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2025-02-01

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cc-by-nc-nd (c) Elsevier B.V., 2025
Si us plau utilitzeu sempre aquest identificador per citar o enllaçar aquest document: https://hdl.handle.net/2445/225233

Clinical and economic impact of the advanced practice nurse in lung cancer patients receiving immunotherapy-based treatments: A quantitative study

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Recurs relacionat

https://doi.org/10.1016/j.ejon.2025.102809

Resum

Purpose: To evaluate the impact of an advanced practice nurse (APN) intervention on the reduction of emergency department visits due to immune-related adverse events (irAEs) in patients receiving immunotherapy-based treatments. Also, to analyze changes in hospitalization and hospital costs due to adverse effects of treatment and in the time to action against these. Methods: The study compared a prospective sample of patients who received APN support (intervention) and a retrospective sample of patients with lung cancer without APN support (control). Toxicity-related emergency room visits, time to action on an irAE, and need for hospitalization were the most relevant key health indicators. Data were collected partly retrospectively from a patient database before the implementation of the APN role and partly through a consecutive convenience sampling of patients who had access to the APN in the consultation. Data were analyzed using descriptive statistics and comparisons between the two samples. Results: Key results indicated a 92% reduction in emergency department visits with APN monitoring (OR 0.08), 73% reduction in hospital admission, 78.57% faster action on an irAE, and €195,982.8 (54.8%) cost savings over 12 weeks. Conclusion: APN intervention improves the management of irAEs and the quality of care for lung cancer patients. There is a decrease in the need for emergency care and hospitalizations. Also, reduced hospital costs.

Matèries

Serveis d'urgències hospitalàries, Malalts de càncer, Infermeria d'urgència

Matèries (anglès)

Hospital emergency services, Cancer patients, Emergency nursing

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Articles publicats en revistes (Infermeria Fonamental i Clínica)

Citació

SERRA-LÓPEZ, Jorgina, et al. Clinical and economic impact of the advanced practice nurse in lung cancer patients receiving immunotherapy-based treatments: A quantitative study. European Journal Of Oncology Nursing. 2025. Vol. 74. ISSN 1462-3889. [consulted: 19 of August of 2026]. Available at: https://hdl.handle.net/2445/225233

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