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Erschienen in: Supportive Care in Cancer 3/2012

01.03.2012 | Original Article

Home care—a safe and attractive alternative to inpatient administration of intensive chemotherapies

verfasst von: François Lüthi, Nadia Fucina, Nathalie Divorne, Brigitte Santos-Eggimann, Christine Currat-Zweifel, Patricia Rollier, Jean-Blaise Wasserfallen, Nicolas Ketterer, Serge Leyvraz

Erschienen in: Supportive Care in Cancer | Ausgabe 3/2012

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Abstract

Objective

The objective of this study was to evaluate feasibility, safety, perception, and costs of home care for the administration of intensive chemotherapies.

Methods

Patients receiving sequential chemotherapy in an inpatient setting, living within 30 km of the hospital, and having a relative to care for them were offered home care treatment. Chemotherapy was administered by a portable, programmable pump via an implantable catheter. The main endpoints were safety, patient’s quality of life [Functional Living Index—Cancer (FLIC)], satisfaction of patients and relatives, and costs.

Results

Two hundred days of home care were analysed, representing a total of 46 treatment cycles of intensive chemotherapy in 17 patients. Two cycles were complicated by technical problems that required hospitalisation for a total of 5 days. Three major medical complications (heart failure, angina pectoris, and major allergic reaction) could be managed at home. Grades 1 and 2 nausea and vomiting occurring in 36% of patients could be treated at home. FLIC scores remained constant throughout the study. All patients rated home care as very satisfactory or satisfactory. Patient benefits of home care included increased comfort and freedom. Relatives acknowledged better tolerance and less asthenia of the patient. Home care resulted in a 53% cost benefit compared to hospital treatment (€420 ± 120/day vs. €896 ± 165/day).

Conclusion

Administration of intensive chemotherapy regimens at home was feasible and safe. Quality of life was not affected; satisfaction of patients and relatives was very high. A psychosocial benefit was observed for patients and relatives. Furthermore, a cost–benefit of home care compared to hospital treatment was demonstrated.
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Metadaten
Titel
Home care—a safe and attractive alternative to inpatient administration of intensive chemotherapies
verfasst von
François Lüthi
Nadia Fucina
Nathalie Divorne
Brigitte Santos-Eggimann
Christine Currat-Zweifel
Patricia Rollier
Jean-Blaise Wasserfallen
Nicolas Ketterer
Serge Leyvraz
Publikationsdatum
01.03.2012
Verlag
Springer-Verlag
Erschienen in
Supportive Care in Cancer / Ausgabe 3/2012
Print ISSN: 0941-4355
Elektronische ISSN: 1433-7339
DOI
https://doi.org/10.1007/s00520-011-1125-9

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