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ASCO 2026 | Cancer care at home: outcomes from a multisite home hospital oncology service

Thomas Roberts, MD, MBA, Mass General Brigham Cancer Institute, Boston, MA, Describes a retrospective cohort study examining outcomes for patients with cancer admitted to a dedicated home hospital oncology service. Compared with a propensity score-matched brick-and-mortar oncology cohort, length of stay was broadly similar while 30-day readmission rates were notably lower among home hospital patients. Findings suggest that acute, inpatient-level oncology care delivered at home is feasible and warrants further investigation. This interview took place during the 2026 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Transcript

We launched the program about a little over a year ago, and in the first year, or the first nine months rather, I should clarify, we admitted just shy of 200 patients, 157 of which we included in the analysis, and we looked at a couple aspects of these patients. One, we looked at how long were they in what we call the brick-and-mortar hospital, so the physical hospital, as well as how likely were they to be readmitted to the hospital in the 30 days after they were discharged...

We launched the program about a little over a year ago, and in the first year, or the first nine months rather, I should clarify, we admitted just shy of 200 patients, 157 of which we included in the analysis, and we looked at a couple aspects of these patients. One, we looked at how long were they in what we call the brick-and-mortar hospital, so the physical hospital, as well as how likely were they to be readmitted to the hospital in the 30 days after they were discharged. And among those two outcomes, we found that patients who were admitted to home hospital, they were there for a shorter period of time. They were there for an average of three days as opposed to an average of five days. So they had two days less in the physical hospital, two days extra at home. And then when we looked at the readmission outcomes for them, there was approximately a 45% reduction in the chance of readmission. So all comers, when we compared them to a, we call a matched cohort. So a group of similar patients who were not admitted to home hospital, in theory could have been. We found that the readmission rate among them was about 33%, which is actually higher than the average readmission rate for patients from our hospital, which we think reflects some of the complexity of this patient population. And the patients admitted to home hospital had a readmission rate of 18%.

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