Oral Chemotherapy Laboratory Monitoring and Follow-Up: A Review of the Literature

Clin J Oncol Nurs. 2022 Sep 15;26(5):487-494. doi: 10.1188/22.CJON.487-494.

Abstract

Background: There are many inefficiencies related to oral chemotherapy (OC) laboratory monitoring and follow-up in the ambulatory clinic setting. Patients with cancer prescribed OC have a higher risk of adverse events when there is inconsistent laboratory test result reporting and follow-up from their oncology provider.

Objectives: The aim of this article is to improve OC laboratory monitoring by identifying potential barriers and opportunities for reliable communication between patients and providers in the outpatient clinical setting.

Methods: A literature review found 76 articles, of which 15 were selected for review. Six themes were synthesized and discussed.

Findings: Healthcare systems use technology, standard pathways, and clear patient-provider communication following laboratory testing to ensure patient safety. Implementing and testing evidence-based solutions and structured frameworks to identify gaps in outpatient laboratory monitoring and follow-up can improve patient satisfaction and safety during OC treatment.

Keywords: laboratory monitoring; oral chemotherapy; safety standards.

Publication types

  • Review

MeSH terms

  • Administration, Oral
  • Ambulatory Care Facilities*
  • Humans
  • Medical Oncology
  • Neoplasms* / drug therapy
  • Patient Safety