Clinical pathways and patient-related outcomes in hospital-based settings: A systematic review and meta-analysis of randomized controlled trials
Articolo
Data di Pubblicazione:
2021
Citazione:
Clinical pathways and patient-related outcomes in hospital-based settings: A systematic review and meta-analysis of randomized controlled trials / L. Trimarchi, R. Caruso, G. Magon, A. Odone, C. Arrigoni. - In: ACTA BIO-MEDICA DE L'ATENEO PARMENSE. - ISSN 0392-4203. - 92:1(2021), pp. e2021093.1-e2021093.13. [10.23750/abm.v92i1.10639]
Abstract:
Clinical pathways represent a multi-disciplinary approach to translate clinical practice guidelines into practical interventions. The literature from 2010 onward regarding the efficacy of adopting a clinical pathway on patient-related outcomes within the in-hospital setting has not been synthesized yet. For this reason, this systematic review and meta-analysis of randomized controlled trials aimed to critically synthe-size the literature from 2010 onward about the efficacy of clinical pathways, compared with standard of care, on patient-related outcomes in different populations and to determine the effects of clinical pathways on patient outcomes. We searched PubMed, Scopus, CINAHL, and reference lists of the included studies. Two independent reviewers screened the 360 identified articles and selected fifteen eligible articles, which were evaluated for content and risk of bias. Eleven studies were finally included. Given the commonalities of the measured outcomes, a meta-analysis including eight studies was performed to evaluate the effect size of the associations between clinical pathways and quality of life (OR=1.472 [0.483–4.486]; p=0.496), and two meta-analyses, including four studies, were performed to evaluate the effect sizes of the associations between clinical pathways with satisfaction (OR=2.226 [0.868–5.708]; p=0.096) and length of stay (OR=0,585 [0.349–0.982]; p=0.042). Reduced length of stay appeared to be associated with clinical pathways, while it remains unclear whether adopting clinical pathways could improve levels of quality of life and satisfaction. More primary research is required to determine in specific populations the efficacy of clinical pathways on patient-related outcomes. (www.actabiomedica.it).
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Care pathways; Clinical pathways; Meta-analysis; Multi-interventions; Outcomes; Systematic review
Elenco autori:
L. Trimarchi, R. Caruso, G. Magon, A. Odone, C. Arrigoni
Link alla scheda completa: