[Home chemotherapy for lung cancer: a five year retrospective study].
BACKGROUND
We present the results of a five year retrospective study of chemotherapy delivered at home for patients suffering from non-small cell lung cancer.


METHODS
In partnership with "hospital at home" we have developed mechanisms to improve safety: secured prescriptions, treatments confirmations transmitted by fax, designed specific chemotherapy file and approval of family doctor prior to administration.


RESULTS
We treated 74 patients and administered 401 injections of which 72% were for Vinorelbine and 28% for Gemcitabine. These protocols corresponded to day 8 injections for Cisplatin-based double drug therapies in 47% of cases and to weekly single drug chemotherapies in 53%.


CONCLUSIONS
Constraints regarding medical staff availability were exceeded by many advantages: better hospital bed management, guaranteed treatment, improvements in patients' quality of life and strengthening of links between hospital and community.
Virally
J
J
Service de Pneumologie, Hôpital Robert Ballanger, Aulnay-Sous-Bois, France. jerome.virally@ch-aulnay.fr
Fouques Duparc
V
V
Lazzerini
C
C
Boiron
C
C
Jagot
J-L
JL
Mathieu
M
M
D000368:Aged; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use*; D002289:Carcinoma, Non-Small-Cell Lung / Q000188:drug therapy*; D002945:Cisplatin / Q000008:administration & dosage; D003841:Deoxycytidine / Q000008:administration & dosage / Q000031:analogs & derivatives*; D005260:Female; D006742:Hospital Bed Capacity; D006801:Humans; D008175:Lung Neoplasms / Q000188:drug therapy*; D008297:Male; D008508:Medication Errors / Q000517:prevention & control; D008875:Middle Aged; D011788:Quality of Life; D012189:Retrospective Studies; D012449:Safety; D016896:Treatment Outcome; D014747:Vinblastine / Q000008:administration & dosage / Q000031:analogs & derivatives*; D000077235:Vinorelbine; D000093542:Gemcitabine
D003841:Deoxycytidine; D014747:Vinblastine; D002945:Cisplatin; D000077235:Vinorelbine; D000093542:Gemcitabine