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[Cooperation between Clinics and Hospitals Using a Critical Path for G-CSF Prophylaxis in Cancer Chemotherapy].

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Area of Science:

  • Oncology
  • Hematology
  • Healthcare Management

Background:

  • Prophylactic granulocyte-colony stimulating factor (G-CSF) is crucial for cancer patients undergoing chemotherapy.
  • Rural cancer patients face challenges accessing G-CSF due to transportation, support, and mobility issues.
  • A critical pathway (G-path) was implemented in 2011 to facilitate G-CSF delivery through regional medical institutions.

Purpose of the Study:

  • To evaluate the effectiveness and impact of the G-path system for delivering prophylactic G-CSF to cancer patients.
  • To assess the feasibility of a collaborative model between clinics and hospitals for supportive cancer care.

Main Methods:

  • Retrospective analysis of clinical records of cancer patients receiving prophylactic G-CSF via G-path.
  • Data collected from January 2011 to December 2016.
  • Examination of patient demographics, chemotherapy cycles, G-CSF administration, and infectious episodes.

Main Results:

  • 82 patients received 254 chemotherapy cycles; median age was 70 years.
  • 96% of planned G-CSF administrations were completed.
  • Infectious episodes occurred in 15% of cycles, with only 2% requiring hospitalization.

Conclusions:

  • The G-path model effectively reduced the ambulatory burden for cancer patients requiring G-CSF.
  • Cooperation between clinics and hospitals via G-path prevented severe infections and improved treatment accessibility.
  • This collaborative approach supports equitable access to essential cancer supportive care.