ABSTRACT
Breast cancer is a very important public health issue, due its high incidence and mortality. Neoadjuvant chemotherapy has proven to be a valid option in the treatment of operable breast cancer and a better aesthetic result if breast- tumour ratio is unfavourable. The administration of the therapy itself is complicated, but the difficulty lies mainly in the management of side effects or adverse effects of the treatment. The emergence of a new therapeutic applications need to be constantly reviewed, which combined with the high work loads in the oncology day hospital requires easily managed, standardised and updated methodologies. A method of choice would be the use of clinical pathways that are just emerging in Spain, but could be helpful in managing this disease. The aim of this publication is to share the design of a clinical path for this specific disease with the scientific community. The process of preparing this document has been work of reflection, literature review and unification of criteria that may be used to facilitate work within the Oncology Day Hospital, improving the records of the work involved, especially those related to nursing practice. Their evaluation would enable proposals to be defined for improving and facilitating evidence-based practice.
Subject(s)
Breast Neoplasms/drug therapy , Critical Pathways , Chemotherapy, Adjuvant , Disease Progression , Female , Humans , Neoadjuvant TherapyABSTRACT
El cáncer de mama es un problema de salud pública muy importante, tanto por su alta incidencia como por la mortalidad que ocasiona. La quimioterapia neoadyuvante ha demostrado ser una opción válida en el tratamiento del cáncer de mama operable con un mejor resultado estético en caso de una relación tumor-mama no favorable. La administración de la terapia en sí es complicada, pero su dificultad radica sobre todo en el manejo de los efectos secundarios o adversos del propio tratamiento. La aparición de nuevos esquemas terapéuticos demanda una revisión constante que, unida a las elevadas cargas de trabajo en los hospitales de día oncológicos, requiere de metodologías que dispongan de actuaciones estandarizadas y actualizadas para su manejo. Una metodología de elección sería el uso de trayectorias clínicas, que en España es incipiente, pero podría ser de gran ayuda en el manejo de este tipo de patología. El objetivo de la presente publicación es compartir con la comunidad científica el diseño de una trayectoria clínica específica para este tipo de pacientes. El proceso de elaboración de este documento supuso un esfuerzo de reflexión, revisión bibliográfica y unificación de criterios, un reto que seguro podrá facilitar el trabajo en el Hospital de Día de Oncología del centro, mejorando los registros de las tareas realizadas, sobre todo las relacionadas con la práctica enfermera; su evaluación permitirá definir propuestas de mejora y facilitar la práctica basada en la evidencia(AU)
Breast cancer is a very important public health issue, due its high incidence and mortality. Neoadjuvant chemotherapy has proven to be a valid option in the treatment of operable breast cancer and a better aesthetic result if breast- tumour ratio is unfavourable. The administration of the therapy itself is complicated, but the difficulty lies mainly in the management of side effects or adverse effects of the treatment. The emergence of a new therapeutic applications need to be constantly reviewed, which combined with the high work loads in the oncology day hospital requires easily managed, standardised and updated methodologies. A method of choice would be the use of clinical pathways that are just emerging in Spain, but could be helpful in managing this disease. The aim of this publication is to share the design of a clinical path for this specific disease with the scientific community. The process of preparing this document has been work of reflection, literature review and unification of criteria that may be used to facilitate work within the Oncology Day Hospital, improving the records of the work involved, especially those related to nursing practice. Their evaluation would enable proposals to be defined for improving and facilitating evidence-based practice(AU)
