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Research Letter to Editor| Volume 14, ISSUE 2, 101391, March 2023

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Implementing proactive phone calls for older adults with cancer after systemic therapy: A quality improvement project

Published:October 21, 2022DOI:https://doi.org/10.1016/j.jgo.2022.10.006
Implementing proactive phone calls for older adults with cancer after systemic therapy: A quality improvement project
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      Older adults are at increased risk of emergency department (ED) visits and hospitalizations after systemic therapy [
      • Krzyzanowska M.K.
      • MacKay C.
      • Heekyung H.
      • Eberg M.
      • Gandhi S.
      • Laferriere N.B.
      • et al.
      Ambulatory toxicity management (AToM) pilot: results of a pilot study of a pro-active, telephone-based intervention to improve toxicity management during chemotherapy for breast cancer.
      BMC. 2019; 5: 1-12https://doi.org/10.1186/s40814-019-0404-y
      ]. Recent studies have shown proactive phone calls after systemic therapy could reduce ED visits and help with symptom management [
      • Krzyzanowska M.K.
      • MacKay C.
      • Heekyung H.
      • Eberg M.
      • Gandhi S.
      • Laferriere N.B.
      • et al.
      Ambulatory toxicity management (AToM) pilot: results of a pilot study of a pro-active, telephone-based intervention to improve toxicity management during chemotherapy for breast cancer.
      BMC. 2019; 5: 1-12https://doi.org/10.1186/s40814-019-0404-y
      ,
      • Fauer A.
      • Wallner L.P.
      • Davis M.A.
      • Choi S.W.
      • Friese C.R.
      Health care experiences for older adults diagnosed with leukemia and lymphoma: Factors associated with emergency department use, timeliness and access of health care. Journal of Geriatric Oncology, S1879–4068(20)30435–5.
      J Geriat Oncol. 2021; 12: 250-255https://doi.org/10.1016/j.jgo.2020.09.008
      ,
      • Lewis E.
      • Samperi S.
      • Boyd-Skinner C.
      Telephone follow-up calls for older patients after hospital discharge.
      Age Ageing. 2017; 46: 544-546https://doi.org/10.1093/ageing/afw251
      ]. The Older Adults with Cancer Clinic (OACC) did not utilize telephone follow-up guidelines as recommended in the literature. To assist with ongoing nursing support, the Canadian Oncology Symptom Triage and Remote Support (COSTaRS) practice guides were implemented, which include remote symptom assessment management guidelines for nurses [
      • Stacey D.
      • Carley M.
      • Newton J.
      Pan-Canadian oncology symptom triage and remote support (COSTaRS) practice guides - what’s changed in version 2020?.
      Can Oncol Nurs J. 2020; 30: 269-276https://doi.org/10.5737/23688076304269276
      ]. The aim of this project was to determine if implementation of the COSTaRS practice guides in the OACC at the Princess Margaret Cancer Centre reduced unplanned health care visits.

      Keywords

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      References

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        • Laferriere N.B.
        • et al.
        Ambulatory toxicity management (AToM) pilot: results of a pilot study of a pro-active, telephone-based intervention to improve toxicity management during chemotherapy for breast cancer.
        BMC. 2019; 5: 1-12https://doi.org/10.1186/s40814-019-0404-y
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      Article info

      Publication history

      Published online: October 21, 2022
      Accepted: October 10, 2022
      Received in revised form: September 8, 2022
      Received: July 27, 2022

      Identification

      DOI: https://doi.org/10.1016/j.jgo.2022.10.006

      Copyright

      © 2022 Elsevier Ltd. All rights reserved.

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