Why is intravenous chemotherapy cancelled and how often. Could it be prevented? A prospective analysis of all planned and given intravenous anti- XXXX treatments at the Department of Oncology, Karolinska University Hospital, Stockholm during one month.

@entity1 @entity137 @entity0 @entity5 @entity40396 @entity14
UNASSIGNED: Background. Chemotherapy and targeted drugs are important tools in the treatment of @entity5 . A number of the planned treatments are cancelled late which is a great challenge for the clinic to minimize in order to prevent the risk for misused resources. The aim of this study was to analyze the frequency and reasons for late (<48 hours) cancellations and also to get an overview of all intravenous medical anti- @entity5 treatment at the clinic. Material and methods. During four weeks in October 2010 all @entity1 with intravenously administered chemotherapy and/or targeted drugs were registered at the Department of Oncology, Karolinska University Hospital. The survey comprehends the vast majority of all such treatment for solid @entity5 in adult @entity1 in the Stockholm region with two million inhabitants. All @entity40396 including their reasons were recorded. Diagnoses, treatment indication, line of treatment and survival, in particular short term survival, were analyzed. Results. Almost 3000 bookings for 1460 @entity1 were included and 13% were cancelled late. @entity1 detoriation was the dominating cause for late cancellation in @entity1 with palliative treatment (59%), while hematological @entity137 was most common in the adjuvant group (42%). The most common treatment indication was palliative (62%). Of the palliative treatments, 95% where given in the first to third treatment line. @entity0 (31.9%) and @entity14 (29.9%) were the two most common diagnoses. Seventy-one @entity1 (4.9%) died within two months after the treatment. Conclusion. A more careful selection and monitoring of the @entity1 might reduce the number of late cancellations due to @entity1 detoriation. To record performance status (PS) as a routine for all @entity1 might be helpful in that process. If the number of late cancellations could be reduced, resources at the clinic could be used more efficiently.
