Evaluation and comparison of safety, convenience and cost of administering intravenous pamidronate infusions to children in the home and ambulatory care settings

Eric T. Rush, Kristi DeHaai, Rose M. Kreikemeier, Richard E. Lutz

Research output: Contribution to journalArticle

2 Scopus citations

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.

Original languageEnglish (US)
Pages (from-to)493-497
Number of pages5
JournalJournal of Pediatric Endocrinology and Metabolism
Volume25
Issue number5-6
DOIs
StatePublished - Jun 1 2012

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Keywords

  • Bone mineral density
  • Healthcare economics
  • Home infusion
  • Osteogenesis imperfecta
  • Osteoporosis
  • Pamidronate
  • Pediatric metabolic bone diseases

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism
  • Endocrinology

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