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Implementing risk-aligned bladder cancer surveillance care.

Florian R Schroeck1, Nicholas Smith2, Jeremy B Shelton3

  • 1VA Outcomes Group, White River Junction VA Medical Center, White River Junction, VT; Section of Urology, Dartmouth Hitchcock Medical Center, Lebanon, NH; Norris Cotton Cancer Center, Department of Surgery, Dartmouth Hitchcock Medical Center, Lebanon, NH; The Dartmouth Institute for Health Policy and Clinical Practice, Geisel School of Medicine at Dartmouth College, Hanover, NH.

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Implementation science can improve bladder cancer surveillance. Applying these strategies ensures patients receive appropriate follow-up care, reducing both overuse in low-risk cases and underuse in high-risk cases.

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Bladder cancerCystoscopyImplementation scienceSurveillance

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Area of Science:

  • Implementation Science
  • Healthcare Delivery Improvement
  • Bladder Cancer Surveillance

Background:

  • Non-muscle-invasive bladder cancer surveillance guidelines recommend risk-aligned follow-up frequencies.
  • Current practice often deviates from these guidelines, leading to suboptimal patient care.
  • Challenges exist in implementing evidence-based surveillance protocols in clinical settings.

Purpose of the Study:

  • To explore the application of implementation science strategies to improve adherence to risk-aligned surveillance for bladder cancer.
  • To address the gap between recommended and actual surveillance practices.
  • To facilitate practice transformation for better bladder cancer care.

Main Methods:

  • Systematic application of implementation science methods.
  • Utilizing the tailored implementation for chronic diseases framework for assessment.
  • Employing intervention mapping to develop targeted strategies.
  • Analyzing determinants of care in clinical practice.

Main Results:

  • Implementation science offers systematic approaches to understand and overcome barriers to evidence-based practice.
  • Tailored frameworks and intervention mapping can guide the development of effective implementation strategies.
  • These methods can facilitate the adoption of risk-aligned surveillance protocols.

Conclusions:

  • Implementation science provides valuable tools for improving healthcare delivery.
  • Systematic application of these methods can enhance risk-aligned surveillance for bladder cancer.
  • Practice transformation is achievable through structured implementation strategies.