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Introduction of a breast cancer care programme including ultra short hospital stay in 4 early adopter centres: framework for an implementation study
Authors:Mascha de Kok  Caroline NA Frotscher  Trudy van der Weijden  Alfons GH Kessels  Carmen D Dirksen  Cornelis JH van de Velde  Jan A Roukema  Antoine VRJ Bell  Fred W van der Ent  Maarten F von Meyenfeldt
Affiliation:(1) Department of Surgery, University Hospital Maastricht, Maastricht, the Netherlands;(2) Department of Radiology, University Hospital Maastricht, Maastricht, the Netherlands;(3) Department of General Practice/Centre for Quality of Care Research/Care and Public Health Research Institute (CAPHRI), Maastricht University, Maastricht, the Netherlands;(4) Department of Clinical Epidemiology and Medical Technology Assessment (KEMTA), University Hospital Maastricht, Maastricht, the Netherlands;(5) Department of Surgery, Leiden University Medical Center, Leiden, the Netherlands;(6) Breast Unit, St. Elisabeth Hospital, Tilburg, the Netherlands;(7) Department of Surgery, Laurentius Hospital, Roermond, the Netherlands;(8) Department of Surgery, Orbis Medical Center, Sittard, the Netherlands
Abstract:

Background  

Whereas ultra-short stay (day care or 24 hour hospitalisation) following breast cancer surgery was introduced in the US and Canada in the 1990s, it is not yet common practice in Europe. This paper describes the design of the MaDO study, which involves the implementation of ultra short stay admission for patients after breast cancer surgery, and evaluates whether the targets of the implementation strategy are reached. The ultra short stay programme and the applied implementation strategy will be evaluated from the economic perspective.
Keywords:
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