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Sao Paulo Medical Journal

versão impressa ISSN 1516-3180versão On-line ISSN 1806-9460


KOBAYASHI, Silvia Takanohashi; CAMPOLINA, Alessandro Gonçalves; DIZ, Maria del Pilar Estevez  e  SOAREZ, Patrícia Coelho de. Integrated care pathway for rectal cancer treatment: cross-sectional post-implementation study using a logic model framework. Sao Paulo Med. J. [online]. 2019, vol.137, n.5, pp.438-445.  Epub 13-Jan-2020. ISSN 1516-3180.


Management of rectal cancer has become more complex with multimodality therapy (neoadjuvant chemoradiotherapy and surgery) and this has led to the need to organize multidisciplinary teams. The aim of this study was to report on the planning, implementation and evaluation of an integrated care pathway for neoadjuvant treatment of middle and lower rectal cancer.


This was a cross-sectional post-implementation study that was carried out at a public university cancer center.


The Framework for Program Evaluation in Public Health of the Centers for Disease Control and Prevention (CDC) was used to identify resources and activities; link results from activities and outcomes with expected goals; and originate indicators and outcome measurements.


The logic model identified four activities: stakeholders’ engagement, clinical pathway development, information technology improvements and training programs; and three categories of outcomes: access to care, effectiveness and organizational outcomes. The measurements involved 218 patients, among whom 66.3% had their first consultation within 15 days after admission; 75.2% underwent surgery < 14 weeks after the end of neoadjuvant treatment and 72.7% completed the treatment in < 189 days. There was 100% adherence to the protocol for the regimen of 5-fluorouracil and leucovorin.


The logic model was useful for evaluating the implementation of the integrated care pathways and for identifying measurements to be made in future outcome studies.

Palavras-chave : Rectal neoplasms; Interdisciplinary studies; Disease management; Implementation science; Decision making; Qualitative research; Line of care; Chronic non-communicable diseases; Healthcare work.

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