Variance analysis of a clinical pathway of video-assisted single lobectomy for lung cancer

Surgery Today

Volumn 39, Issue 2, 2009, Pages 104-109

  Okita, Atsushi ^a   Yamashita, Motohiro ^b   Abe, Keiko ^b   Nagai, Chizuru ^b   Matsumoto, Akiko ^b   Akehi, Mika ^b   Yamashita, Ryoko ^b   Ishida, Naomi ^b   Seike, Mikiko ^b   Yokota, Shigeko ^b   Umekawa, Nami ^b   Matsumoto, Yumiko ^b   Kishimoto, Yoshiko ^b   Okazaki, Aiko ^b   Komori, Eisaku ^b   Sawada, Shigeki ^b   Takashima, Shigemitsu ^b  

^a Unnan Municipal General Hospital   (Japan)

^b NATIONAL HOSPITAL ORGANIZATION SHIKOKU CANCER CENTER   (Japan)

Author keywords

Clinical pathway; Lung cancer; Variance; Video assisted thoracic surgery

Indexed keywords

ANTIBIOTIC AGENT; ANTIEMETIC AGENT;

ADULT; AGED; ANALYSIS OF VARIANCE; ARTICLE; ASTHMA; ATELECTASIS; BATH; BODY MASS; CANCER PATIENT; CANCER STAGING; CLINICAL PATHWAY; CONVALESCENCE; ENDOSCOPIC SURGERY; EPIDURAL ANESTHESIA; FEMALE; HEART ATRIUM FIBRILLATION; HUMAN; HYPERTENSION; LOBECTOMY; LUNG NON SMALL CELL CANCER; LYMPH NODE DISSECTION; MAJOR CLINICAL STUDY; MALE; NAUSEA AND VOMITING; OXYGEN SUPPLY; OXYGEN THERAPY; PAROXYSMAL SUPRAVENTRICULAR TACHYCARDIA; PLEURA EFFUSION; PNEUMONIA; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; SUBCUTANEOUS EMPHYSEMA; SUPRAVENTRICULAR PREMATURE BEAT; SURGICAL MORTALITY; URTICARIA;

AGED; AGED, 80 AND OVER; BODY MASS INDEX; CHI-SQUARE DISTRIBUTION; CRITICAL PATHWAYS; FEMALE; HUMANS; LOGISTIC MODELS; LUNG NEOPLASMS; LYMPH NODE EXCISION; MALE; MIDDLE AGED; PNEUMONECTOMY; POSTOPERATIVE COMPLICATIONS; RISK FACTORS; THORACIC SURGERY, VIDEO-ASSISTED; TREATMENT OUTCOME;

EID: 59849127761     PISSN: 09411291     EISSN: 14362813     Source Type: Journal    
DOI: 10.1007/s00595-008-3821-8     Document Type: Article

References (18)

1. S.D. Pearson D. Goulart-Fisher T.H. Lee 1995 Critical pathways as a strategy for improving care: problems and potential Ann Intern Med 123 941 948
2. R.J. Coffey J.E. Othman J.I. Walters 1995 Extending the application of critical path methods Qual Manag Health Care 3 14 29
3. M. Nakata T. Saeki N. Yokoyama A. Kurita W. Takiyama S. Takashima 2000 Pulmonary function after lobectomy: video-assisted thoracic surgery versus thoracotomy Ann Thorac Surg 70 938 941
4. C.D. Wright J.C. Wain H.C. Grillo A.C. Moncure S.M. Macaluso D.J. Mathisen 1997 Pulmonary lobectomy patient care pathway: A model to control cost and maintain quality Ann Thorac Surg 64 299 302
5. T.J. Kirby M.J. Mack R.J. Landreneau T.W. Rice 1995 Lobectomy videoassisted thoracic surgery versus muscle-sparing thoracotomy. A randomized trial J Thorac Cardiovasc Surg 109 997 1002
6. K. Koizumi S. Tanaka S. Haraguchi H. Akiyama I. Mikami M. Fukushima 1998 Lobectomy by video-assisted thoracic surgery for primary lung cancer: experiences based on provisional indications Surg Today 28 36 40
7. K. Zander 1991 Care maps: the core of cost/quality care New Definition 6 1 3
8. J. Schriefer 1995 Managing critical pathway variances Qual Manag Health Care 3 30 42
9. R.J. Coffey J.S. Richards C.S. Remmert S.S. LeRoy R.R. Schoville P.J. Baldwin 1992 An introduction to critical paths Qual Manag Health Care 1 45 54
10. K.L. Hyett M. Podosky N. Santamaria J.C. Ham 2007 Valuing variance: the importance of variance analysis in clinical pathways utilisation Aust Health Rev 31 565 570
11. E.A. Tovar R.A. Roethe M.D. Weissig R.E. Lloyd G.R. Patel 1998 Oneday admission for lung lobectomy: an incidental result of a clinical pathway Ann Thorac Surg 65 803 806
12. K.J. Zehr P.B. Dawson S.C. Yang R.F. Heitmiller 1998 Standard clinical care pathways for major thoracic cases reduce hospital costs Ann Thorac Surg 66 914 919
13. R.J. Cerfolio A. Pickens C. Bass C. Katholi 2001 Fast-tracking pulmonary resections J Thorac Cardiovasc Surg 122 318 324
14. K. Ueda Y. Kaneda H. Sakano T. Tanaka T.S. Li K. Hamano 2003 Obstacles for shortening hospitalization after video-assisted pulmonary resection for lung cancer Ann Thorac Surg 76 1816 18120
15. R. Maruyama T. Miyake M. Kojo Y. Aoki R. Suemitsu T. Okumoto 2006 Establishment of a clinical pathway as an effective tool to reduce hospitalization and charges after video-assisted thoracoscopic pulmonary resection Jpn J Thorac Cardiovasc Surg 54 387 390
16. E.A. Tovar 1998 Minimally invasive approach for pneumonectomy culminating in an outpatient procedure Chest 114 1454 1458
17. P.W. Smith H. Wang L.M. Gazoni K.R. Shen T.M. Daniel D.R. Jones 2007 Obesity does not increase complications after anatomic resection for non-small cell lung cancer Ann Thorac Surg 84 1098 1105
18. T. Win A.J. Ritchie F.C. Wells C.M. Laroche 2007 The incidence and impact of low body mass index on patients with operable lung cancer Clin Nutr 26 440 443