Most Read Articles
01 Oct 2013

Heart disease is still New Zealand’s biggest killer, with one Kiwi dying from coronary heart disease every 90 minutes. Pharmacy Today New Zealand looks at how pharmacists can help

Pearl Toh, 11 Oct 2017
Clinical practice is an art guided by good science, and clinical practice guideline (CPG) is meant to guide in integrating the art and science of clinical practice for the long-term benefits of patients, said Dr Abdul Rashid Abdul Rahman, a consultant cardiovascular physician at An-Nur Specialist Hospital in Bangi, Malaysia, during the 13th Asian-Pacific Congress of Hypertension (APCH) held in Singapore.
Dr. James Salisi, 01 Jul 2014

The recent spike in the number of new cases of human immunodeficiency virus (HIV) infection in the Philippines means that clinicians and pharmacists alike may need to increase their awareness and competency in prescribing and monitoring HIV treatment. Although taught in medical and pharmacy schools, the scarcity in exposure to clinical cases before highlights the need to for physicians and pharmacist to review HIV pharmacotherapy in order to cater to the increasing HIV patient population.

01 Sep 2017
Complementary medicines can play an important part in maintaining wellness, preventing deficiencies and optimizing health outcomes, says Dr Lesley Braun PhD, Director of the Blackmores Institute. 

Mixed outpatient-inpatient model safe, cost-effective for multiple myeloma

03 Aug 2017

The adoption of a novel mixed outpatient-inpatient model has been shown to be cost-effective, safe and feasible for multiple myeloma, according to a recent study.

Researchers implemented a mixed outpatient-inpatient autologous stem cell transplantation at an institution to achieve financial benefit without compromising safety. Eligible patients were given melphalan in the clinic the day prior to being admitted for peripheral blood stem cell reinfusion in a hospital where they stay until recovery of myelosuppression.

A total of 19 patients received high-dose melphalan prior to autologous stem cell transplantation in the year since implementing the mixed model. Of these, 18 successfully received melphalan in the outpatient clinic with admission to the hospital on day zero for infusion of stem cells. No adverse event occurred in any patient on the day or evening of chemotherapy or required early admission.

The institution managed to save an average estimated cost of over $2,000 per patient with the implementation of the mixed model. When comparing the cost of the chemotherapy drug, melphalan, from the year before and the year after the implementation of the mixed model, the total annual cost saving was about $90,000 or 53 percent of the previous year’s expenditure.

“Although administration of chemotherapy prior to autologous stem cell transplantation in the outpatient setting has been reported as safe and cost-effective, many limitations exist with previously reported methods of transitioning out of the hospital ward,” researchers noted. “Specifically, lack of a caregiver and distance from treatment facility are key factors particularly in rural settings.”

Such limitations prevented institutions from transitioning the transplant process, or even portions of it, to the outpatient setting despite the known benefits, they added.

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Most Read Articles
01 Oct 2013

Heart disease is still New Zealand’s biggest killer, with one Kiwi dying from coronary heart disease every 90 minutes. Pharmacy Today New Zealand looks at how pharmacists can help

Pearl Toh, 11 Oct 2017
Clinical practice is an art guided by good science, and clinical practice guideline (CPG) is meant to guide in integrating the art and science of clinical practice for the long-term benefits of patients, said Dr Abdul Rashid Abdul Rahman, a consultant cardiovascular physician at An-Nur Specialist Hospital in Bangi, Malaysia, during the 13th Asian-Pacific Congress of Hypertension (APCH) held in Singapore.
Dr. James Salisi, 01 Jul 2014

The recent spike in the number of new cases of human immunodeficiency virus (HIV) infection in the Philippines means that clinicians and pharmacists alike may need to increase their awareness and competency in prescribing and monitoring HIV treatment. Although taught in medical and pharmacy schools, the scarcity in exposure to clinical cases before highlights the need to for physicians and pharmacist to review HIV pharmacotherapy in order to cater to the increasing HIV patient population.

01 Sep 2017
Complementary medicines can play an important part in maintaining wellness, preventing deficiencies and optimizing health outcomes, says Dr Lesley Braun PhD, Director of the Blackmores Institute.