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

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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; Christensen, Jane; Madsen, Marianne; Schmiegelow, Kjeld.

In: Pediatric Blood & Cancer, Vol. 60, No. 5, 2013, p. 865-872.

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Hansson, Helena ; Kjaergaard, Hanne ; Johansen, Christoffer ; Hallström, Inger ; Christensen, Jane ; Madsen, Marianne ; Schmiegelow, Kjeld. / Hospital-based home care for children with cancer: Feasibility and psychosocial impact on children and their families. In: Pediatric Blood & Cancer. 2013 ; Vol. 60, No. 5. pp. 865-872.

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TY - JOUR

T1 - Hospital-based home care for children with cancer: Feasibility and psychosocial impact on children and their families

AU - Hansson, Helena

AU - Kjaergaard, Hanne

AU - Johansen, Christoffer

AU - Hallström, Inger

AU - Christensen, Jane

AU - Madsen, Marianne

AU - Schmiegelow, Kjeld

PY - 2013

Y1 - 2013

N2 - 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.

AB - 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.

KW - chemotherapy

KW - home care

KW - pediatric oncology

KW - quality of life

U2 - 10.1002/pbc.24474

DO - 10.1002/pbc.24474

M3 - Article

C2 - 23335455

VL - 60

SP - 865

EP - 872

JO - Pediatric Blood & Cancer

JF - Pediatric Blood & Cancer

SN - 1545-5017

IS - 5

ER -