Free Standard AU & NZ Shipping For All Book Orders Over $80!
Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
EDITORIAL (Open Access)

COVID-19 prompts rapid and safe transition of chemotherapy into homes

Andrew S. Vanlint https://orcid.org/0000-0002-5862-8445 A C , Julie Adams B and Timothy Price A
+ Author Affiliations
- Author Affiliations

A Central Adelaide Local Health Network, 1 Port Rd, Adelaide, SA 5000, Australia. Email: timothy.price@sa.gov.au

B Chemo@Home, PO Box 378, North Perth, WA 6906, Australia. Email: julie.adams@chemoathome.com.au

C Corresponding author. Email: andrew.vanlint@adelaide.edu.au

Australian Health Review 45(6) 782-783 https://doi.org/10.1071/AH21250
Submitted: 2 August 2021  Accepted: 9 August 2021   Published: 8 October 2021

Journal Compilation © AHHA 2021 Open Access CC BY

Abstract

With the identification of the COVID-19 pandemic in early 2020, cancer-based clinical services in South Australia moved quickly to protect patients on active anti-cancer treatment who are particularly vulnerable to infective complications. This took the form of shifting 600 chemotherapy visits into the patients’ homes via expansion of an existing arrangement between a public hospital network and an established private home chemotherapy service. Despite calls for caution from some oncology organisations and a relative paucity in specific clinical data supporting this approach, it proved to be a safe and efficient transition with additional unexpected benefits.

Keywords: COVID-19, home chemotherapy administration, cancer therapy delivery, in-home services, Australia, public–private health partnership, hospitals, models of care.


References

[1]  Australian Institute of Health and Welfare. Admitted patient care 2016–17: Australian hospital statistics. Health services series no. 84. Cat. no. HSE 201. Canberra: AIHW; 2018.

[2]  Handley NR, Bekelman JE. The oncology hospital at home. J Clin Oncol 2019; 37 448–52.
The oncology hospital at home.Crossref | GoogleScholarGoogle Scholar | 30625041PubMed |

[3]  Wilkes J, Herrmann R, Haskins Z, Chandler S. Updated data on a pilot study to establish and assess the safety, cost and impact on quality of life (QOL) of a Home Cancer Care Service (HCCS). American Society of Haematology; December 2002; PA, USA. Abstract 3435.

[4]  ASCO Board of Directors. American Society of Clinical Oncology position statement: home infusion of anticancer therapy. 23 June 2020. Available at https://www.asco.org/sites/new-www.asco.org/files/content-files/advocacy-and-policy/documents/2020_Home-Infusion-Position-Statement.pdf?cid=DM5714&bid=53107298

[5]  Duckett S, Mackey W, Stobart A, Swerissen H. Coming out of COVID-19 lockdown: the next steps for Australian health care. 2020. Available at https://grattan.edu.au/wp-content/uploads/2020/06/Coming-out-of-COVID-lockdown-the-next-steps-for-Australian-health-care.pdf

[6]  Victoria State Government. Home-based cancer care: framework and toolkit. 2020. Available at https://www2.health.vic.gov.au/about/health-strategies/cancer-care/home-based-cancer-care