Implementation of an Interventional Radiology Patient-Tracking Registry Post- Chemoembolization and Radioembolization

摘要

Post-procedural complications have been reported following Chemoembolization and Radioembolization therapy for the treatment of hepatocellular carcinoma and metastatic colorectal, pancreatic, and neuroendocrine hepatic carcinomas. Post-procedural follow-up is critical to prevent untoward complications and hospital readmissions. To identify complications and reduce 30-day hospital readmissions post-chemoembolization and radioembolization, a nurse practitioner (NP) driven patient-tracking registry was developed at a large academic medical center in Delaware. From September 2017, to January 2018, a patient-tracking registry was utilized with telephone follow-up (TFU) and the Eastern Cooperative Oncology Group (ECOG) Performance Status Scale two-and-four weeks post-procedure. These data were compared to patients without TFU and ECOG scoring post-chemoembolization and radioembolization from January 2017 to April 2017. The patient-tracking registry identified patients at risk for further complications and facilitated early intervention for five of 15 patients. Thirty-day hospital readmission rates were similar with ECOG performance status scoring providing a standardized tool to evaluate patients post treatment. The results of this evidence-based practice project support standardized NP driven follow-up for patients' post-chemoembolization and radioembolization.;Keywords: chemoembolization, radioembolization, telephone follow-up, ECOG, procedural complications, quality improvement.