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Modeling Chemotherapy Resistant Leukemia In Vitro
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Implementation of a chemotherapy stewardship process.

Emily R Hennes1, Michael Reed1, Mary Mably1

  • 1UW Health, Madison, WI.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|July 5, 2020
PubMed
Summary

A new chemotherapy stewardship process was developed to optimize where chemotherapy is given. This initiative aims to reduce inappropriate inpatient chemotherapy administrations and lower healthcare costs.

Keywords:
cancer care costchemotherapylocationoptimizationsite of carestewardship

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Area of Science:

  • Oncology
  • Health Services Research
  • Pharmacoeconomics

Background:

  • Rising costs of anticancer agents necessitate multidisciplinary management of medication utilization.
  • High-cost, high-risk, and slow-acting chemotherapy agents require careful administration site consideration.
  • Pharmacists are essential in managing chemotherapy due to expertise in formulary, finance, and clinical outcomes.

Purpose of the Study:

  • To design and implement a chemotherapy stewardship process.
  • To optimize the location of chemotherapy administration.
  • To decrease inappropriate inpatient anticancer regimen administrations and associated institutional costs.

Main Methods:

  • Development and implementation of a multidisciplinary chemotherapy stewardship program.
  • Focus on optimizing the site of anticancer agent administration.
  • Collaborative approach involving multidisciplinary healthcare colleagues.

Main Results:

  • Potential to decrease inappropriate inpatient chemotherapy administrations.
  • Potential to decrease inpatient resource utilization.
  • Potential to reduce institutional costs associated with inpatient chemotherapy.

Conclusions:

  • Chemotherapy stewardship services can reduce inappropriate inpatient administrations and resource use, leading to cost savings.
  • A collaborative, multidisciplinary approach is crucial for designing and implementing chemotherapy stewardship processes.
  • The concept of chemotherapy stewardship was positively received by healthcare professionals.