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In older patients with late stage cancer, specialised home care by nurses improved survival after surgery

https://doi.org/10.1136/ebn.4.3.90

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    McCorkle R, Strumpf NE, Nuamah IF, et al.A specialized home care intervention improves survival among older post-surgical cancer patients.J Am Geriatr Soc2000 Dec;48:1707–13OpenUrlCrossRefPubMedWeb of Science

    QUESTION: In older patients, does specialised home care by advanced practice nurses (APNs) increase survival after cancer surgery more than standard care?

    Design

    Randomised {allocation concealed}*, blinded {outcome assessors}* controlled trial with follow up of 44 months.

    Setting

    An urban academic health centre in Philadelphia, Pennsylvania, USA.

    Patients

    375 patients (52% women) who were ≥60 years of age, diagnosed with a solid tumour ≤2 months before surgical removal, and had an anticipated survival of ≥6 months after surgery. Exclusion criteria were non-cancer related surgery, discharge to an institution, or no baseline data before discharge. Follow up was complete.

    Intervention

    190 patients were allocated to specialised home care. APNs provided comprehensive clinical assessments, monitoring, and teaching to patients and their …

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