MacLeod, A., Branch, A., Cassidy, J., McDonald, A., Mohammed, N. and Macdonald, L. (2007) A nurse-/pharmacy-led capecitabine clinic for colorectal cancer: results of a prospective audit and retrospective survey of patient experiences. European Journal of Oncology Nursing, 11(3), pp. 247-254. (doi: 10.1016/j.ejon.2006.10.001)
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Abstract
Oral chemotherapy agents provide patients with choice and home-based therapy but demand greater emphasis on patient support and education to minimise toxicities. To meet this demand, a nurse-/ pharmacy- led clinic was established at the Beatson Oncology Centre in 2003 for the provision of oral capecitabine to metastatic colorectal cancer patients to provide a controlled and supportive environment. We conducted a prospective audit of 52 patients attending the clinic from March 2003 to June 2004 and a retrospective survey of patient experiences to assess clinic effectiveness. Of 52 patients, 79% completed at least 3 cycles of treatment (mean 3.5). Capecitabine was well tolerated. The dose was reduced on at least one occasion in 15 (29%) patients and 17 (30%) patients experienced at least one delay. Patient satisfaction, indicated by questionnaire responses (n = 27), was high. Most patients (>-85%) thought that the service provision was useful and well organised. The results- indicate that a nurse-/ pharmacy- led clinic for the provision of home-based oral capecitabine is safe, effective and acceptable to most patients. The success of this clinic can provide a model for use in other centres and in other types of cancer, such as breast cancer, where oral chemotherapy is a treatment option.
| Item Type: | Articles |
|---|---|
| Status: | Published |
| Refereed: | Yes |
| Glasgow Author(s) Enlighten ID: | Cassidy, Professor James |
| Authors: | MacLeod, A., Branch, A., Cassidy, J., McDonald, A., Mohammed, N., and Macdonald, L. |
| College/School: | College of Medical Veterinary and Life Sciences > School of Cancer Sciences |
| Journal Name: | European Journal of Oncology Nursing |
| ISSN: | 1462-3889 |
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