An observational pilot study to evaluate the feasibility and quality of oncological home-hospitalization
PURPOSE: 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...
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| Veröffentlicht in: | EUROPEAN JOURNAL OF ONCOLOGY NURSING 2019-06, Vol.40, p.44-52 |
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| container_title | EUROPEAN JOURNAL OF ONCOLOGY NURSING |
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| creator | Cool, Lieselot Missiaen, Jana Vandijck, Dominique Lefebvre, Tessa Lycke, Michelle De Jonghe, Pieter Jan Vergauwe, Philippe Foulon, Veerle Pottel, Hans Debruyne, Philip Van Eygen, Koen |
| description | PURPOSE: 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). METHODS: An observational cohort study (clinicaltrials.gov identifier: NCT03073499) 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 |
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| fullrecord | <record><control><sourceid>kuleuven</sourceid><recordid>TN_cdi_kuleuven_dspace_123456789_638571</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>123456789_638571</sourcerecordid><originalsourceid>FETCH-kuleuven_dspace_123456789_6385713</originalsourceid><addsrcrecordid>eNqVjEFuwjAQRb0oUlPgDrProoqUYJI4S4RacQD20SSZELeuJ63HUenpQYgDtKv_pP_0HlSSb8tNqo2pH9VTCO9ZltW6Mokadx64DfQ9o1j26GCyjgWCxP4MwkAzuohCICPBQBhsa52VM6Dv4SvijXkA9h07Ptnumhj5k9KRw2Tl-v_eyiu1GNAFWt93qZ7fXo_7Q_oRHcWZfNOHCTtq8o3eFmVl6qbUpqhy_R_z5W9mIz-iLxdhV0M</addsrcrecordid><sourcetype>Institutional Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>An observational pilot study to evaluate the feasibility and quality of oncological home-hospitalization</title><source>Lirias (KU Leuven Association)</source><source>Elsevier ScienceDirect Journals</source><creator>Cool, Lieselot ; Missiaen, Jana ; Vandijck, Dominique ; Lefebvre, Tessa ; Lycke, Michelle ; De Jonghe, Pieter Jan ; Vergauwe, Philippe ; Foulon, Veerle ; Pottel, Hans ; Debruyne, Philip ; Van Eygen, Koen</creator><creatorcontrib>Cool, Lieselot ; Missiaen, Jana ; Vandijck, Dominique ; Lefebvre, Tessa ; Lycke, Michelle ; De Jonghe, Pieter Jan ; Vergauwe, Philippe ; Foulon, Veerle ; Pottel, Hans ; Debruyne, Philip ; Van Eygen, Koen</creatorcontrib><description>PURPOSE: 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). METHODS: An observational cohort study (clinicaltrials.gov identifier: NCT03073499) 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. CONCLUSION: The results of this pilot study suggest that (partial) oncological home-hospitalization is feasible, safe and statistically not affecting patient-reported quality of life. Furthermore, this care model was acceptable and preferred by a substantial number of cancer patients.</description><identifier>ISSN: 1462-3889</identifier><language>eng</language><publisher>ELSEVIER SCI LTD</publisher><ispartof>EUROPEAN JOURNAL OF ONCOLOGY NURSING, 2019-06, Vol.40, p.44-52</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,315,776,780,27837</link.rule.ids></links><search><creatorcontrib>Cool, Lieselot</creatorcontrib><creatorcontrib>Missiaen, Jana</creatorcontrib><creatorcontrib>Vandijck, Dominique</creatorcontrib><creatorcontrib>Lefebvre, Tessa</creatorcontrib><creatorcontrib>Lycke, Michelle</creatorcontrib><creatorcontrib>De Jonghe, Pieter Jan</creatorcontrib><creatorcontrib>Vergauwe, Philippe</creatorcontrib><creatorcontrib>Foulon, Veerle</creatorcontrib><creatorcontrib>Pottel, Hans</creatorcontrib><creatorcontrib>Debruyne, Philip</creatorcontrib><creatorcontrib>Van Eygen, Koen</creatorcontrib><title>An observational pilot study to evaluate the feasibility and quality of oncological home-hospitalization</title><title>EUROPEAN JOURNAL OF ONCOLOGY NURSING</title><description>PURPOSE: 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). METHODS: An observational cohort study (clinicaltrials.gov identifier: NCT03073499) 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. CONCLUSION: The results of this pilot study suggest that (partial) oncological home-hospitalization is feasible, safe and statistically not affecting patient-reported quality of life. Furthermore, this care model was acceptable and preferred by a substantial number of cancer patients.</description><issn>1462-3889</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>FZOIL</sourceid><recordid>eNqVjEFuwjAQRb0oUlPgDrProoqUYJI4S4RacQD20SSZELeuJ63HUenpQYgDtKv_pP_0HlSSb8tNqo2pH9VTCO9ZltW6Mokadx64DfQ9o1j26GCyjgWCxP4MwkAzuohCICPBQBhsa52VM6Dv4SvijXkA9h07Ptnumhj5k9KRw2Tl-v_eyiu1GNAFWt93qZ7fXo_7Q_oRHcWZfNOHCTtq8o3eFmVl6qbUpqhy_R_z5W9mIz-iLxdhV0M</recordid><startdate>20190601</startdate><enddate>20190601</enddate><creator>Cool, Lieselot</creator><creator>Missiaen, Jana</creator><creator>Vandijck, Dominique</creator><creator>Lefebvre, Tessa</creator><creator>Lycke, Michelle</creator><creator>De Jonghe, Pieter Jan</creator><creator>Vergauwe, Philippe</creator><creator>Foulon, Veerle</creator><creator>Pottel, Hans</creator><creator>Debruyne, Philip</creator><creator>Van Eygen, Koen</creator><general>ELSEVIER SCI LTD</general><scope>FZOIL</scope></search><sort><creationdate>20190601</creationdate><title>An observational pilot study to evaluate the feasibility and quality of oncological home-hospitalization</title><author>Cool, Lieselot ; Missiaen, Jana ; Vandijck, Dominique ; Lefebvre, Tessa ; Lycke, Michelle ; De Jonghe, Pieter Jan ; Vergauwe, Philippe ; Foulon, Veerle ; Pottel, Hans ; Debruyne, Philip ; Van Eygen, Koen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-kuleuven_dspace_123456789_6385713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cool, Lieselot</creatorcontrib><creatorcontrib>Missiaen, Jana</creatorcontrib><creatorcontrib>Vandijck, Dominique</creatorcontrib><creatorcontrib>Lefebvre, Tessa</creatorcontrib><creatorcontrib>Lycke, Michelle</creatorcontrib><creatorcontrib>De Jonghe, Pieter Jan</creatorcontrib><creatorcontrib>Vergauwe, Philippe</creatorcontrib><creatorcontrib>Foulon, Veerle</creatorcontrib><creatorcontrib>Pottel, Hans</creatorcontrib><creatorcontrib>Debruyne, Philip</creatorcontrib><creatorcontrib>Van Eygen, Koen</creatorcontrib><collection>Lirias (KU Leuven Association)</collection><jtitle>EUROPEAN JOURNAL OF ONCOLOGY NURSING</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cool, Lieselot</au><au>Missiaen, Jana</au><au>Vandijck, Dominique</au><au>Lefebvre, Tessa</au><au>Lycke, Michelle</au><au>De Jonghe, Pieter Jan</au><au>Vergauwe, Philippe</au><au>Foulon, Veerle</au><au>Pottel, Hans</au><au>Debruyne, Philip</au><au>Van Eygen, Koen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An observational pilot study to evaluate the feasibility and quality of oncological home-hospitalization</atitle><jtitle>EUROPEAN JOURNAL OF ONCOLOGY NURSING</jtitle><date>2019-06-01</date><risdate>2019</risdate><volume>40</volume><spage>44</spage><epage>52</epage><pages>44-52</pages><issn>1462-3889</issn><abstract>PURPOSE: 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). METHODS: An observational cohort study (clinicaltrials.gov identifier: NCT03073499) 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. CONCLUSION: The results of this pilot study suggest that (partial) oncological home-hospitalization is feasible, safe and statistically not affecting patient-reported quality of life. Furthermore, this care model was acceptable and preferred by a substantial number of cancer patients.</abstract><pub>ELSEVIER SCI LTD</pub><oa>free_for_read</oa></addata></record> |
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| ispartof | EUROPEAN JOURNAL OF ONCOLOGY NURSING, 2019-06, Vol.40, p.44-52 |
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| language | eng |
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| source | Lirias (KU Leuven Association); Elsevier ScienceDirect Journals |
| title | An observational pilot study to evaluate the feasibility and quality of oncological home-hospitalization |
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