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Hospital-based home care for children with cancer: Feasibility and psychosocial impact on children and their families

Hansson, Helena; Kjaergaard, Hanne; Johansen, Christoffer; Hallström, Inger LU ; Christensen, Jane; Madsen, Marianne and Schmiegelow, Kjeld (2013) In Pediatric Blood & Cancer 60(5). p.865-872
Abstract
Background To assess the feasibility and psychosocial impact of a hospital-based home care (HBHC) program for children with cancer. Procedure A HBHC program was carried out with 51 children (018 years) with cancer to assess its feasibility in terms of satisfaction, care preferences, safety, and cost. A controlled trial was conducted to assess children's health-related quality of life (HRQOL) using the parent-reported and self-reported PedsQL Generic Core Scale and PedsQL Cancer Module, and the psychosocial impact on the family by PedsQL Family Impact Module comprising a subsample of 28 children and 43 parents in the home care group, and 47 children and 66 parents receiving standard hospital care. Results All parents in the HBHC program... (More)
Background To assess the feasibility and psychosocial impact of a hospital-based home care (HBHC) program for children with cancer. Procedure A HBHC program was carried out with 51 children (018 years) with cancer to assess its feasibility in terms of satisfaction, care preferences, safety, and cost. A controlled trial was conducted to assess children's health-related quality of life (HRQOL) using the parent-reported and self-reported PedsQL Generic Core Scale and PedsQL Cancer Module, and the psychosocial impact on the family by PedsQL Family Impact Module comprising a subsample of 28 children and 43 parents in the home care group, and 47 children and 66 parents receiving standard hospital care. Results All parents in the HBHC program were satisfied and preferred home care. There were no serious adverse events associated with HBHC, and costs did not increase. When adjusting for age, gender, diagnosis and time since diagnosis, we found significant higher HRQOL scores in parent-reported physical health (P=0.04; 95% confidence interval (CI): 0.219.5) and worry (P=0.04; 95% CI: 0.420.6) in the home-care group indicating better physical health and less worry for children in the home-care group. No significant difference was found in the Family Impact Module. Conclusion This study indicates that HBHC is a feasible alternative to hospital care for children with cancer, and is greatly preferred by parents. Specific aspects of children's HRQOL may be improved with HBHC and the psychosocial burden on the family does not increase. Pediatr Blood Cancer 2013; 60: 865872. (c) 2013 Wiley Periodicals, Inc. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
chemotherapy, home care, pediatric oncology, quality of life
in
Pediatric Blood & Cancer
volume
60
issue
5
pages
865 - 872
publisher
John Wiley and Sons Inc.
external identifiers
  • wos:000316291700025
  • scopus:84874979993
ISSN
1545-5017
DOI
10.1002/pbc.24474
language
English
LU publication?
yes
id
37573f58-cff2-43af-aa8f-5bd382739067 (old id 3635972)
date added to LUP
2013-05-02 09:01:29
date last changed
2019-07-30 01:02:12
@article{37573f58-cff2-43af-aa8f-5bd382739067,
  abstract     = {Background To assess the feasibility and psychosocial impact of a hospital-based home care (HBHC) program for children with cancer. Procedure A HBHC program was carried out with 51 children (018 years) with cancer to assess its feasibility in terms of satisfaction, care preferences, safety, and cost. A controlled trial was conducted to assess children's health-related quality of life (HRQOL) using the parent-reported and self-reported PedsQL Generic Core Scale and PedsQL Cancer Module, and the psychosocial impact on the family by PedsQL Family Impact Module comprising a subsample of 28 children and 43 parents in the home care group, and 47 children and 66 parents receiving standard hospital care. Results All parents in the HBHC program were satisfied and preferred home care. There were no serious adverse events associated with HBHC, and costs did not increase. When adjusting for age, gender, diagnosis and time since diagnosis, we found significant higher HRQOL scores in parent-reported physical health (P=0.04; 95% confidence interval (CI): 0.219.5) and worry (P=0.04; 95% CI: 0.420.6) in the home-care group indicating better physical health and less worry for children in the home-care group. No significant difference was found in the Family Impact Module. Conclusion This study indicates that HBHC is a feasible alternative to hospital care for children with cancer, and is greatly preferred by parents. Specific aspects of children's HRQOL may be improved with HBHC and the psychosocial burden on the family does not increase. Pediatr Blood Cancer 2013; 60: 865872. (c) 2013 Wiley Periodicals, Inc.},
  author       = {Hansson, Helena and Kjaergaard, Hanne and Johansen, Christoffer and Hallström, Inger and Christensen, Jane and Madsen, Marianne and Schmiegelow, Kjeld},
  issn         = {1545-5017},
  keyword      = {chemotherapy,home care,pediatric oncology,quality of life},
  language     = {eng},
  number       = {5},
  pages        = {865--872},
  publisher    = {John Wiley and Sons Inc.},
  series       = {Pediatric Blood & Cancer},
  title        = {Hospital-based home care for children with cancer: Feasibility and psychosocial impact on children and their families},
  url          = {http://dx.doi.org/10.1002/pbc.24474},
  volume       = {60},
  year         = {2013},
}