Role of Adverse Events in Unscheduled Hospitalizations Among Patients With Solid Tumors Who Receive Medical Oncology Treatment
| Autor: | Joseph O. Jacobson, Sherri O. Stuver, Jessica A. Zerillo, Chris I Wong, Kristen K. McNiff, Jocelyn Siegel |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male medicine.medical_specialty MEDLINE Antineoplastic Agents Medical Oncology 03 medical and health sciences 0302 clinical medicine Neoplasms Patient experience Medicine Humans 030212 general & internal medicine Adverse effect Intensive care medicine Aged Retrospective Studies Oncology (nursing) business.industry Health Policy Cancer Retrospective cohort study Middle Aged medicine.disease Hospitalization Oncology 030220 oncology & carcinogenesis Female business Cost containment |
| Zdroj: | Journal of oncology practice. 15(1) |
| ISSN: | 1935-469X |
| Popis: | PURPOSE: The development of strategies to prevent or mitigate cancer treatment–related adverse events (AEs) is necessary to improve patient experience, safety, and cost containment. To develop a strategy to easily identify and mitigate AEs, we sought to understand the frequency and severity of those that resulted in hospitalizations. METHODS: We retrospectively characterized hospitalizations of ambulatory adult patients with solid tumor cancers within 30 days of chemotherapy administration using medical record data abstraction. Hospitalizations were categorized as caused by cancer symptoms, a noncancer medical condition, or a medical oncology treatment-related AE. Severity of the treatment-related AE hospitalization was rated using the National Patient Safety Agency risk assessment matrix scale. RESULTS: Between May and October 2016, 116 patients experienced 197 hospitalizations (per-patient mean, 1.7 AEs; range, 1 to 7 AEs). Sixty-six percent (n = 130) of hospitalizations were related to cancer symptoms, whereas 19.3% (n = 38) were treatment-related AE hospitalizations. The median length of stay of hospitalizations that resulted from an AE was 6 days (interquartile range, 3 to 9 days), and 36.8% had more than 1 AE. GI symptoms accounted for 48.1% of AEs, and neutropenic fever accounted for 11.1%. Sixty-one percent of treatment-related AE hospitalizations were characterized as moderate severity. CONCLUSION: Hospitalizations in patients with solid tumors as a direct result of their medical oncology care treatment are not uncommon. These findings argue for novel approaches, such as automated trigger tools, to identify and manage complications of medical oncology treatment before hospitalization is needed. Improved outpatient management of cancer symptoms may have a dramatic impact on hospitalizations for patients with cancer. |
| Databáze: | OpenAIRE |
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