TY - JOUR
T1 - Early discharge after high dose chemotherapy is safe and feasible: a prospective evaluation of 6 years of home care
AU - Mank, Arno P. M.
AU - Schoonenberg, Charlot
AU - Bleeker, Kim
AU - Heijmenberg, Susanne
AU - Heer, Koen de
AU - van Oers, Marinus H. J.
AU - Kersten, Marie José
PY - 2015
Y1 - 2015
N2 - A single-center, prospective, non-randomized clinical study was performed to examine the safety and feasibility of early discharge in patients undergoing consolidation chemotherapy for acute leukemia, or autologous stem cell transplant for lymphoma or multiple myeloma. Patients were discharged into ambulatory care the day after the last chemotherapy administration and were subsequently seen at the ambulatory care unit three times a week. One hundred and one of 224 patients were ineligible for the program, mostly because of their medical situation, the lack of a caregiver or the travel time to the hospital. The remaining 123 patients were able to spend more than 70% of the time at home. In 44% of cycles they were never readmitted. This study demonstrates the safety, feasibility and benefits of managing carefully selected patients. Patients and their caregivers felt safe and comfortable at home, and the vast majority preferred home care to in-hospital treatment
AB - A single-center, prospective, non-randomized clinical study was performed to examine the safety and feasibility of early discharge in patients undergoing consolidation chemotherapy for acute leukemia, or autologous stem cell transplant for lymphoma or multiple myeloma. Patients were discharged into ambulatory care the day after the last chemotherapy administration and were subsequently seen at the ambulatory care unit three times a week. One hundred and one of 224 patients were ineligible for the program, mostly because of their medical situation, the lack of a caregiver or the travel time to the hospital. The remaining 123 patients were able to spend more than 70% of the time at home. In 44% of cycles they were never readmitted. This study demonstrates the safety, feasibility and benefits of managing carefully selected patients. Patients and their caregivers felt safe and comfortable at home, and the vast majority preferred home care to in-hospital treatment
U2 - https://doi.org/10.3109/10428194.2014.974039
DO - https://doi.org/10.3109/10428194.2014.974039
M3 - Article
C2 - 25330445
SN - 1042-8194
VL - 56
SP - 2098
EP - 2104
JO - Leukemia & lymphoma
JF - Leukemia & lymphoma
IS - 7
ER -