CENTRUM
ONCOLOGIE ARTIKELS ABSTRACT 1 Quality of blood samples collected at home does not affect clinical decision making for the administration of systemic cancer treatment. Cool L, Callewaert N, Van Eygen K, Tack L, Missiaen J, Debruyne P, et al. Scandinavian Journal of Clinical and Laboratory Investigation, 2020, 80(3), 215-221
CONCLUSION The results of this local survey study demonstrated there is support among different stakeholder groups for the implementation of OHH within the Belgian health-care context. However, some barriers impeding transmural continuous care should be tackled before implementing such model into practice. Better communication between health-care professionals and more patients contacts are suggested, and an adjusted legal and financial framework is required.
ABSTRACT 3 Het abstract is te vinden op pagina 21.
An observational pilot study to evaluate the feasibility and quality of oncological home-hospitalization.
ABSTRACT 2
Cool L, Debruyne P, Van Eygen K, De Jonghe PJ, Vergauwe P, et al. European Journal of Oncology Nursing, 2019, 40, 44-52
Shifting specialized oncological care from hospitalto home-setting: Is there support among patients, specialists and general practitioners?
OBJECTIVE Cool L, Missiaen J, Debruyne P, Van Eygen K, Tack L, et al. Acta Clinica Belgica, 2019, 4, 1-8
OBJECTIVE Oncological home-hospitalization (OHH) might be a patient-centred approach to deal with the increasing burden of cancer on health-care facilities and finances. Before implementation into practice, its feasibility, costs and support among stakeholders should be evaluated. The purpose of this trial was to explore patients', specialists' and general practitioners' (GPs) perspectives towards the opportunities of implementing OHH within the Belgian health-care system.
MATERIALS/METHODS A regional cross-sectional survey study was launched in order to investigate the stakeholders' views on OHH and the current cancer care focusing on integration of primary care and continuous care.
RESULTS Of the responders, 37 out of 163 patients (23%), 45 of 62 GPs (73%) and 10 of 15 specialists (67%) feel positive about the opportunities for OHH. Nevertheless, 11/15 specialists (73%) and 51/62 GPs (82%) feel primary care might currently be (too) little involved in order to ensure continuous care for cancer patients. Opportunities for improved continuous care are seen in better communication between primary care and hospital, and more patient contacts for primary care during the cancer treatment process.
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).
MATERIALS/METHODS An observational cohort study 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.
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