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

Critical Reviews in Oncology/hematology
Lieselot CoolKoen Van Eygen

Abstract

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. 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%). 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.

Citations

Apr 14, 2020·Scandinavian Journal of Clinical and Laboratory Investigation·Lieselot CoolKoen Van Eygen
Aug 11, 2020·Systematic Reviews·Christiane Pereira Martins CasteliMarie-Pierre Gagnon
Mar 26, 2021·Supportive Care in Cancer : Official Journal of the Multinational Association of Supportive Care in Cancer·Bénédicte Mittaine-MarzacMatthieu De Stampa

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