Efficacy of a clinical pathway for patients with thyroid cancer

Hyungju Kwon, Joon Hyop Lee, Joohyun Woo, Woosung Lim, Byung In Moon, Nam Sun Paik

Research output: Contribution to journalArticlepeer-review

12 Scopus citations


Background: Clinical pathways have been proposed as a way to improve organizational efficiency and maximize patient outcomes. However, little is known as to whether a clinical pathway is effective for thyroid cancer. Methods: The study subjects included 216 patients who were managed after clinical pathway implementation and 145 control patients. Length of stay, cost per patient, and nurses' satisfaction were compared in the 2 groups. Results: Mean length of stay was 0.8 days shorter in the clinical pathway group than in the control group (2.9 vs 3.7 days; P =.023). Cost per patient was also lower in the clinical pathway than in the control group (USD $3953.00 vs USD $4636.00; P <.001). Nurses' overall satisfaction scores improved from 71.6% before to 82.5% after implementation of the clinical pathway and their job characteristics scores increased from 61.1% to 75.0%. Conclusion: Implementation of a clinical pathway for thyroid cancer can improve nurses' satisfaction with reduction of hospital stay and costs.

Original languageEnglish
Pages (from-to)1909-1916
Number of pages8
JournalHead and Neck
Issue number9
StatePublished - Sep 2018

Bibliographical note

Publisher Copyright:
© 2018 Wiley Periodicals, Inc.


  • clinical pathway
  • efficacy
  • nurse satisfaction
  • standardization
  • thyroid cancer


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