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

Lieselot Cool, Dominique Vandijck, Philip Debruyne, Melissa Desmedt, Tessa Lefebvre, Michelle Lycke, Pieter Jan De Jonghe, Hans Pottel, Veerle Foulon, Koen Van Eygen*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

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.

Original languageEnglish
Pages (from-to)145-153
Number of pages9
JournalCritical Reviews in Oncology/Hematology
Volume126
DOIs
Publication statusPublished - Jun 2018
Externally publishedYes

ASJC Scopus subject areas

  • Hematology
  • Oncology
  • Geriatrics and Gerontology

Keywords

  • Cost-effectiveness
  • Home-hospitalization
  • Oncology
  • Quality of care
  • Supportive care

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