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Ambulatory chemotherapy: Past, present, and future.
Racha Sabbagh Dit Hawasli1, Stephen Barton1, Shereen Nabhani-Gebara1
1Faculty of Engineering and Computing, School of Pharmacy and Chemistry, 4264Kingston University, London, UK.
Summary
Ambulatory chemotherapy offers home-based infusions via portable pumps for suitable patients. Careful clinical assessment and patient involvement are key to ensuring treatment safety and success.
Area of Science:
- Oncology
- Medical Devices
- Patient Care
Background:
- Ambulatory chemotherapy enables home-based infusions using portable pumps.
- This modality requires careful selection of suitable candidates for safety and efficacy.
- Key components include the infusion pump and the patient's access device.
Purpose of the Study:
- To review the components and considerations for ambulatory chemotherapy.
- To highlight the importance of clinical assessment and patient acceptance.
- To acknowledge ongoing research for improving the technology.
Main Methods:
- Literature review of ambulatory chemotherapy pumps and access devices.
- Discussion of clinical decision-making processes involving multidisciplinary teams and patients.
- Examination of reported challenges and areas for innovation.
Main Results:
- Portable elastomeric pumps represent the latest technology in ambulatory chemotherapy.
- Shared decision-making involving patients is crucial for successful treatment.
- Despite some device malfunctions, research is actively seeking solutions.
Conclusions:
- Ambulatory chemotherapy requires a balance between clinical judgment and patient factors.
- Optimizing the pump and access device selection is vital.
- Continued innovation is necessary to enhance the safety and reliability of home chemotherapy delivery.
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