Outreach monitoring service for patients with indolent B-cell and plasma cell disorders: a UK experience.

Abstract:

:Disease progression occurs in over 1% of monoclonal gammopathy of undetermined significance, monoclonal B-cell lymphocytosis and early stage chronic lymphocytic leukaemia patients every year therefore regular monitoring is indicated. We assessed the efficacy of an outreach service to replace clinic monitoring using local phlebotomy with central haematologist review of laboratory parameters and symptoms identified by a patient self-assessment questionnaire. The service was used by 299 patients for 2 years and provided accurate monitoring, improved patient satisfaction, support for primary care and reduced the burden on haematology clinics without an increase in inter-assessment admissions due to disease progression.

journal_name

Br J Haematol

authors

Rawstron AC,Jones RA,Ferguson C,Hughes G,Selby P,Reid C,Dalal S,Howard M,Smith G,Hillmen P,Owen RG,Jack AS

doi

10.1111/j.1365-2141.2007.06864.x

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

845-8

issue

5

eissn

0007-1048

issn

1365-2141

pii

BJH6864

journal_volume

139

pub_type

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