Sustainability of short stay after breast cancer surgery in early adopter hospitals

S M C Ament; F Gillissen; J M C Maessen; C D Dirksen; A V R J Bell; Y L J Vissers; T van der Weijden; M F von Meyenfeldt

doi:10.1016/j.breast.2014.02.010

Sustainability of short stay after breast cancer surgery in early adopter hospitals

Breast. 2014 Aug;23(4):429-34. doi: 10.1016/j.breast.2014.02.010. Epub 2014 Apr 1.

Authors

S M C Ament¹, F Gillissen², J M C Maessen³, C D Dirksen⁴, A V R J Bell⁵, Y L J Vissers⁶, T van der Weijden⁷, M F von Meyenfeldt⁸

Affiliations

¹ CAPHRI, School for Public Health and Primary Care, Maastricht University Medical Centre, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands; Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands; GROW, School for Oncology & Developmental Biology, Maastricht University Medical Centre, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands. Electronic address: stephanie.ament@mumc.nl.
² CAPHRI, School for Public Health and Primary Care, Maastricht University Medical Centre, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands; Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands; GROW, School for Oncology & Developmental Biology, Maastricht University Medical Centre, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
³ CAPHRI, School for Public Health and Primary Care, Maastricht University Medical Centre, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands; Department of Quality and Safety, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands.
⁴ CAPHRI, School for Public Health and Primary Care, Maastricht University Medical Centre, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands; Department of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands.
⁵ Department of Surgery, Laurentius Hospital, P.O. Box 920, 6040 AX Roermond, The Netherlands.
⁶ Department of Surgery, Orbis Medical Centre, P.O. Box 5500, 6130 MB Sittard, The Netherlands.
⁷ CAPHRI, School for Public Health and Primary Care, Maastricht University Medical Centre, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands; Department of Family Medicine, Maastricht University Medical Centre, Maastricht University, P.O. Box 616, 6200 MD Maastricht, The Netherlands.
⁸ Department of Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands.

PMID: 24698633
DOI: 10.1016/j.breast.2014.02.010

Abstract

Between 2005 and 2007 a short stay programme for breast cancer surgery was successfully implemented in early adopter hospitals. The current study evaluates the sustainability of this success five years following implementation. A retrospective audit of 160 consecutive patients undergoing breast cancer surgery was performed five years following implementation of short stay. The total proportion of patients treated in short stay was 82% (hospital 1 83%, hospital 2 78%, hospital 3 87%, hospital 4 80%) after five years follow-up, which was comparable to the proportion in short stay directly after implementation (p = 0.938). Overall compliance to the key recommendations to facilitate short stay after breast cancer surgery increased from 65% directly after implementation to 78% five years after implementation. This study shows that short stay after breast cancer surgery was successfully sustained in early adopter hospitals five years following implementation.

Keywords: Breast cancer surgery; Evaluation; Multidisciplinary care; Quality improvement; Sustainability.

Publication types

Research Support, Non-U.S. Gov't

MeSH terms

Aged
Breast Neoplasms / surgery*
Cohort Studies
Female
Humans
Length of Stay*
Mammaplasty / methods*
Mastectomy / methods*
Mastectomy, Segmental / methods
Middle Aged
Program Evaluation*
Quality of Health Care
Retrospective Studies