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Kataria et al.                                                                                                                                                                            Day care unit in radiation oncology



































           Figure 1: Reason-Reason for admission, Sx-Post surgery, GA-General anaesthesia, support-Supportive care, CT-Patient on concurrent
           Chemotherapy by medical oncology, Met-Treated for metastasis, Local/Distant-Measure of daily travel by patient; RT start-starting of
           radiation therapy. Procedure: minor invasive procedures
           The day care unit remains the heart of our on-     Conflicts of interest
           treatment patient coordination activities for several   There are no conflicts of interest.
           reasons. The unit helps provide personalized care to
           each patient in each visit, and offers suggestions for   Patient consent
           patient health problems. It  also provides supportive   Patient consent was obtained from the patients.
           care to patients in the form of IV fluids and injectable
           analgesics, under supervision. The day care unit also   Ethics approval
           provides specialized  procedures like brachytherapy   This article does not contain any intervention  with
           and recovery from short-term anaesthesia.          human participants or animals.

           Studies of the needs and patterns of admissions  of
           oncology and radiotherapy patients are increasing   REFERENCES
           in number. Serious  needs can lead to unplanned
           admission for many radiation patients.  The        1.   National Insurance Company Ltd. Group Mediclaim Insurance Policy
                                                    [3]
           admissions in oncology are also patients who deserve   (revised).  Available from: http://www.nsic.co.in/policygmtmf2014.
           serious  attention.  Patients who come for elective   pdf. [Last accessed on 23.02.16]
                           [4]
           brachytherapy, radiotherapy, or simply to satisfy   2.   The New India Assurance Co. Ltd. Mediclaim Policy (2007). Available
                                                                 from: http://newindia.co.in/downloads/MediclaimPolicy-2007.pdf.
           insurance requirements, can receive mild to moderate   [Last accessed on 23.02.16]
           supportive care,  which can be well managed in an   3.   Waddle MR, Chen RC, Arastu NH, Green RL, Jackson M, Qaqish
           fully-equipped  day care unit.  If  needed, the  patients   BF, Camporeale J, Collichio FA, Marks LB. Unanticipated hospital
           can be shifted to an inpatient  ward  for further care   admissions  during  or  soon after  radiation  therapy:  incidence  and
           or intervention.  This approach will effectively save   predictive factors. Pract Radiat Oncol 2015;5:e245-53.
           resources for the institution and will also be less taxing   4.   Numico  G, Cristofano  A, Mozzicafreddo  A, Cursio OE, Franco
           for the patients and the insurance companies.         P, Courthod G, Trogu A, Malossi A, Cucchi M, Sirotovà Z, Alvaro
                                                                 MR, Stella A, Grasso F, Spinazzé S, Silvestris N. Hospital admission
           Financial support and sponsorship                     of cancer patients: avoidable practice or necessary care? PLoS One
           Nil.                                                  2015;10:e0120827.




             22                                                                  Journal of Cancer Metastasis and Treatment ¦ Volume 3 ¦ January 23, 2017
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