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• W2588897083 abstract "Background: The palliative care of oncologic patients requires frequently the availability of a reliable long-medium term venous access, due to the frequent need for a nutritional or transfusional support, for periodic blood sampling and for infusion sedation at the end of life. Midline represents a valid choice in managing oncologic patients at home, in the palliative phase of their disease. Methods: The insertion of a midline has been programmed in every oncologic patients managed at home or admitted in a Hospice, in the palliative phase of the disease. Results: From January 2013 to December 2015, we have implanted 700 midline in onco-hematologic patients switched toward palliative care. In this way, we were able to maintain at home the vast majority of our patients, giving them supportive care without hospitalization. For patients referred to structures like hospice at the end of life, the midline resulted very useful for the infusion of sedative or antalgic therapy. This approach to palliative care resulted in two great advantage, the first for patients and families and the second for our Unit and more general, for our national health system. The midline gives to the patient the possibility of stay at home in a critical phase of the disease in which the warmth of the family environment and the maintenance of own habits are very important; in fact, the preservation of a family life, gives added peace of mind and allows greater acceptance of the palliative phase of disease. For our Unit and the health system, this simple and safe approach has resulted in a reduction of improper and prolonged hospitalizations. This in turn, is translated in a considerable reduction of cost for hospitalization and a better utilization of economic resources. Conclusions: In our experience the routine insertion of a midline in every onco-hematologic patients switched toward palliative care is a simple, safe and cost-effective approach. It resulted in a reduction of hospital stay and in a more time spent with family in a phase of the disease in which the warmth of a known and pleasant environment can do the difference. Furthermore, reducing improper and long hospitalizations, this strategy allowed us to contain costs through a better distribution and management of economic resources." @default.
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• W2588897083 date "2016-09-01" @default.
• W2588897083 modified "2023-09-28" @default.
• W2588897083 title "Midline for home palliative care" @default.
• W2588897083 doi "https://doi.org/10.1093/annonc/mdw339.13" @default.
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