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September 14, 2026Journal of Oncology Pharmacy Practice

Having ≥2 drug-related problems linked to ~242% higher 30-day readmission risk in hospitalized cancer patients.

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Why the study?

Drug-related problems are common among hospitalised cancer patients due to complex chemotherapy, polypharmacy, and treatment-related organ dysfunction, but their prevalence and association with readmission are unclear.

Population

412 hospitalised adult cancer patients receiving antineoplastic or supportive-care medication

Design

Prospective observational study at a tertiary care teaching hospital

Follow-up

30 days after discharge

Key result

Having ≥2 drug-related problems was independently associated with 30-day all-cause hospital readmission among hospitalized cancer patients (adjusted OR 3.42; 95% CI 1.87-6.26).

Authors

GRGopika RoshinGRGopika RoshinNMNisam Meladath

Discussion

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Overview

May warrant medication review in hospitalized cancer patients; leaves open whether interventions reduce readmissions.

Key Points

  • To assess the prevalence, patterns, and causes of drug-related problems in hospitalized adult cancer patients and evaluate their independent association with 30-day all-cause hospital readmission.
  • Conducted a 12-month prospective observational study enrolling 412 consecutive adult cancer patients (≥18 years) receiving antineoplastic or supportive-care medication in oncology wards at a tertiary care teaching hospital.
  • Identified drug-related problems using the Pharmaceutical Care Network Europe (PCNE) Classification System V9.1 through chart reviews, medication reconciliation, and ward rounds, following patients for 30 days post-discharge.
  • Among 386 patients completing follow-up, 69.4% (n=268) presented with at least one drug-related problem (517 total, mean 1.9 ± 1.2), primarily involving treatment effectiveness (38.5%) and treatment safety (33.7%).
  • Thirty-day all-cause readmission occurred in 18.4% (n=71) of patients and was independently associated with having ≥2 drug-related problems (adjusted OR 3.42, 95% CI 1.87–6.26) and polypharmacy (≥5 medications; adjusted OR 2.15, 95% CI 1.18–3.92).
  • Additional independent risk factors for 30-day readmission included an ECOG performance status ≥2 (adjusted OR 2.61, 95% CI 1.34–5.09) and the presence of a major drug interaction (adjusted OR 1.98, 95% CI 1.02–3.86).

Study Design

Type

Observational (n=412)

Multicenter

No

Structured PICO

P
Population
412 hospitalized adults with confirmed malignancy receiving antineoplastic or supportive-care medication, followed for 30 days after discharge.
O
Outcome
Prevalence, types, and causes of drug-related problems (DRPs) and 30-day all-cause hospital readmissionhard clinical

Main Result

Odds Ratio: 3.42 (95% CI 1.87–6.26)

Drug-related problems are highly prevalent in hospitalized cancer patients and are independently associated with an increased risk of 30-day hospital readmission.

Cite This Study

Roshin et al. (2026) conducted an observational in Cancer (n=412). ≥2 drug-related problems vs. <2 drug-related problems was evaluated on 30-day all-cause hospital readmission (adjusted OR 3.42, 95% CI 1.87-6.26). Having ≥2 drug-related problems was independently associated with 30-day all-cause hospital readmission among hospitalized cancer patients (adjusted OR 3.42; 95% CI 1.87-6.26).

synapsesocial.com/papers/6aa7afef79e9260bc85aad11https://doi.org/10.1177/10781552261487990
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Drug-related problems in hospitalized oncology patients, with special focus on radiotherapy units: Implications for oncology pharmacy practice2026
  2. 2Drug-related problems among pediatric patients with cancer admitted to the pediatric haemato-oncology department: A prospective observational study2026 · 1 citations
  3. 3Association between unresolved drug-related problems and 6-month hospital readmissions following pharmacist-led medication reviews: a retrospective observational study2026
  4. 4Medication Risks and Their Association with Patient-Reported Outcomes in Inpatients with Cancer2024 · 5 citations
  5. 5Identifying drivers of early readmission in cancer patients to improve care and outcomes.2026