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[Oncologic therapy at home: a trial model].

S Frohmüller1, P Schlag, R Leucht

  • 1Sektion Chirurgische Onkologie, Chirurgischen Universitätsklinik Heidelberg.

Deutsche Medizinische Wochenschrift (1946)
|July 7, 1989
PubMed
Summary

Home-based cancer care for 162 patients, involving a multidisciplinary team, significantly reduced hospitalizations. This integrated approach allowed patients to receive treatments like chemotherapy and nutrition support at home, maintaining quality of life.

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Area of Science:

  • Oncology
  • Palliative Care
  • Healthcare Management

Background:

  • Home-based cancer care models are crucial for improving patient quality of life.
  • Integrated treatment regimens aim to coordinate care between various healthcare providers and social services.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of a home-based integrated treatment regimen for cancer patients.
  • To assess the complication rates and rehospitalization necessity in patients receiving home cancer care.

Main Methods:

  • A trial investigation involving 162 cancer patients treated at home between November 1986 and August 1988.
  • A multidisciplinary team (doctor, nurse, psychologist) coordinated care, linking patients, family practitioners, and social services.
  • Specific home treatments included chemotherapy (64 patients) and artificial nutrition (22 patients).

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Main Results:

  • Home treatment was provided to patients in end-stage illness (23) and post-surgery (49).
  • The complication rate for home treatment was remarkably low at 0.5%.
  • Patients spent 84% of their required treatment time at home (7921 patient days).

Conclusions:

  • Integrated home-based cancer care is a safe and effective model for managing patients with malignant tumors.
  • This approach significantly maximizes the time patients can spend at home, enhancing their comfort and potentially reducing healthcare costs.
  • Multidisciplinary team coordination is key to the success of home-based cancer treatment regimens.