Evid Based Nurs 7:58 doi:10.1136/ebn.7.2.58
  • Quality improvement

A nurse case management intervention improved medical care given to older women with newly diagnosed breast cancer

 Q Does a nurse case management intervention (NCMI) improve the medical care of community dwelling women ⩾65 years of age with newly diagnosed breast cancer?



cluster randomised controlled trial.




blinded (outcome assessors).

GraphicFollow up period:

12 months of intervention.


13 community and 2 public hospitals in southeast Texas, USA.


335 community dwelling women ⩾65 years of age (mean age 72 y) who had newly diagnosed breast cancer.


patients (in clusters at the level of the attending surgeon) were allocated in a stratified design (with surgeons stratified by total number of new patients with breast cancer seen in the previous year) to an NCMI for 12 months (n = 30 surgeons with 169 patients) or usual care (n = 30 surgeons with 166 patients). The NCMI included 40 hours of training for …

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