Home Se-Cure: Management of oral, intramuscular and subcutaneous oncological therapies at home. Day Hospital experience-Medical Oncology, E.O. Galliera of Genoa

Background: Recent studies show that patients with cancer are more exposed to a greater risk of Covid-19 infection, developing more severe symptoms and higher risk of death The fear and risks include a source of stress for patients who have to go to the hospital for treatment To meet their needs, we designed the Home Se-Cure project which aims to guarantee patients the continuity of oral, intramuscular and subcutaneous cancer therapies, delivering treatment at home Materials and methods: The project will include patients aged> 65 years, fragile patients with ECOG 2-3-4, living in the neighboring areas of the hospital We hypothesized to perform about 8 intervention per day The interventions will include blood sampling, oral, intramuscular and subcutaneous therapies The activity will be carried out during working hours, from 7 30 to 11 for two days a week Nurses and oncologists will select the patients who will be contacted by phone to schedule the appointment The oncologist prescribes and documents the blood tests and / or home cancer therapy to be delivered to the patient The nurse picks up the drugs at the hospital pharmacy and goes to the patient's home equipped with the required PPE Therapy can only be taken after confirmation by telephone from the nurse and doctor based on the result of the blood tests A customer satisfaction questionnaire will be administered to patients and will be compared with those who refuse this service or cannot access it because of geographical reasons Results: We expect our results to bring: reduce patient travel, ensure continuity of therapy, avoid gatherings at the day hospital Guarantee the safety of fragile patients by respecting the ministerial recommendations Avoid the stress related to the dilemma to perform the therapies Vs risk of contagion Reduce access to the Emergency Room through early recognition of toxicity and non-compliant blood values Conclusions: By accomplishing these results we would should achieve a better organization of the work, a reduction of the clinical risk, an improvement of the quality of care and a greater working well-being of the staff