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MSN Capstone Project
Measurement Tools and Comparison Approach
There are key measurement tools that will be used in this case, one of them being the nutritional assessment tools. This will incorporate the Subjective Global Assessment (SGA), which will evaluate the nutritional status preoperatively, and the Malnutrition Universal Screening Tool (MUST), which will screen for malnutrition risk. Some of the key post-operative recovery indicators in use will include the length of hospital stay as measured in days, the rate of post-operative complications such as infections and anastomotic leaks, and any cases of readmission within the first 30 days after discharge. Quality of life scales will also play an important role at the evaluation stage. This will entail the use of FACT-E, also known in full as Functional Assessment of Cancer Therapy-Esophageal (Lee et al., 2024), to assess for physical well-being after the surgery has been done, and the European Organization for Research and Treatment of Cancer, also abbreviated as EORTC QLQ-C30 (Guckenberger et al., 2020), to help monitor the overall recovery outcomes.
The comparisons done before and after the intervention will also help in the evaluation process. Data will be collected at the baseline using patient records to document pre-intervention complications, nutritional status, and recovery times for esophageal cancer patients that are undergoing standard care. Post-intervention data collection will also be done with the aim of implementing preoperative nutritional support program and to also help gather similar metrics such as nutritional status, complications, and recovery outcomes. All these will be helpful for comparison purposes. Lastly, statistical analysis will be done using methods such as paired t-tests or chi-square test to identify some of the differences that exist between the pre-intervention and post-intervention groups.
References
Guckenberger, M., Lievens, Y., Bouma, A. B., Collette, L., Dekker, A., Nandita, M. D., … & Ost, P. (2020). Characterisation and classification of oligometastatic disease: a European Society for Radiotherapy and Oncology and European Organisation for Research and Treatment of Cancer consensus recommendation. The Lancet Oncology, 21(1), e18-e28.
Lee, H. Y., Huang, B. S., Tseng, C. K., Pai, P. C., Hung, T. M., Chao, Y. K., & Chen, S. C. (2024). Factors associated with functional ability in patients with esophageal cancer undergoing chemoradiotherapy: a prospective longitudinal study. Supportive Care in Cancer, 32(12), 825.
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