Onco-primary care networking to support TEAM-based care - the ONE TEAM Study Supplement

支持基于 TEAM 的护理的肿瘤初级护理网络 - ONE TEAM 研究补充

基本信息

批准号：
10381219
负责人：
Kevin Charles Oeffinger
金额：
$ 16.48万
依托单位：
DUKE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-05-06 至 2025-04-30
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10381219
关键词：
Acute Adherence Adult Affect Aftercare Age Aging Attention Award Back Behavior Bladder Breast Cancer Center Cancer Patient Cancer Survivor Cardiovascular Diseases Cardiovascular system Caring Cessation of life Characteristics Chronic Clinic Clinical Code Colorectal Communication Communities Data Day Surgery Development Documentation Dyslipidemias Effectiveness Elderly Electronic Health Record Emergency department visit Endometrial Enrollment Esophagus Ethnic Origin Fibrinogen Frequencies Future Genetic Goals Growth Head and neck structure Health Health system Healthcare Healthcare Systems Hypertension Income Individual Institute of Medicine (U.S.)Institutes Internal Medicine Intervention Intervention Trial Interview K-Series Research Career Programs Laboratories Lead Length of Stay Life Style Liver Malignant Neoplasms Measurement Measures Mediating Medical Medical Oncologist Methods Newly Diagnosed Non-Insulin-Dependent Diabetes Mellitus Non-Small-Cell Lung Carcinoma North Carolina Oncologist Oncology Operative Surgical Procedures Outcome Outpatients Ovarian Pancreas Participant Patient-Focused Outcomes Patients Pattern Perception Perioperative Pharmaceutical Preparations Pharmacy facility Phase Population Population Heterogeneity Postoperative Period Prevalence Primary Health Care Productivity Prostate Protocols documentation Provider Qualitative Research Race Randomized Randomized Controlled Trials Reporting Research Research Methodology Resources Risk Seminal Sequential Multiple Assignment Randomized Trial Solid Neoplasm Stomach Structure Survival Rate Survivors Therapeutic Time Touch sensation Training Universities Validation Variant Visit Work base cancer care cancer recurrence cancer risk cancer surgery cancer therapy cardiovascular disorder risk cardiovascular risk factor care coordination care costs care delivery care providers career development comorbidity comparison intervention cost diet and exercise effectiveness evaluation empowered experience financial toxicity follow-up frailty functional status group intervention health care delivery hospital readmission human old age (65+)hypercholesterolemia improved indexing insight kidney cell medication compliance member mortality risk patient oriented patient stratification patient-clinician communication residence risk stratification sex sociodemographics socioeconomics survivorship treatment as usual trial design

项目摘要

Summary of Work The overall objective of this proposal is to identify factors associated with cardiovascular complications ≤90 days of cancer surgery among older adults with solid tumors and elicit the perspectives of PCPs on the quality of communication with surgical providers following patients’ surgery. Our central hypothesis is that older adults with solid tumors who are at increased risk of cardiovascular complications are identifiable early in the perioperative period and that potentially modifiable factors in care coordination (such as having a PCP, early post-discharge follow-up with PCP, direct communication with PCP) are associated with lower rates of cardiovascular complications 90-days post-surgery.

工作总结该提案的总体目标是确定与心血管相关的因素患有实体瘤的老年人在癌症手术后 90 天以内出现并发症，并引起 PCP 对患者术后与手术提供者沟通质量的看法我们的中心假设是患有实体瘤的老年人的风险增加。心血管并发症在围手术期早期即可识别，并且护理协调中潜在可改变的因素（例如拥有 PCP、出院后早期与 PCP 的随访、与 PCP 的直接沟通）与较低的发生率相关术后 90 天的心血管并发症。