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From Guidelines to Practice: Regionalising Oncological Patient Pathways.
Carola Martin1, Hannes Schlieter1, Johanna Kirchberg2
1TUD Dresden University of Technology, Dresden, Germany.
Studies in Health Technology and Informatics
|May 23, 2026
Summary
Adapting cancer patient pathways regionally improves care coordination in underserved areas. This study shows how adapted pathways and intersectoral tumor boards enhance collaboration for pancreatic, colorectal, and esophageal cancers.
Area of Science:
- Oncology
- Health Services Research
- Healthcare Management
Background:
- Rising cancer incidence and complex care needs strain oncological services, especially in underserved regions.
- Patient pathways are crucial for translating guidelines into structured care but require regional adaptation.
- Effective coordination across healthcare sectors is vital for optimal cancer patient management.
Purpose of the Study:
- To describe the regional adaptation of guideline-based oncological patient pathways within an intersectoral cancer care network.
- To examine how adapted pathways and an intersectoral tumor board facilitate cross-sectoral coordination for specific cancers.
- To introduce a framework for evaluating pathway implementation and effectiveness.
Main Methods:
- Descriptive case study methodology.
- Focus on regional adaptation of patient pathways for pancreatic, colorectal, and esophageal cancers.
- Utilized a multi-level evaluation framework assessing pathway conformance, stakeholder views, and feasibility.
Main Results:
- Regional adaptation of patient pathways was successfully implemented within an intersectoral network.
- Adapted pathways and the intersectoral tumor board demonstrated support for cross-sectoral coordination.
- The evaluation framework provided insights into pathway conformance, stakeholder perspectives, and implementation feasibility.
Conclusions:
- Regional adaptation of oncological patient pathways is feasible and supports intersectoral coordination.
- Intersectoral tumor boards play a key role in enhancing collaboration for complex cancer care.
- Adapted pathways serve as a foundation for future digital monitoring of patient journeys, improving cancer care delivery.
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