rehabilitation Programmes; a Controlled Before and After Study.

The experiences and exposure of patients and professionals with the PD- and MF strategy will be evaluated by interviews.

incremental costs and incremental cost-effectiveness ratios (ICERs)

A pre- and post measurement of 'the percentage of screened patients with the screening tool recommended by the Dutch guideline 'Cancer Rehabilitation'' will be done. The differences between the pre- and post measurement will be measured.

A pre- and post measurement of 'The percentage of referrals to PCRPs where needed, according to the Dutch guideline 'Cancer Rehabilitation'' will be done. The differences between the pre- and post measurement will be measured.

A pre- and post measurement of 'QoL' will be done. The differences between the pre- and post measurement will be measured.

A pre- and post measurement of 'patientempowerment' will be done. The differences between the pre- and post measurement will be measured.

A pre- and post measurement of ' the Remaining quality indicators of the Dutch guideline 'Cancer Rehabilitation'' will be done. The differences between the pre- and post measurement will be measured.

Radboud University Medical Center

Neoplasms

Digestive System Diseases

Gastrointestinal Neoplasms

Digestive System Neoplasms

Gastrointestinal Diseases

Amine Benkabbou, Pr

Raouf Mohsine, Pr

Abdelmalek Hrora, Pr

Surgery for digestive cancers is managed according to quality standards, validated by the scientific community. Despite the diffusion of these standards through the benchmarks of good practice, the results of the surgery remain disparate.

In many countries, this "inequality of opportunity" has justified the establishment of quality assurance systems to measure the results of surgery for one or more localizations of digestive cancer.

These surgical audit experiments have shown a positive, rapid and cost-effective impact on complication rates, recurrence rates and overall survival even in the absence of interventional measures. The data collected also helped to improve the management of subgroups of patients usually excluded from clinical trials.

In Morocco, the National Cancer Prevention and Control Plan provides for the establishment of a quality assurance system with the introduction of a system for monitoring and evaluating the care of patients. This pilot project is part of this framework, for the group of patients who are candidates for surgery for digestive cancers.

Observatory of the Quality of Surgical Procedures for Digestive Cancers

Observatory of the Quality of Surgical Procedures for Digestive Cancers: Pilot Project.

Death within 90 days of surgical procedure

Defined with by Clavien-Dindo grade I to IV within90 days of surgical procedure

Overall survival is defined as time from initiation to death of any cause within 3years of surgical procedure

Disease free survival is defined as time from initiation to death of any cause within 3years of surgical procedure

Study title	NCT ID	Conditions	Interventions	Eligibility	Organization	Link
Implementation of Physical Cancer Rehabilitation Programmes in a European Healthcare System.	NCT02205853	Cancer Fatigue	The patient-dir... The multi-facet...	18 Years -	Radboud University Medical Center
Observatory of the Quality of Surgical Procedures for Digestive Cancers	NCT03681600	Digestive Syste... Surgery Surgery--Compli... Quality of Heal... Medical Audit		16 Years -	Moroccan Society of Surgery

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Spots Global Cancer Trial Database for guidelines

Every month we try and update this database with for guidelines cancer trials from around the world to help patients and their families find trials that might be right for them. We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.

Every month we try and update this database with for guidelines cancer trials from around the world to help patients and their families find trials that might be right for them.
We offer this 100% free of charge and do not endorse any of the trials listed here, we hope it helps you or a loved one.