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Is nurse‐led case management effective in improving treatment outcomes for cancer patients? A systematic review and meta‐analysis
Author(s) -
Wu Yi Lin,
Padmalatha K.M. Sriyani,
Yu Tsung,
Lin YiHsuan,
Ku HanChang,
Tsai YiTseng,
Chang YingJu,
Ko NaiYing
Publication year - 2021
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14874
Subject(s) - cinahl , medicine , meta analysis , medline , cochrane library , systematic review , psychological intervention , critical appraisal , confidence interval , nursing , alternative medicine , pathology , political science , law
Aims To identify and synthesize the outcomes of nurse‐led case management interventions for improving cancer treatment. Design Systematic review with meta‐analysis. Data sources PubMed, MEDLINE, CINAHL, EMBASE, Cochrane Library and CEPS were searched for articles published from inception till June 2019, and search was finalized in January 2020. Review Methods The review followed the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) statement guidelines. The quality of evidence was assessed using Joanna Briggs Institute Critical Appraisal Tools. Outcomes were analysed by using a pool of data of 95% confidence intervals (CIs), p value and fitting model based on heterogeneity of test results. Results Eleven articles were included in the meta‐analysis. When compared with the regular care group, the nurse‐led case management group had: 1) shorter time from diagnosis to treatment by 9.07 days, 2) an improved treatment completion rates (OR = 2.45) and 3) more number of patients received hormone therapy. Conclusion The synthesized results presented that nurse‐led case management is more effective than regular care in improving treatment timeliness, treatment completion rates and hormone therapy rates.