Chemotherapy Treatment Assessments

[guildsman]

Interested in how often others in practice see patients on infusion chemotherapy regimens (not oral therapy). Do you see patients before every treatment as an E&M encounter? Do you see every 4 weeks for every 2 week regimens? Interested in others experiences.

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[HemeOncHopeful19]

My training institution will often see people every other cycle in the community setting. They are salaried, overworked and a low med-mal environment. I think if we tried to see people every cycle the department would crumble from volume. If someone is on Q6w Keytruda we will see them every cycle.

 

[gutonc]

Depends on the treatment and the patient. But for cytotoxics, or other potentially high risk meds (including some orals), I try to see them every treatment day. If it's something long term, or they're stable and cruising, I will go every other treatment, but only for weekly, or Q2w treatments, and even then it can be sphincter tightening.

That said, this is mostly what I use mid-levels for and I alternate visits with them unless the cycles are Q4w or longer.