Integration and evaluation of implementation strategies to improve guideline-concordant bladder cancer surveillance: a prospective observational study.

ABSTRACT:

Background

Despite guideline recommendations, our prior work revealed more than half of low-risk bladder cancer patients within the Department of Veterans Affairs (VA) undergo too many surveillance procedures and about a third of high-risk patients do not undergo enough procedures. Thus, we developed and integrated implementation strategies to improve risk-aligned bladder cancer surveillance for the VA.

Methods

Prior work used Implementation Mapping to develop nine implementation strategies: change record systems, educational meetings, champions, tailoring, preparing patients to be active participants, external facilitation, remind clinicians, audit & feedback, and a blueprint. We integrated these strategies as improvement approaches across four VA urology clinics. Primary i

SUBMITTER: Zubkoff L 

PROVIDER: S-EPMC11977926 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature