Organization, quality and cost of oncological home-hospitalization: A systematic review

Cool, Lieselot and Vandijck, Dominique and Debruyne, Philip R. and Desmedt, Melissa and Lefebvre, Tessa and Lycke, Michelle and De Jonghe, Pieter Jan and Pottel, Hans and Foulon, Veerle and Van Eygen, Koen (2018) Organization, quality and cost of oncological home-hospitalization: A systematic review. Critical Reviews in Oncology/Hematology, 126. pp. 145-153. ISSN 1879-0461

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Official URL: https://doi.org/10.1016/j.critrevonc.2018.03.011

Abstract

Background: Home-hospitalization might be a patient-centred approach facing the increasing burden of cancer on societies. This systematic review assessed how oncological home-hospitalization has been organized and to what extent its quality and costs were evaluated. Results: Twenty-four papers describing parenteral cancer drug administration to adult patients in their homes were included. Most papers concluded oncological home-hospitalization had no significant effect on patient-reported quality of life (7/8 = 88%), but large majority of patients were satisfied (12/13, 92%) and preferred home treatment (7/8, 88%). No safety risks were associated with home-hospitalization (10/10, 100%). The cost of home-hospitalization was found beneficial in five trials (5/9, 56%); others reported no financial impact (2/9, 22%) or additional costs (2/9, 22%). Conclusion: Despite heterogeneity, majority of reported models for oncological home-hospitalization demonstrated that this is a safe, equivalent and acceptable alternative to ambulatory hospital care. More well-designed trials are needed to evaluate its economic impact.

Item Type: Journal Article
Keywords: Oncology, Home-hospitalization, Supportive care, Quality of care, Cost-effectiveness
Faculty: ARCHIVED Faculty of Health, Social Care & Education (until September 2018)
Depositing User: Lisa Blanshard
Date Deposited: 28 Aug 2019 11:55
Last Modified: 14 Nov 2019 15:58
URI: http://arro.anglia.ac.uk/id/eprint/704678

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