What question did this study set out to answer?

The aim is to compare the effectiveness of home care versus hospital care during the pancytopenic phase after allogeneic stem cell transplantation.

November 26, 2002Blood

Home care during the pancytopenic phase after allogeneic hematopoietic stem cell transplantation is advantageous compared with hospital care

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Randomized trial demonstrates improved outcomes in home care versus hospital care following SCT.

The aim is to compare the effectiveness of home care versus hospital care during the pancytopenic phase after allogeneic stem cell transplantation.
Compared 36 home care patients with 18 hospital care patients and a matched group of 36 hospital patients.
Home care involved daily nurse visits and physician calls.
Assessments included discharge times, nutritional support, graft-versus-host disease incidence, and costs.
Home care patients had earlier discharge (RR 0.33, P =.03) and required fewer days on total parenteral nutrition (RR 0.24, P <.01).
Lower incidence of acute graft-versus-host disease grades II-IV (RR 0.25, P =.01) and reduced transplantation-related mortality (RR 0.22, P =.04).
Two-year survival rates were significantly higher in the home care group at 70% compared to 51% and 57% in hospital care.

Svahn et al. (2002) studied this question.

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