A Home Transfusion Program for Patients with Advanced Hematologic Malignancies

Inclusion Criteria

• PATIENTS WITH ADVANCED HEMATOLOGIC MALIGNANCIES (INCLUSION):
• Diagnosis of a hematologic malignancy
• Age >= 18 years
• Receipt of primary oncologic care at Dana-Farber Cancer Institute (DFCI) (at least 2 outpatient visits in 12 months prior to enrollment)
• Has received at least one red blood cell (RBC) or platelet transfusion since blood cancer diagnosis in the clinic or hospital setting without a serious adverse transfusion reaction
• Physician-estimated prognosis of six months or less based on primary oncologist answering “no” to the question: “Would you be surprised if this patient died within the next six months?”
• Has an adult informal caregiver that lives in the same residence
• Patient resides within catchment served by Care Dimensions Hospice
• CAREGIVERS: Identified informal caregiver of enrolled patient with hematologic malignancy
• CAREGIVERS: Age >= 18 years

Exclusion Criteria

• PATIENTS WITH ADVANCED HEMATOLOGIC MALIGNANCIES (EXCLUSION):
• Age < 18 years
• Does not have an identified adult informal caregiver who lives in the same residence
• History of previous serious adverse transfusion reaction
• Presence of decompensated congestive heart failure
• Adults unable to consent
• Individuals who are not yet adults (infants, children, teenagers)
• Pregnant women
• Prisoners
• CAREGIVERS: Age < 18 years