Evaluation and comparison of safety, convenience and cost of administering intravenous pamidronate infusions to children in the home and ambulatory care settings
Abstract
The use of bisphosphonates in children to treat low bone mineral density has increased. Safety and efficacy of pamidronate has been previously demonstrated. However, little research has been done on pamidronate infusion in the home health setting for patients with metabolic bone disease. Data were collected via a survey to assess satisfaction and convenience of infusions. Adverse events were measured by collecting calcium levels before and after infusions. Infusion costs were estimated from the standard orders from one home health agency and our infusion center. We found no difference in the rates of hypocalcemia between the two groups. The survey results showed high satisfaction for both groups, with higher scores in the home health group for convenience and stress. Home health infusions showed lower cost and less absenteeism from school and work. Home health-based pamidronate infusion appears to be safe, less expensive, and is associated with high patient satisfaction.
©2012 by Walter de Gruyter Berlin Boston
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Articles in the same Issue
- Masthead
- Masthead
- Reviews
- Growth failure in children with cystic fibrosis
- Approach to the management of slipped capital femoral epiphysis and primary hyperparathyroidism
- Original Articles
- Thyroid developmental anomalies among first-degree relatives of children with thyroid dysgenesis and congenital hypothyroidism
- TSHR is the main causative locus in autosomal recessively inherited thyroid dysgenesis
- When to operate on ovarian cysts in children?
- Partial anomalous pulmonary venous return is common in Turner syndrome
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- Ovarian and uterine ultrasonography and relation to puberty in healthy girls between 6 and 16 years in the Turkish population: a cross-sectional study
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- Environmental and genetic factors influence age at menarche in women with polycystic ovary syndrome
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- Simultaneous onset and similar course of type 1 diabetes mellitus in monozygotic twins (a 4-year follow-up)
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- Clinical and image-guided chorioretinal findings in long-chain 3-hydroxyacyl-coenzyme A dehydrogenase deficiency
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