Advertisement

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
      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.
      ]. 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.
      ,
      • 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.
      ,
      • Lewis E.
      • Samperi S.
      • Boyd-Skinner C.
      Telephone follow-up calls for older patients after hospital discharge.
      ]. 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?.
      ]. 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

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Geriatric Oncology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • 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
        • 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
        • Memorial Sloan Kettering Cancer Center
        Systemic therapy for breast cancer.
        • Barry W.E.
        • Barin E.N.
        • Marshall L.C.
        • Doherty M.
        • Nguyen E.
        • Mclaughlin C.
        • et al.
        Preoperative educational intervention decreases unplanned gastrostomy-related health care utilization.
        Am Surg. 2018; 84: 1555-1559https://doi.org/10.1177/000313481808401003
        • Davis A.
        • Bell J.F.
        • Reed S.C.
        • Kim K.K.
        • Stacey D.
        • Joseph J.G.
        Nurse-led telephonic symptom support for patients receiving chemotherapy.
        Oncol Nurs Forum. 2020; 47: E199-E210https://doi.org/10.1188/20.ONF.E199-E210
        • Stacey D.
        • Jolicoeur L.
        • Balchin K.
        • Duke K.
        • Ludwig C.
        • Carley M.
        • et al.
        Quality of telephone nursing services for adults with cancer and related non-emergent visits to the emergency department.
        Can Oncol Nurs J. 2020; 30: 193-199https://doi.org/10.5737/23688076303193199
        • Stacey D.
        • Ludwig C.
        • Jolicoeur L.
        • Carley M.
        • Balchin K.
        • Jibb L.
        • et al.
        Quality of telephone-based cancer symptom management by nurses: a quality improvement project.
        Support Care Cancer. 2020; 29: 841-849https://doi.org/10.1007/s00520-020-05551-5
        • Macguire R.
        • McCann L.
        • Kotronoulas G.
        • Kearney N.
        • Ream E.
        • Armes J.
        • et al.
        Real time remote symptom monitoring during chemotherapy for cancer: European multicentre randomised controlled trial (eSMART).
        BMJ. 2021; 374n1647https://doi.org/10.1136/bmj.n1647