The Effectiveness of The Symptom and Urgent Review Clinic (Surc) as a Nurse-Led Model for Outpatient Cancer Care: Implications for Patient Management

Abstract

Background: The rising global prevalence of cancer, compounded by an aging population, necessitates innovative care models to effectively manage cancer patients in outpatient settings. The Symptom and Urgent Review Clinic (SURC) was developed to enhance patient care and reduce reliance on emergency departments.

Methods: This review examines the implementation and effectiveness of the SURC model. Data were collected through patient and clinician surveys to assess engagement, patient experiences, and the frequency of clinic utilization. The UKONS 24-Hour Triage – Rapid Assessment Toolkit was employed to standardize patient evaluations.

Results: The SURC model facilitated timely access to oncology care, significantly decreasing emergency department visits among patients experiencing chemotherapy-related symptoms. Key symptoms prompting clinic visits included gastrointestinal issues, malaise, and fever. Surveys indicated high patient satisfaction with the specialized care received and the educational resources provided. Approximately 25% of patients reported that they would have sought emergency care if not for the SURC's interventions.

Conclusion: The SURC model demonstrates a successful nurse-led approach in managing cancer patients' symptoms and treatment-related toxicities, effectively reducing unnecessary emergency department presentations. This initiative not only enhances patient care but also optimizes healthcare resource utilization. The findings suggest that nurse-led clinics can play a critical role in outpatient cancer care.