Effectiveness of a Nurse-Led Care Transition Strategy After Colorectal Cancer Surgery: Pragmatic Trial

Background: Despite available evidence on care transition, significant gaps persist in practice and public policies. Objective: To evaluate the effectiveness of a nurse-led care transition strategy for patients with colorectal cancer, aiming to improve care transition, quality of life, and reduce hospital length of stay, readmissions, and emergency service use. Methodology: Randomized clinical trial involving patients aged 45 to 85 years. Those without access to landline or mobile phones were excluded. Results: Care transition was considered satisfactory. The intervention showed positive effects on quality of life, particularly in the domains of social functioning, fatigue, dyspnea, and insomnia. However, no statistical differences were observed regarding hospital length of stay, readmissions, or emergency service use. Conclusion: As a pilot study, benefits were identified in specific aspects, although no differences were found in some relevant clinical outcomes.

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Publication Details

Journal
Revista de Enfermagem Referência
Published
2025-12-18
DOI
https://doi.org/10.12707/rvi25.68.42931
Primary Topic
Enhanced Recovery After Surgery
Type
article
Field-Weighted Citation Impact
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article

Effectiveness of a Nurse-Led Care Transition Strategy After Colorectal Cancer Surgery: Pragmatic Trial

Revista de Enfermagem Referência
Enhanced Recovery After Surgery
article

Effectiveness of a Nurse-Led Care Transition Strategy After Colorectal Cancer Surgery: Pragmatic Trial

article en

Abstract

Background: Despite available evidence on care transition, significant gaps persist in practice and public policies. Objective: To evaluate the effectiveness of a nurse-led care transition strategy for patients with colorectal cancer, aiming to improve care transition, quality of life, and reduce hospital length of stay, readmissions, and emergency service use. Methodology: Randomized clinical trial involving patients aged 45 to 85 years. Those without access to landline or mobile phones were excluded. Results: Care transition was considered satisfactory. The intervention showed positive effects on quality of life, particularly in the domains of social functioning, fatigue, dyspnea, and insomnia. However, no statistical differences were observed regarding hospital length of stay, readmissions, or emergency service use. Conclusion: As a pilot study, benefits were identified in specific aspects, although no differences were found in some relevant clinical outcomes.

Revista de Enfermagem ReferênciaVol. VI Série(N.º 4)
Universidad de Antioquia (CO), Universidade Federal de Santa Catarina (BR), Universidade Regional do Noroeste do Estado do Rio Grande do Sul (BR)
Openalex Percentile: Top 28%
Enhanced Recovery After Surgery
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