Variation in care for surgical patients with colorectal cancer: protocol adherence in 12 European hospitals.
Ruben van ZelmEllen CoeckelberghsWalter SermeusAnthony De Buck van OverstraetenArved WeimannDeborah SeysMassimiliano PanellaKris VanhaechtPublished in: International journal of colorectal disease (2017)
Our results show that the average protocol adherence in clinical practice is 44%. The variation on patient and hospital level is considerable. Only in one patient the adherence rate was >70%. In total, 30% of patients received 50% or more of the key interventions. A solid implementation strategy seems to be needed to improve the uptake of the ERAS pathway. The importance-performance matrix can help in prioritizing the areas for improvement.
Keyphrases
- healthcare
- end stage renal disease
- clinical practice
- case report
- randomized controlled trial
- quality improvement
- newly diagnosed
- chronic kidney disease
- ejection fraction
- glycemic control
- primary care
- peritoneal dialysis
- physical activity
- palliative care
- emergency department
- type diabetes
- adipose tissue
- metabolic syndrome
- pain management
- adverse drug
- health insurance
- insulin resistance