Early discharge after high dose chemotherapy is safe and feasible: a prospective evaluation of 6 years of home care
| Autor: | Susanne Heijmenberg, Marinus H. J. van Oers, Koen de Heer, Marie José Kersten, Arno Mank, Charlot Schoonenberg, Kim Bleeker |
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| Přispěvatelé: | Clinical Haematology, Amsterdam institute for Infection and Immunity, Cancer Center Amsterdam |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male Cancer Research medicine.medical_specialty Time Factors medicine.medical_treatment Patient Readmission Prospective evaluation High dose chemotherapy Ambulatory care Antineoplastic Combined Chemotherapy Protocols medicine Humans Prospective Studies Intensive care medicine Early discharge Multiple myeloma Aged Neoplasm Staging Chemotherapy Acute leukemia Dose-Response Relationship Drug business.industry Consolidation Chemotherapy Hematology Middle Aged Prognosis medicine.disease Home Care Services Patient Discharge Oncology Case-Control Studies Hematologic Neoplasms Feasibility Studies Female business Follow-Up Studies |
| Zdroj: | Leukemia & lymphoma, 56(7), 2098-2104. Informa Healthcare |
| ISSN: | 1029-2403 1042-8194 |
| Popis: | A single-center, prospective, non-randomized clinical study was performed to examine the safety and feasibility of early discharge in patients undergoing consolidation chemotherapy for acute leukemia, or autologous stem cell transplant for lymphoma or multiple myeloma. Patients were discharged into ambulatory care the day after the last chemotherapy administration and were subsequently seen at the ambulatory care unit three times a week. One hundred and one of 224 patients were ineligible for the program, mostly because of their medical situation, the lack of a caregiver or the travel time to the hospital. The remaining 123 patients were able to spend more than 70% of the time at home. In 44% of cycles they were never readmitted. This study demonstrates the safety, feasibility and benefits of managing carefully selected patients. Patients and their caregivers felt safe and comfortable at home, and the vast majority preferred home care to in-hospital treatment. |
| Databáze: | OpenAIRE |
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