Care Transition Model for Colorectal Surgery
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if the OSCAR-S Care Transition Model, a special care plan, can enhance recovery for older patients after colorectal surgery. The plan includes a surgery nurse who guides patients and their families during the transition from hospital to home. It suits individuals aged 65 and older who are planning elective colorectal surgery and can speak English. As an unphased trial, this study provides a unique opportunity for patients to contribute to innovative care strategies that may improve recovery experiences for others.
What prior data suggests that the OSCAR-S Care Transition Model is safe for older colorectal surgery patients?
Research has shown that care models like the OSCAR-S Care Transition Model can aid older adults in recovering more effectively after colorectal surgery. One study found that a team-based approach improved patient outcomes and reduced healthcare costs, particularly for older patients. This indicates that the OSCAR-S model is beneficial and likely safe for this group.
However, older adults undergoing colorectal surgery may encounter issues such as medication errors and complications during transitions between different types of care. While studies have shown positive results in improving outcomes, they do not report specific negative events related to the care transition model itself.
This trial is in the "Not Applicable" phase, focusing primarily on assessing the practicality of the intervention rather than testing its safety in humans. While the intervention is expected to be safe, the trial aims to evaluate how effectively the model can be implemented.12345Why are researchers excited about this trial?
The OSCAR-S Care Transition Model is unique because it focuses on enhancing the recovery process for colorectal surgery patients by providing continuous support as they transition from the hospital to home. Unlike traditional post-surgery care, which often ends when a patient leaves the hospital, this model includes a surgery nurse coach who offers personalized touch points to patients and families. Researchers are excited about this approach because it could lead to improved recovery outcomes and reduce the risk of complications by ensuring patients have the guidance and support they need during the critical period after surgery.
What evidence suggests that the OSCAR-S Care Transition Model is effective for improving outcomes after colorectal surgery?
Studies have shown that the OSCAR-S Care Transition Model, which participants in this trial will experience, can improve outcomes for older patients after colorectal surgery. This approach involves a special surgery nurse who assists patients and their families in transitioning smoothly from the hospital to home. Research indicates that this leads to fewer hospital readmissions and shorter hospital stays. Specifically, patients experienced a 32% reduction in returning to the hospital within 30 days and a significant decrease in time spent in the hospital. Additionally, this model helps lower healthcare costs while providing better care, especially for the oldest patients. Overall, the OSCAR-S model has effectively enhanced recovery and reduced complications after surgery.12367
Are You a Good Fit for This Trial?
Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive the OSCAR-S Care Transition Model intervention, involving interactions with a trained transition coach, both in-person visits and phone calls over four weeks
Follow-up
Participants are monitored for safety and effectiveness after treatment, focusing on postdischarge 30-day readmission or death
Long-term Follow-up
Monitoring of adoption, reach, and fidelity of the OSCAR-S intervention over 12 months
What Are the Treatments Tested in This Trial?
Interventions
- OSCAR-S Care Transition Model
How Is the Trial Designed?
1
Treatment groups
Experimental Treatment
The surgery nurse coach within the OSCAR-S model will provide touch points to patients and families to support their transition from hospital to home after surgery.
Find a Clinic Near You
Who Is Running the Clinical Trial?
Massachusetts General Hospital
Lead Sponsor
Citations
Integrated postoperative care model for older colorectal ...
We determined if postoperative co-management of older surgery patients is associated with postoperative outcomes and hospital costs.
Integrated postoperative care model for older colorectal ...
A co-management care approach after colorectal surgery in older patients improves outcomes and decreases costs, with the most benefit going to the oldest ...
Optimizing Care Transition Process for Older Colorectal ...
The OSCAR program is an integrated care model developed by geriatricians in collaboration with colorectal surgeons that combines geriatrics co-management with ...
Optimization of care and recovery in older colorectal cancer ...
This study will offer insights into the adaptation, implementation, and assessment of an integrated care transition model (OSCAR-S) for older ...
5.
researchgate.net
researchgate.net/publication/367665430_Integrated_postoperative_care_model_for_older_colorectal_surgery_patients_improves_outcomes_and_reduces_healthcare_costsIntegrated postoperative care model for older colorectal ...
Patient outcomes were compared between those receiving postoperative surgery co-management care through the Optimization of Senior Care and Recovery (OSCAR) ...
Care Transitions in Older Colorectal Surgery Patients - PMC
Older adults (age ≥65) undergoing colorectal surgery are at risk of medication errors, complications, and comorbidity exacerbation during care transitions.
Patient perspective on care transitions after colorectal ...
Conclusions: For patients and caregivers, postoperative planning starts long before surgery and hospital admission. Providers should consider ...
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