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 language | English |
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Pages (from-to) | 145-153 |
Number of pages | 9 |
Journal | Critical Reviews in Oncology/Hematology |
Volume | 126 |
DOIs | |
Publication status | Published - Jun 2018 |
Externally published | Yes |
ASJC Scopus subject areas
- Hematology
- Oncology
- Geriatrics and Gerontology
Keywords
- Cost-effectiveness
- Home-hospitalization
- Oncology
- Quality of care
- Supportive care