2.50
Hdl Handle:
http://hdl.handle.net/10755/304183
Category:
Abstract
Type:
Presentation
Title:
Hospital Utilization of Patients with Cervical Cancer
Author(s):
Prasanatikom, Worranan
Lead Author STTI Affiliation:
Non-member
Author Details:
Worranan Prasanatikom, RN, PhD, worranan01@yahoo.com
Abstract:

Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013

Utilization review is a part of nurses’ role in case management.  Since the Diagnostic Related Groups introduced in the health economic, length of stay and readmission have been studied. Cervical cancer is one of the high-cost-high-volume diseases that has consumed large amount of hospital resources. Though data of this disease have been collected in the hospital data base, transforming these data to evidence-based has never been done.

Purpose:  The study was to explore hospital utilization of patients with cervical cancer.

Methods:  The data of the retrospective study with secondary analysis were extracted from the Hospital Information System at the Faculty of Medicine Ramathibodi Hospital, Mahidol University in Bangkok, Thailand. The sample included 2804 cases of patients with the principal diagnosis of cervical cancer from 2005 – 2011.

Results: The number of patients with cervical cancer increased from 211 cases in 2005 to 423 cases in 2011. An average age was 52 ± 10.10 years and very few patients were private patients. Admission assessment showed that only 2.6% were unplanned readmission related to principal diagnosis within 28 days. The length of stay (los) varied from 1-89 days and the mean was 3 ± 5.47 days. Sixty two percents of the patients had los of 1 day and 92% within this group were treated with chemotherapy and radiotherapy with chemotherapy.  The means los of radiotherapy, surgery, and chemotherapy alone were 12, 7 and 4 days, respectively. The patients who needed investigations and symptomatic treatment had average los of 7 ± 8.23 days.

Conclusion: Comparing to the treatment protocol, there were appropriate uses of hospital resource. Longer length of stay due to waiting time for radiation or investigation should be considered the option of ambulatory care. Effective concurrent utilization review and discharge planning will decrease los in palliative patients.

Keywords:
Cervical cancer; Length of stay; Utilization management
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleHospital Utilization of Patients with Cervical Canceren_GB
dc.contributor.authorPrasanatikom, Worrananen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsWorranan Prasanatikom, RN, PhD, worranan01@yahoo.comen_GB
dc.identifier.urihttp://hdl.handle.net/10755/304183-
dc.description.abstract<p>Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013</p>Utilization review is a part of nurses’ role in case management.  Since the Diagnostic Related Groups introduced in the health economic, length of stay and readmission have been studied. Cervical cancer is one of the high-cost-high-volume diseases that has consumed large amount of hospital resources. Though data of this disease have been collected in the hospital data base, transforming these data to evidence-based has never been done. <p><b><b>Purpose</b>: </b>  The study was to explore hospital utilization of patients with cervical cancer. <p><b><b>Methods</b>: </b>  The data of the retrospective study with secondary analysis were extracted from the Hospital Information System at the Faculty of Medicine Ramathibodi Hospital, Mahidol University in Bangkok, Thailand. The sample included 2804 cases of patients with the principal diagnosis of cervical cancer from 2005 – 2011. <p><b><b>Results</b>: </b> The number of patients with cervical cancer increased from 211 cases in 2005 to 423 cases in 2011. An average age was 52 ± 10.10 years and very few patients were private patients. Admission assessment showed that only 2.6% were unplanned readmission related to principal diagnosis within 28 days. The length of stay (los) varied from 1-89 days and the mean was 3 ± 5.47 days. Sixty two percents of the patients had los of 1 day and 92% within this group were treated with chemotherapy and radiotherapy with chemotherapy.  The means los of radiotherapy, surgery, and chemotherapy alone were 12, 7 and 4 days, respectively. The patients who needed investigations and symptomatic treatment had average los of 7 ± 8.23 days. <p><b>Conclusion: </b> Comparing to the treatment protocol, there were appropriate uses of hospital resource. Longer length of stay due to waiting time for radiation or investigation should be considered the option of ambulatory care. Effective concurrent utilization review and discharge planning will decrease los in palliative patients.en_GB
dc.subjectCervical canceren_GB
dc.subjectLength of stayen_GB
dc.subjectUtilization managementen_GB
dc.date.available2013-10-22T20:30:42Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:30:42Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission.en_GB
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