Care level | Tasks |
---|
University hospital (teaching hospital) | Responsibility for education and clinical trials |
Critical assessment and instructions relating to new methods and treatments |
Diagnostic and prognostic specialist studies |
Central hospital (Regional hospital) | Patient-specific diagnosis |
Patient information |
Patient-specific treatment plan, monitoring guidelines |
Local hospital | Check-ups every 3-6 months during the treatment free period (cell counts and palpation of lymph nodes) |
Responsibility for carrying out the treatment as per guidelines issued by the Central Hospital staff (treatment is chosen individually for each patient)
- Cell counts: always before the next treatment cycle (treatment must not start until neutrophils > 1 × 109 /l or platelets > 70 × 109 /l or at least at baseline value) and every 1-2 months during ongoing treatment.
- Responsibility for stopping the treatment if an infection is suspected.
|
Health centre | In stable or slowly progressing disease with good prognosis, check-ups every 6-12 months during the treatment free period (cell counts and palpation of lymph nodes) |
Check-ups every 12-18 months in monoclonal lymphocytosis (MBL) |