Introduction: Patients who are frail, have multiple comorbidities or have a terminal illness often have poor outcomes from surgery. However, sole specialists may recommend surgery in these patients without consultation with other treating clinicians or allowing for patient goals. The Patient-Centred Advanced Care Planning (PC-ACP) model of care provides a framework in which a multidisciplinary advanced care plan is devised to incorporate high-risk patients' values and goals. Decision-making is performed collaboratively by patients, their family, surgeons, anaesthetists, intensivists and surgical case managers. This study aims to evaluate the feasibility of this new model of care, and to determine potential benefits to patients and clinicians. Methods and analysis: After being assessed for frailty, patients will complete a patient-clinician information engagement survey pretreatment and at 6 months follow-up. Patients (and/or family members) will be interviewed about their experience of care pretreatment and at 3 and 6 months follow-ups. Clinicians will complete a survey on workplace attitudes and engagement both preimplementation and postimplementation of PC-ACP and be interviewed, following each survey, on the implementation of PC-ACP. We will use process mapping to map the patient journey through the surgical care pathway to determine areas of improvement and to identify variations in patient experience. Ethics and dissemination: This study has received ethical approval from Townsville Hospital and Health Service HREC (HREC/16/QTHS/100). Results will be communicated to the participating hospital, presented at conferences and submitted for publication in a peerreviewed MEDLINE-indexed journal.
机构:
Univ Western Australia, Fac Med, Perth, WA, Australia
Harry Perkins Inst Med Res, Clin Sci, Nedlands, WA, AustraliaUniv Western Australia, Fac Med, Perth, WA, Australia
Arendts, Glenn
Bullow, Kate
论文数: 0引用数: 0
h-index: 0
机构:
South Metropolitan Hlth Serv, Perth, WA, AustraliaUniv Western Australia, Fac Med, Perth, WA, Australia
Bullow, Kate
Etherton-Beer, Christopher
论文数: 0引用数: 0
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机构:
Univ Western Australia, Fac Med, Perth, WA, Australia
Harry Perkins Inst Med Res, Clin Sci, Nedlands, WA, AustraliaUniv Western Australia, Fac Med, Perth, WA, Australia
Etherton-Beer, Christopher
MacDonald, Ellen
论文数: 0引用数: 0
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机构:
Royal Perth Hosp, Perth, WA, AustraliaUniv Western Australia, Fac Med, Perth, WA, Australia
MacDonald, Ellen
Dumas, Sandra
论文数: 0引用数: 0
h-index: 0
机构:
South Metropolitan Hlth Serv, Perth, WA, AustraliaUniv Western Australia, Fac Med, Perth, WA, Australia
Dumas, Sandra
Nagree, Yusuf
论文数: 0引用数: 0
h-index: 0
机构:
South Metropolitan Hlth Serv, Perth, WA, AustraliaUniv Western Australia, Fac Med, Perth, WA, Australia
Nagree, Yusuf
Brown, Simon G. A.
论文数: 0引用数: 0
h-index: 0
机构:
Royal Hobart Hosp, Hobart, Tas, AustraliaUniv Western Australia, Fac Med, Perth, WA, Australia
Brown, Simon G. A.
Almeida, Osvaldo P.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Western Australia, Fac Med, Perth, WA, Australia
Harry Perkins Inst Med Res, Clin Sci, Nedlands, WA, AustraliaUniv Western Australia, Fac Med, Perth, WA, Australia
机构:
St Marys Res Ctr, Montreal, PQ, Canada
Montreal West Isl Integrated Univ Hlth & Social Se, Montreal, PQ, Canada
McGill Univ, Dept Dept Epidemiol Biostat & Occupat Hlth, Montreal, PQ, Canada
St Marys Res Ctr, Hayes Pavilion,Suite 3734,3830 Ave Lacombe, Montreal, PQ H3T 1M5, CanadaSt Marys Res Ctr, Montreal, PQ, Canada
McCusker, Jane
Beauchamp, Sylvie
论文数: 0引用数: 0
h-index: 0
机构:
Montreal West Isl Integrated Univ Hlth & Social Se, Montreal, PQ, CanadaSt Marys Res Ctr, Montreal, PQ, Canada
Beauchamp, Sylvie
Lambert, Sylvie
论文数: 0引用数: 0
h-index: 0
机构:
St Marys Res Ctr, Montreal, PQ, Canada
Montreal West Isl Integrated Univ Hlth & Social Se, Montreal, PQ, Canada
McGill Univ, Ingram Sch Nursing, Montreal, PQ, CanadaSt Marys Res Ctr, Montreal, PQ, Canada
Lambert, Sylvie
Yaffe, Mark
论文数: 0引用数: 0
h-index: 0
机构:
St Marys Res Ctr, Montreal, PQ, Canada
Montreal West Isl Integrated Univ Hlth & Social Se, Montreal, PQ, Canada
McGill Univ, Dept Family Med, Montreal, PQ, Canada
St Marys Hosp, Dept Family Med, Montreal, PQ, CanadaSt Marys Res Ctr, Montreal, PQ, Canada
Yaffe, Mark
Meguerditchian, Ari Nareg
论文数: 0引用数: 0
h-index: 0
机构:
St Marys Res Ctr, Montreal, PQ, Canada
Montreal West Isl Integrated Univ Hlth & Social Se, Montreal, PQ, Canada
McGill Univ, Dept Surg, Montreal, PQ, Canada
McGill Univ, Dept Oncol, Montreal, PQ, CanadaSt Marys Res Ctr, Montreal, PQ, Canada
Meguerditchian, Ari Nareg
John, Beverley-Tracey
论文数: 0引用数: 0
h-index: 0
机构:
Montreal West Isl Integrated Univ Hlth & Social Se, Montreal, PQ, CanadaSt Marys Res Ctr, Montreal, PQ, Canada
John, Beverley-Tracey
Bourbonnais, Marie-Pierre
论文数: 0引用数: 0
h-index: 0
机构:
Montreal West Isl Integrated Univ Hlth & Social Se, Montreal, PQ, CanadaSt Marys Res Ctr, Montreal, PQ, Canada
Bourbonnais, Marie-Pierre
Fung, Shek
论文数: 0引用数: 0
h-index: 0
机构:
Montreal West Isl Integrated Univ Hlth & Social Se, Montreal, PQ, Canada
St Marys Hosp, Dept Geriatr, Montreal, PQ, Canada
McGill Univ, Div Geriatr Med, Montreal, PQ, CanadaSt Marys Res Ctr, Montreal, PQ, Canada
Fung, Shek
de Raad, Manon
论文数: 0引用数: 0
h-index: 0
机构:
St Marys Res Ctr, Montreal, PQ, Canada
Montreal West Isl Integrated Univ Hlth & Social Se, Montreal, PQ, CanadaSt Marys Res Ctr, Montreal, PQ, Canada
de Raad, Manon
Belzile, Eric
论文数: 0引用数: 0
h-index: 0
机构:
St Marys Res Ctr, Montreal, PQ, Canada
Montreal West Isl Integrated Univ Hlth & Social Se, Montreal, PQ, CanadaSt Marys Res Ctr, Montreal, PQ, Canada
Belzile, Eric
[J].
CANADIAN JOURNAL ON AGING-LA REVUE CANADIENNE DU VIEILLISSEMENT,
2023,
42
(04):
: 678
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687
机构:
Roswell Park Comprehens Canc Ctr, Support & Palliat Care, Buffalo, NY 14263 USARoswell Park Comprehens Canc Ctr, Support & Palliat Care, Buffalo, NY 14263 USA
Case, Amy Allen
Epstein, Andrew S.
论文数: 0引用数: 0
h-index: 0
机构:
Mem Sloan Kettering Canc Ctr, 1275 York Ave, New York, NY 10021 USARoswell Park Comprehens Canc Ctr, Support & Palliat Care, Buffalo, NY 14263 USA
Epstein, Andrew S.
Gustin, Jillian L.
论文数: 0引用数: 0
h-index: 0
机构:
Ohio State Univ, Coll Med, Arthur G James Canc Hosp, Div Palliat Med, Columbus, OH 43210 USA
Ohio State Univ, Coll Med, Richard J Solove Res Inst, Columbus, OH 43210 USARoswell Park Comprehens Canc Ctr, Support & Palliat Care, Buffalo, NY 14263 USA
机构:
Poole Hosp NHS Fdn Trust, Dept Ear Nose & Throat Surg, Robert White Ctr Airway Voice & Swallowing, Poole, Dorset, EnglandPoole Hosp NHS Fdn Trust, Dept Ear Nose & Throat Surg, Robert White Ctr Airway Voice & Swallowing, Poole, Dorset, England
Nouraei, S. A. R.
Heathcote, K. J.
论文数: 0引用数: 0
h-index: 0
机构:
Poole Hosp NHS Fdn Trust, Dept Ear Nose & Throat Surg, Robert White Ctr Airway Voice & Swallowing, Poole, Dorset, EnglandPoole Hosp NHS Fdn Trust, Dept Ear Nose & Throat Surg, Robert White Ctr Airway Voice & Swallowing, Poole, Dorset, England