Table 2. Summary of pre-discharge and post-discharge interventions as well as those facilitating transition of care [Adapted from Hansen et al. (10)].

Pre-discharge interventions	Post-discharge interventions	Interventions facilitating transitions between phases
Patient education (including alarm signs to prompt consultation)	Outpatient follow up	Adequate discharge information for patients and families
Early discharge planning (Including patient’s support at home)	Clear communication with primary care physician or referring physician	Patient-centered discharge instructions
Medication reconciliation (With clear instructions regarding anti-platelet and anticoagulation medication as well as newly introduced medication)	Telephone follow up after discharge	Continuity of care assurance (either by surgeon, primary care or referring physician)
	48 h
	1 week
	1 month
Follow up appointments organized at discharge	Direct communication method (phone, email, pager) facilitated to patient and family
Primary care or referral physician
Surgeon
Oncologist if needed