Organization, quality and cost of oncological home-hospitalization: A systematic review

Crit Rev Oncol Hematol. 2018 Jun:126:145-153. doi: 10.1016/j.critrevonc.2018.03.011. Epub 2018 Apr 10.

Abstract

Background: Home-hospitalization might be a patient-centred approach facing the increasing burden of cancer on societies. This systematic review assessed how oncological home-hospitalization has been organized and to what extent its quality and costs were evaluated.

Results: Twenty-four papers describing parenteral cancer drug administration to adult patients in their homes were included. Most papers concluded oncological home-hospitalization had no significant effect on patient-reported quality of life (7/8 = 88%), but large majority of patients were satisfied (12/13, 92%) and preferred home treatment (7/8, 88%). No safety risks were associated with home-hospitalization (10/10, 100%). The cost of home-hospitalization was found beneficial in five trials (5/9, 56%); others reported no financial impact (2/9, 22%) or additional costs (2/9, 22%).

Conclusion: Despite heterogeneity, majority of reported models for oncological home-hospitalization demonstrated that this is a safe, equivalent and acceptable alternative to ambulatory hospital care. More well-designed trials are needed to evaluate its economic impact.

Keywords: Cost-effectiveness; Home-hospitalization; Oncology; Quality of care; Supportive care.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Adult
  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / adverse effects
  • Antineoplastic Agents / economics
  • Cost-Benefit Analysis
  • Home Care Services, Hospital-Based* / economics
  • Home Care Services, Hospital-Based* / organization & administration
  • Home Care Services, Hospital-Based* / standards
  • Hospitalization* / economics
  • Humans
  • Infusions, Parenteral / adverse effects
  • Infusions, Parenteral / economics
  • Neoplasms / epidemiology
  • Neoplasms / therapy*
  • Quality of Health Care* / economics
  • Quality of Health Care* / organization & administration
  • Quality of Health Care* / standards
  • Quality of Life

Substances

  • Antineoplastic Agents