Home administration of selected chemotherapy and immunotherapy for older and frail patients
For frail older patients, the journey to hospital can be the hardest part of treatment. Nurses can safely give some cancer treatments at home, which may help more people complete their course.
Home chemotherapy programmes exist in several countries for low-risk regimens and for subcutaneous formulations of antibodies, with high patient satisfaction and safety. For older and frail patients, travel and waiting are major causes of missed doses and early discontinuation. Extending home delivery to this group, with remote monitoring and clear escalation routes, could improve completion and quality of life; payment models are the main barrier.
- Older and multimorbid patients are excluded and undertreated · Most people with cancer are over 65 but most trial patients are younger and fitter. We guess how to treat the majority.
- Fragmented care and guideline gaps · Patients fall between specialists, wait for referrals and often do not get the treatment guidelines say they should.
Pages like this
not linked directly; found by shared links- IdeaFormal shared-care agreements between oncology and family doctors, with same-day e-consult
Shares Older and multimorbid patients are excluded and undertreated, Fragmented care and guideline gaps.
- IdeaA standard handoff with medication reconciliation at every cancer care transition
Shares Older and multimorbid patients are excluded and undertreated, Fragmented care and guideline gaps.
- IdeaA defined pathway for patients with both dementia and cancer
Shares Older and multimorbid patients are excluded and undertreated, Fragmented care and guideline gaps.
- IdeaHospital-at-home for oncology: treating low-risk febrile neutropenia and dehydration at home
Shares Older and multimorbid patients are excluded and undertreated, Fragmented care and guideline gaps.
- IdeaChoose regimens by infusion-chair hours, not just efficacy, where chairs are the constraint
Shares Fragmented care and guideline gaps, Cytotoxic chemotherapy.
- IdeaReplace fixed kidney and liver cut-offs with drug-specific, pharmacology-based thresholds
Shares Older and multimorbid patients are excluded and undertreated, Monoclonal antibodies.
- InstitutionGerman Lymphoma Alliance
- IdeaUpfront reduced-dose regimens tested head-to-head in frail older patients
Shares Older and multimorbid patients are excluded and undertreated, Cytotoxic chemotherapy.