Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/26169
Title: Organization, quality and cost of oncological home-hospitalization: A systematic review
Authors: Cool, Lieselot
VANDIJCK, Dominique 
Debruyne, Philip
DESMEDT, Melissa 
Lefebvre, Tessa
Lycke, Michelle
De Jonghe, Pieter Jan
Pottel, Hans
Foulon, Veerle
Van Eygen, Koen
Issue Date: 2018
Source: CRITICAL REVIEWS IN ONCOLOGY HEMATOLOGY, 126, p. 145-153
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.
Notes: Van Eygen, K (reprint author), Az Groeninge, Canc Ctr, Pres Kennedylaan 4, B-8500 Kortrijk, Belgium. lieselot.cool@azgroeninge.be; dominique.vandijck@zorgneticuro.be; philip.debruyne@azgroeninge.be; melissa.desmedt@uhasselt.be; tessa.lefebvre@azgroeninge.be; michelle.lycke@azgroeninge.be; pieterjan.dejonghe@azgroeninge.be; hans.pottel@kuleuven.be; veerle.foulon@kuleuven.be; koen.vaneygen@azgroeninge.be
Keywords: oncology; home-hospitalization; supportive care; quality of care; cost-effectiveness
Document URI: http://hdl.handle.net/1942/26169
ISSN: 1040-8428
e-ISSN: 1879-0461
DOI: 10.1016/j.critrevonc.2018.03.011
ISI #: 000433652700018
Rights: © 2018 Elsevier B.V. All rights reserved
Category: A1
Type: Journal Contribution
Validations: ecoom 2019
Appears in Collections:Research publications

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