Evaluation of adverse events and health-related quality of life in patients with colorectal cancer receiving ambulatory home-based chemotherapy in Thailand

Nurs Open. 2021 Nov;8(6):3036-3044. doi: 10.1002/nop2.1016. Epub 2021 Aug 12.

Abstract

Aims: To compare adverse events and health-related quality of life in ambulatory home-based chemotherapy with those in inpatient.

Design: Prospective non-randomized observational study.

Methods: Participants were divided into two groups according to patients' preference receiving chemotherapy.

Results: Sixty-four participants were enrolled in the inpatient, and 111 were in an ambulatory home-based chemotherapy. The frequency of anaemia, neutropenia and thrombocytopenia was significantly higher in inpatient group than in ambulatory home-based chemotherapy group (p < .001, <.001 and .002, respectively). Nausea, mucositis, and fatigue were more common in ambulatory home-based chemotherapy group than in inpatient group (p < .001, .022, and .005, respectively). Patients in the ambulatory home-based chemotherapy group showed higher social well-being (SWB) scores than inpatient group (coefficient 1.92, 95% confidence interval [CI] 0.65 to 3.19, p .003).

Keywords: adverse events; ambulatory home-based chemotherapy; colorectal cancer; health-related quality of life; inpatient.

Publication types

  • Observational Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Colorectal Neoplasms* / drug therapy
  • Humans
  • Nausea
  • Prospective Studies
  • Quality of Life*
  • Thailand