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An observational pilot study to evaluate the feasibility and quality of oncological home-hospitalization

journal contribution
posted on 2023-08-30, 16:33 authored by Lieselot Cool, Jana Missiaen, Dominique Vandijck, Tessa Lefebvre, Michelle Lycke, Pieter Jan De Jonghe, Philippe Vergauwe, Veerle Foulon, Hans Pottel, Philip R. Debruyne, Koen Van Eygen
PURPOSE: The objective of this pilot study was to evaluate the feasibility of oncological home-hospitalization and to compare its quality with standard ambulatory hospital care in terms of patient-reported quality of life and related endpoints by means of a set of validated patient-reported outcome measures (PROMs). METHODS: An observational cohort study (clinicaltrials.gov identifier: NCT03073499) was conducted, allocating patients to (partial) home-hospitalization or standard ambulatory hospital care. PROMs were completed by both cohorts at start of treatment and eight weeks later. An additional study-specific questionnaire was presented to the intervention cohort at study-end assessing their satisfaction with and preferences for the provided homecare. RESULTS: Thirty patients received home-hospitalization, corresponding to 116 interventions. For twenty-eight patients, this comprised all assessments required prior to administration of treatment, which resulted in a significant reduction of waiting time for treatment administration at the hospital in comparison with the control cohort (n = 24) (average reduction of 1:12 h, p < 0.001). Two patients received actual subcutaneous therapy at home. None of the PROM's evaluated revealed significant differences between both cohorts (all p > 0.05). 29/30 patients of the intervention cohort were satisfied with the provided homecare and preferred to have it continued, 22/25 patients declared to feel at home at least as safe as in the hospital. No serious safety concerns were reported. CONCLUSION: The results of this pilot study suggest that (partial) oncological home-hospitalization is feasible, safe and statistically not affecting patient-reported quality of life. Furthermore, this care model was acceptable and preferred by a substantial number of cancer patients.

History

Refereed

  • Yes

Volume

40

Page range

44-52

Publication title

European Journal of Oncology Nursing

ISSN

1532-2122

Publisher

Elsevier

File version

  • Accepted version

Language

  • eng

Legacy posted date

2019-09-11

Legacy creation date

2019-09-19

Legacy Faculty/School/Department

Faculty of Health, Education, Medicine & Social Care

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