Predictors of preparedness for recovery following colorectal cancer surgery: a latent class trajectory analysis.
With an interest in providing knowledge for person-centred care, our overall goal is to contribute a greater understanding of diversity among patients in terms of their preparedness before and up to six months after colorectal cancer surgery. Our aim was to describe and provide a tentative explanati...
| Publicado en: | Acta Oncologica Vol. 62; no. 12; pp. 1625 - 1635 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Medical Journals Sweden AB
Dec2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173858275&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173858275 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 0284186X B84 jtl: Acta Oncologica issn: 0284186X maglogo: N pubinfo: dt: Dec2023 vid: 62 iid: 12 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 173858275 173391105 173858275 173858275 10.1080/0284186X.2023.2269303 173858275 ppf: 1625 ppct: 10 formats: tig: atl: Predictors of preparedness for recovery following colorectal cancer surgery: a latent class trajectory analysis. aug: au: Sawatzky, Richard Larsdotter, Cecilia Carlssson, Eva Pettersson, Monica Kenne Sarenmalm, Elisabeth Smith, Frida Nygren, Jonas Russell, Lara Öhlén, Joakim affil: School of Nursing, Trinity Western University, Langley, Canada sug: subj: Risk Assessment Recovery Colorectal Neoplasms Surgery Human Exploratory Research Patient Centered Care Communication Evaluation Health Information Evaluation Sweden Patient-Reported Outcomes Retrospective Design Medical Records Latent Structure Analysis Patient Classification Medical Practice Regression Multivariate Analysis Middle Age Aged Female Male Descriptive Statistics Colonic Neoplasms Diagnosis Rectal Neoplasms Diagnosis Age Factors Sex Factors Comorbidity Hospitals Health Status Stress, Psychological Questionnaires Funding Source Middle Aged: 45-64 years Aged: 65+ years Female Male ab: With an interest in providing knowledge for person-centred care, our overall goal is to contribute a greater understanding of diversity among patients in terms of their preparedness before and up to six months after colorectal cancer surgery. Our aim was to describe and provide a tentative explanation for differences in preparedness trajectory profiles. The study was explorative and used prospective longitudinal data from a previously published intervention study evaluating person-centred information and communication. The project was conducted at three hospitals in Sweden. Patient-reported outcomes measures, including the Longitudinal Preparedness for Colorectal Cancer Surgery Questionnaire, were collected before surgery, at discharge, and four to six weeks, three months, and six months after surgery. Clinical data were retrospectively obtained from patients' medical records. We used latent class growth models (LCGMs) to identify latent classes that distinguish subgroups of patients who represent different preparedness trajectory profiles. To determine the most plausible number of latent classes, we considered statistical information about model fit and clinical practice relevance. We used multivariable regression models to identify variables that explain the latent classes. The sample (N = 488) comprised people with a mean age of 68 years (SD = 11) of which 44% were women. Regarding diagnoses, 60% had colon cancer and 40% rectal cancer. The LCGMs identified six latent classes with different preparedness for surgery and recovery trajectories. The latent classes were predominantly explained by differences in age, sex, physical classification based on comorbidities, treatment hospital, global health status, distress, and sense of coherence (comprehensibility and meaningfulness). Contrary to the received view that emphasizes standardized care practices, our results point to the need for adding person-centred and tailored approaches that consider individual differences in how patients are prepared before and during the recovery period related to colorectal cancer surgery. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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