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. 2015 Jun 18;10(6):e0128880. doi: 10.1371/journal.pone.0128880

Table 1. Data collected for the retrospective analysis of chemotherapy costs.

Time period Information collected
Baseline information of patient characteristics and pre-chemotherapy procedures Patient characteristics
Age
Socio-professional group
Body weight
Height
Body surface area
TNM (tumor, node, metastasis) classification
Ki-67 status
HER2 status
ER and PR status
Pre-chemotherapy tests and procedures
Central venous access implantation
Electrocardiogram
Laboratory tests
Functional heart tests
Oncologist consultations
Information collected for each chemotherapy cycle Chemotherapy regimen (chemotherapy agents, cumulative dose, start date, and end date)
Prophylactic agents (prophylactic treatment and cumulative dose)
Side effects (medications taken including hospitalizations and consultations)
Visits (number of general practitioner and specialist visits)
Hospitalizations (start date, end date, admission service, reason of admission, type of admission (day care or complete hospitalization) link to adverse events
Laboratory tests (hospital, home or laboratory, list of items tested)
Home care (date and reason)
Transport (ambulance, taxi, personal car, patient transport service ambulance, public transport, voucher from social insurance, number of kilometers between home and hospital)
Sick leave (start date and end date)