Sustainability of short stay after breast cancer surgery in early adopter hospitals.
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.
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.
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Ament
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.
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Gillissen
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.
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Maessen
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.
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Dirksen
Department of Surgery, Laurentius Hospital, P.O. Box 920, 6040 AX Roermond, The Netherlands.
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Bell
Department of Surgery, Orbis Medical Centre, P.O. Box 5500, 6130 MB Sittard, The Netherlands.
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Vissers
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.
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van der Weijden
Department of Surgery, Maastricht University Medical Centre, P.O. Box 5800, 6202 AZ Maastricht, The Netherlands.
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von Meyenfeldt
D000368:Aged; D001943:Breast Neoplasms / Q000601:surgery*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007902:Length of Stay; D016462:Mammaplasty / Q000379:methods*; D008408:Mastectomy / Q000379:methods*; D015412:Mastectomy, Segmental / Q000379:methods; D008875:Middle Aged; D015397:Program Evaluation; D011787:Quality of Health Care; D012189:Retrospective Studies
Breast cancer surgery; Evaluation; Multidisciplinary care; Quality improvement; Sustainability