{"key":"op_37_US","page":{"url":"https://ua.bookimed.com/clinics/country=united-states/procedure=chemotherapy/","procedure":{"id":37,"slug":"chemotherapy","name":"Хіміотерапія","name_forms":{"plural":{"status":"missing","reason":"not_collected"},"genitive":{"status":"missing","reason":"not_collected"}},"type":"therapy","grammar_number":{"status":"missing","reason":"not_collected"},"parent_id":"hematology","family_attribute":{"status":"missing","reason":"not_collected"}},"country":{"id":44,"iso":"US","name":"Сполучені Штати Америки"},"currency":"USD","data_date":"2026-10-06"},"pages":{"clinics_url":"https://ua.bookimed.com/clinics/country=united-states/procedure=chemotherapy/","cost_url":"https://ua.bookimed.com/clinics/country=united-states/procedure=chemotherapy/cost/","best_url":{"status":"missing","reason":"template not live"}},"price":{"from":9000,"to":20000,"avg":{"status":"missing","reason":"no_offers"},"us":{"from":9000,"to":20000},"uk":{"from":4500,"to":9500},"by_technique":{"status":"missing","reason":"not_collected"},"by_city":[{"city":"Х'юстон","from":5800},{"city":"Прінстон","from":4800},{"city":"Нью-Йорк","from":5200},{"city":"Сан-Дієго","from":6500}],"per_unit":{"status":"missing","reason":"not_collected"},"factors":{"status":"missing","reason":"not_collected"},"tiers":{"status":"missing","reason":"no_offers"},"comparison":[{"country_iso":"UA","from":900,"to":2600},{"country_iso":"FR","from":2200,"to":4800},{"country_iso":"GB","from":4500,"to":9500},{"country_iso":"IL","from":1200,"to":8500},{"country_iso":"TR","from":1000,"to":2900},{"country_iso":"MX","from":2200,"to":5200},{"country_iso":"DE","from":3000,"to":10500},{"country_iso":"CA","from":6500,"to":17000},{"country_iso":"AE","from":3500,"to":9000},{"country_iso":"TH","from":1000,"to":4200},{"country_iso":"PL","from":1800,"to":4200},{"country_iso":"KR","from":1900,"to":6500},{"country_iso":"CZ","from":1800,"to":4500},{"country_iso":"AT","from":990,"to":8500},{"country_iso":"ES","from":2200,"to":4800},{"country_iso":"IT","from":2200,"to":4800},{"country_iso":"CN","from":5000,"to":6500},{"country_iso":"AU","from":2800,"to":7500},{"country_iso":"IN","from":800,"to":3800},{"country_iso":"MY","from":1800,"to":4200},{"country_iso":"VN","from":2200,"to":4800},{"country_iso":"BR","from":2500,"to":5000},{"country_iso":"AZ","from":7200,"to":{"status":"missing","reason":"not_collected"}}],"base_country":"US","base_is_fallback":false},"savings":{"pct":0,"variant":"ranges_overlap"},"package":{"included":{"status":"missing","reason":"no_offers"},"excluded":{"status":"missing","reason":"no_offers"},"extra_charges":{"status":"missing","reason":"not_collected"}},"clinics":{"count":4,"items":[{"id":79,"name":"University of Texas MD Anderson Cancer Center","city":"Houston","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":1,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":80,"name":"Cleveland Clinic","city":"Cleveland","rating":4.8,"reviews_count":4,"accreditations":["Accreditation Canada Diamond Status Level","QHA Trent Accreditation","World's Best Hospitals 2022 by Newsweek","World's Best Smart Hospitals 2023 by Newsweek","Fellow, American College of Surgeons","Given to the doctor International Society of Aesthetic Plastic Surgery (ISAPS) Сertificate"],"rank":2,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":81,"name":"Princeton Hospital at Plainsboro","city":"Princeton","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":3,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}},{"id":83,"name":"Memorial Sloan Kettering Cancer Center","city":"New York","rating":{"status":"missing","reason":"not_collected"},"reviews_count":{"status":"missing","reason":"not_collected"},"accreditations":{"status":"missing","reason":"not_collected"},"rank":4,"has_procedure":true,"why_ranked":{"status":"missing","reason":"not_collected"},"bookimed_stats":{"status":"missing","reason":"not_published"},"procedure_description":{"status":"missing","reason":"not_collected"},"offers":{"status":"missing","reason":"no_offers"}}]},"doctors":{"count":{"status":"missing","reason":"not_collected"},"languages":{"status":"missing","reason":"not_collected"}},"cities":[{"id":99,"slug":"houston","name":"Х'юстон","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":5800,"profile":{"city_type":"Most populous city in Texas","access":["Houston Airport (IAH), 37 km north of downtown","Hobby Airport (HOU), 11 km from the city center"],"sources":["https://en.wikipedia.org/wiki/Houston","https://en.wikipedia.org/wiki/George_Bush_Intercontinental_Airport","https://en.wikipedia.org/wiki/William_P._Hobby_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":103,"slug":"princeton","name":"Прінстон","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":4800,"profile":{"status":"missing","reason":"not_collected"}},{"id":105,"slug":"new-york","name":"Нью-Йорк","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":5200,"profile":{"city_type":"Most populous U.S. city","access":["JFK Airport (JFK), 26 km from Midtown Manhattan"],"sources":["https://en.wikipedia.org/wiki/New_York_City","https://en.wikipedia.org/wiki/John_F._Kennedy_International_Airport"],"checked_at":"2026-11-03","status":"ok"}},{"id":1703,"slug":"san-diego","name":"Сан-Дієго","clinics_count":{"status":"missing","reason":"not_collected"},"price_from":6500,"profile":{"city_type":"Pacific coast city near Mexican border","access":["San Diego Airport (SAN), 5 km northwest of downtown"],"sources":["https://en.wikipedia.org/wiki/San_Diego","https://en.wikipedia.org/wiki/San_Diego_International_Airport"],"checked_at":"2026-11-03","status":"ok"}}],"offers":{"active":{"status":"missing","reason":"no_offers"},"active_with_related":{"status":"missing","reason":"no_offers"},"hospital_nights_median":{"status":"missing","reason":"no_offers"},"days_in_country_median":{"status":"missing","reason":"no_offers"},"top_offers":{"status":"missing","reason":"no_offers"},"packages":{"status":"missing","reason":"no_offers"},"related_packages":{"status":"missing","reason":"no_offers"},"other_packages":{"status":"missing","reason":"no_offers"}},"medical":{"indications":["Treatment of many solid tumors and hematologic malignancies","Adjuvant therapy after surgery to reduce recurrence risk","Neoadjuvant therapy to shrink tumors before surgery or radiotherapy","Palliative disease control in advanced or metastatic cancer"],"contraindications":["Severe uncontrolled active infection","Pregnancy, especially first trimester, unless benefit outweighs risk","Severe bone marrow suppression at dosing (temporary; delay dose)","Severe liver, kidney or heart impairment (relative; regimen-specific)","Known severe hypersensitivity to the planned agent","Poor performance status making toxicity unacceptable (relative)"],"operation_hours":{"min":2,"max":6,"unit":"hours","qualifier":"Per cycle visit including premedication and infusion; depends on regimen and drugs."},"anesthesia":["none"],"sessions_or_stages":{"sessions":{"min":4,"max":6,"unit":"visits","qualifier":"Typical number of infusion cycles; varies by cancer type, regimen and response."},"stages":[{"code":"cycle_1","label":"First cycle and tolerance check","after":{"min":0,"max":0,"unit":"days","qualifier":"Start of treatment"}},{"code":"cycle_2","label":"Second cycle","after":{"min":14,"max":28,"unit":"days","qualifier":"Interval depends on regimen"}},{"code":"interim_response","label":"Interim response assessment","after":{"min":42,"max":84,"unit":"days","qualifier":"After 2-3 cycles"}},{"code":"remaining_cycles","label":"Remaining cycles","after":{"min":42,"max":150,"unit":"days","qualifier":"Until course completion"}}],"qualifier":"Cyclical intravenous regimen repeated every 2-4 weeks; each cycle is a day-case visit."},"hospital_nights":{"value":{"min":0,"max":0,"unit":"nights","qualifier":"Usually day-case or outpatient with no overnight stay; high-dose or leukemia induction regimens and febrile neutropenia may need admission."},"source":"parsed_details"},"treatment_conditions":["day_case","outpatient"],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Functional recovery between cycles; depends on regimen, blood count recovery and fatigue."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After a single cycle, once fever-free with acceptable blood counts; long stays for a full course are usually planned."},"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Per cycle; depends on regimen intensity, fatigue and nadir timing; many patients work reduced hours during treatment."},"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity such as walking is encouraged between cycles; intensity limited by fatigue, low blood counts and central line."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Typical course of 4-6 cycles; response assessed by imaging after 2-3 cycles and at course completion."},"result_longevity":"Depends on cancer type, stage and intent: curative or adjuvant treatment can give lasting remission; palliative treatment controls disease for months to a few years.","main_risks":["Nausea and vomiting","Fatigue","Myelosuppression with infection risk, anemia and bleeding","Hair loss (agent-dependent)","Mucositis","Peripheral neuropathy (agent-dependent)","Organ toxicity (e.g., cardiac, kidney, liver; agent-dependent)","Infusion reactions and extravasation","Fertility impairment","Rare secondary malignancies","Tumor lysis syndrome (in chemosensitive hematologic malignancies)","Diarrhea"],"complication_rate_pct":{"min":20,"max":60,"unit":"percent","qualifier":"Grade 3-4 adverse events (e.g. neutropenia, febrile neutropenia) during course; mild side effects affect most patients."},"revision_rate_pct":{"status":"missing","reason":"not_collected"},"success":{"metric":"Objective tumor response (complete or partial) after course","value":50,"horizon":"At end of 4-6 cycle course","source":{"status":"missing","reason":"not_collected"},"evidence_status":"limited"},"scars":"Chemotherapy itself leaves no surgical scars; there may be a small scar from an implanted port or central line, occasional vein discoloration, and rarely skin damage after extravasation of a vesicant drug.","pain":"Usually little pain from administration beyond IV access discomfort; side effects such as mucositis, neuropathy or headache can cause discomfort depending on the regimen.","preparation":["Oncology assessment confirming diagnosis, stage and regimen","Baseline blood tests and organ function assessment","Fertility preservation counselling","Dental and infection screening where appropriate","Venous access planning (peripheral line or central venous device)","Anti-nausea prophylaxis and side-effect management plan","Pregnancy test where relevant","Hepatitis B and viral screening","Education on side effects and when to seek help"],"recovery_timeline":[{"phase":"Infusion day","description":"Premedication, intravenous infusion and observation, then discharge home or to accommodation the same day.","restrictions":["Arrange transport","Avoid driving if sedated by antiemetics"]},{"phase":"Days 1-5","description":"Peak nausea, fatigue and appetite change; antiemetics and hydration support recovery.","restrictions":["Rest as needed","Avoid alcohol","Avoid sick contacts"]},{"phase":"Days 7-14","description":"Blood count nadir with highest infection and bleeding risk; possible mucositis and hair loss.","restrictions":["Seek urgent care for fever","Avoid crowds","Avoid contact sports"]},{"phase":"Days 14-21","description":"Blood counts recover and energy improves before the next cycle.","restrictions":{"status":"missing","reason":"not_collected"}},{"phase":"Course completion","description":"Cycles repeat every 2-4 weeks, then end-of-treatment imaging; energy gradually returns over weeks to months.","restrictions":["Gradual return to normal activity"]}],"follow_up_visits":[{"purpose":"assessment","requirement":"routine","after":{"min":7,"max":14,"unit":"days","qualifier":"Blood count check near nadir, with toxicity review"}},{"purpose":"assessment","requirement":"routine","after":{"min":21,"max":28,"unit":"days","qualifier":"Pre-cycle review with blood and organ function tests before next cycle"}},{"purpose":"result_review","requirement":"routine","after":{"min":42,"max":84,"unit":"days","qualifier":"Interim imaging response assessment after 2-3 cycles"}},{"purpose":"other","requirement":"conditional","after":{"min":3,"max":21,"unit":"days","qualifier":"Urgent review for fever, severe vomiting or infusion site problems"}}],"sources":{"status":"missing","reason":"not_collected"},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you can put your treatment questions to the treating team directly","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you understand the complications and side effects of the treatment before it starts","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated before you commit to treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check the accreditation or certification of the facility and its healthcare professionals. Some may lack it","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C6","text":"Check that you are satisfied with the facilities and standards where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Warning sign: pressure to make a quick decision about treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Warning sign: a hard sell from the clinic or its sales contact","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Warning sign: no discussion of possible complications during the consultation before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"Warning sign: no mention of aftercare when the treatment is offered","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F5","text":"Warning sign: a lack of information about the treatment when you ask about it","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe flu-like symptoms after chemotherapy","urgency":"emergency","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/treatment/side-effects/flu-symptoms","host":"cancer.gov","quote":"If flu-like symptoms are severe, you may be advised to seek immediate medical attention.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bleeding from the rectum during chemotherapy","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/treatment/side-effects/bleeding-bruising","host":"cancer.gov","quote":"Tell your doctor or nurse if you are constipated or notice bleeding from your rectum.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Trouble eating during chemotherapy","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/chemotherapy","host":"cancer.gov","quote":"Tell your doctor or nurse if you have trouble eating while you are receiving chemotherapy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever during chemotherapy is a medical emergency","urgency":"emergency","general":true,"source":{"url":"https://www.cdc.gov/cancer/preventinfections/fever.htm","host":"cdc.gov","quote":"If you get a fever during your chemotherapy treatment, it's a medical emergency.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Generic names help the home doctor, since trade names vary widely","document":"medication list with generic names","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Include generic names of all medications because trade names vary widely.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}},"parsed_details":{"procedure_type":"therapy","fields":{"anesthesia":["none"],"back_to_work_days":{"min":2,"max":7,"unit":"days","qualifier":"Per cycle; depends on regimen intensity, fatigue and nadir timing; many patients work reduced hours during treatment."},"complication_rate_pct":{"min":20,"max":60,"unit":"percent","qualifier":"Grade 3-4 adverse events (e.g. neutropenia, febrile neutropenia) during course; mild side effects affect most patients."},"contraindications":["Severe uncontrolled active infection","Pregnancy, especially first trimester, unless benefit outweighs risk","Severe bone marrow suppression at dosing (temporary; delay dose)","Severe liver, kidney or heart impairment (relative; regimen-specific)","Known severe hypersensitivity to the planned agent","Poor performance status making toxicity unacceptable (relative)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Usually day-case or outpatient with no overnight stay; high-dose or leukemia induction regimens and febrile neutropenia may need admission."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light activity such as walking is encouraged between cycles; intensity limited by fatigue, low blood counts and central line."},"final_result_months":{"min":3,"max":6,"unit":"months","qualifier":"Typical course of 4-6 cycles; response assessed by imaging after 2-3 cycles and at course completion."},"fly_home_after_days":{"min":3,"max":7,"unit":"days","qualifier":"After a single cycle, once fever-free with acceptable blood counts; long stays for a full course are usually planned."},"follow_up_visits":[{"purpose":"assessment","after":{"min":7,"max":14,"unit":"days","qualifier":"Blood count check near nadir, with toxicity review"},"requirement":"routine"},{"purpose":"assessment","after":{"min":21,"max":28,"unit":"days","qualifier":"Pre-cycle review with blood and organ function tests before next cycle"},"requirement":"routine"},{"purpose":"result_review","after":{"min":42,"max":84,"unit":"days","qualifier":"Interim imaging response assessment after 2-3 cycles"},"requirement":"routine"},{"purpose":"other","after":{"min":3,"max":21,"unit":"days","qualifier":"Urgent review for fever, severe vomiting or infusion site problems"},"requirement":"conditional"}],"indications":["Treatment of many solid tumors and hematologic malignancies","Adjuvant therapy after surgery to reduce recurrence risk","Neoadjuvant therapy to shrink tumors before surgery or radiotherapy","Palliative disease control in advanced or metastatic cancer"],"main_risks":["Nausea and vomiting","Fatigue","Myelosuppression with infection risk, anemia and bleeding","Hair loss (agent-dependent)","Mucositis","Peripheral neuropathy (agent-dependent)","Organ toxicity (e.g., cardiac, kidney, liver; agent-dependent)","Infusion reactions and extravasation","Fertility impairment","Rare secondary malignancies","Tumor lysis syndrome (in chemosensitive hematologic malignancies)","Diarrhea"],"pain":"Usually little pain from administration beyond IV access discomfort; side effects such as mucositis, neuropathy or headache can cause discomfort depending on the regimen.","preparation":["Oncology assessment confirming diagnosis, stage and regimen","Baseline blood tests and organ function assessment","Fertility preservation counselling","Dental and infection screening where appropriate","Venous access planning (peripheral line or central venous device)","Anti-nausea prophylaxis and side-effect management plan","Pregnancy test where relevant","Hepatitis B and viral screening","Education on side effects and when to seek help"],"recovery_timeline":[{"phase":"Infusion day","description":"Premedication, intravenous infusion and observation, then discharge home or to accommodation the same day.","restrictions":["Arrange transport","Avoid driving if sedated by antiemetics"]},{"phase":"Days 1-5","description":"Peak nausea, fatigue and appetite change; antiemetics and hydration support recovery.","restrictions":["Rest as needed","Avoid alcohol","Avoid sick contacts"]},{"phase":"Days 7-14","description":"Blood count nadir with highest infection and bleeding risk; possible mucositis and hair loss.","restrictions":["Seek urgent care for fever","Avoid crowds","Avoid contact sports"]},{"phase":"Days 14-21","description":"Blood counts recover and energy improves before the next cycle.","restrictions":[]},{"phase":"Course completion","description":"Cycles repeat every 2-4 weeks, then end-of-treatment imaging; energy gradually returns over weeks to months.","restrictions":["Gradual return to normal activity"]}],"rehabilitation_days":{"min":7,"max":21,"unit":"days","qualifier":"Functional recovery between cycles; depends on regimen, blood count recovery and fatigue."},"result_longevity":"Depends on cancer type, stage and intent: curative or adjuvant treatment can give lasting remission; palliative treatment controls disease for months to a few years.","revision_rate_pct":null,"scars":"Chemotherapy itself leaves no surgical scars; there may be a small scar from an implanted port or central line, occasional vein discoloration, and rarely skin damage after extravasation of a vesicant drug.","sessions_or_stages":{"sessions":{"min":4,"max":6,"unit":"visits","qualifier":"Typical number of infusion cycles; varies by cancer type, regimen and response."},"stages":[{"code":"cycle_1","label":"First cycle and tolerance check","after":{"min":0,"max":0,"unit":"days","qualifier":"Start of treatment"}},{"code":"cycle_2","label":"Second cycle","after":{"min":14,"max":28,"unit":"days","qualifier":"Interval depends on regimen"}},{"code":"interim_response","label":"Interim response assessment","after":{"min":42,"max":84,"unit":"days","qualifier":"After 2-3 cycles"}},{"code":"remaining_cycles","label":"Remaining cycles","after":{"min":42,"max":150,"unit":"days","qualifier":"Until course completion"}}],"qualifier":"Cyclical intravenous regimen repeated every 2-4 weeks; each cycle is a day-case visit."},"success":{"metric":"Objective tumor response (complete or partial) after course","value":50,"unit":"percent","horizon":"At end of 4-6 cycle course","population":"Adults with chemosensitive solid or hematologic cancers on standard first-line regimen","evidence_status":"limited"},"techniques":[{"name":"Intravenous chemotherapy (infusion)","suits_whom":"Most common route; used for a wide range of cancers according to regimen","recovery":"Cyclical; side effects typically peak days after each cycle, with recovery before the next cycle"},{"name":"Oral chemotherapy","suits_whom":"Selected regimens and patients able to adhere to home treatment with monitoring","recovery":"Continuous or cyclical dosing at home; side effects depend on the agent"},{"name":"Regional or intrathecal chemotherapy","suits_whom":"Selected cases such as CNS involvement or localized disease","recovery":"Procedure-dependent; may need specialist monitoring"}],"treatment_conditions":["day_case","outpatient"],"treatment_duration_hours":{"min":2,"max":6,"unit":"hours","qualifier":"Per cycle visit including premedication and infusion; depends on regimen and drugs."},"initial_assessment_documents":["Biopsy and histopathology report","Staging CT or PET-CT reports","Current oncologist treatment plan or regimen","Recent blood tests with kidney and liver function","Previous chemotherapy and radiotherapy records (if available)","Tumor marker and molecular testing results"],"travel_trips":{"min":2,"max":6,"one_trip_possible":false,"qualifier":"Standard course of 4-6 cycles every 2-4 weeks; one trip only if the full course is lived abroad."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check the qualifications of the medical team that will treat you abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you checked the qualifications of the medical team treating you?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C2","text":"Check that you can put your treatment questions to the treating team directly","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Have you been able to ask them questions about your treatment?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C3","text":"Check that you understand the complications and side effects of the treatment before it starts","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C4","text":"Check how your aftercare will be coordinated before you commit to treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Ensure you're clear about how your aftercare will be coordinated.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check the accreditation or certification of the facility and its healthcare professionals. Some may lack it","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Some facilities and healthcare professionals abroad might lack accreditation or certification.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"C6","text":"Check that you are satisfied with the facilities and standards where you will be treated","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Are you satisfied with the facilities and standards at the clinic or hospital where you'll be treated?","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Warning sign: pressure to make a quick decision about treatment abroad","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"Warning sign: a hard sell from the clinic or its sales contact","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F3","text":"Warning sign: no discussion of possible complications during the consultation before booking","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F4","text":"Warning sign: no mention of aftercare when the treatment is offered","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F5","text":"Warning sign: a lack of information about the treatment when you ask about it","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"a hard sell, a lack of information, pressure to make a quick decision, no discussion of possible complications, no mention of aftercare.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe flu-like symptoms after chemotherapy","urgency":"emergency","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/treatment/side-effects/flu-symptoms","host":"cancer.gov","quote":"If flu-like symptoms are severe, you may be advised to seek immediate medical attention.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W2","text":"Bleeding from the rectum during chemotherapy","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/treatment/side-effects/bleeding-bruising","host":"cancer.gov","quote":"Tell your doctor or nurse if you are constipated or notice bleeding from your rectum.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W3","text":"Trouble eating during chemotherapy","urgency":"contact_clinic","general":false,"source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/chemotherapy","host":"cancer.gov","quote":"Tell your doctor or nurse if you have trouble eating while you are receiving chemotherapy.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Fever during chemotherapy is a medical emergency","urgency":"emergency","general":true,"source":{"url":"https://www.cdc.gov/cancer/preventinfections/fever.htm","host":"cdc.gov","quote":"If you get a fever during your chemotherapy treatment, it's a medical emergency.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Generic names help the home doctor, since trade names vary widely","document":"medication list with generic names","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/what-to-do-when-sick-abroad.html","host":"cdc.gov","quote":"Include generic names of all medications because trade names vary widely.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":403}},{"id":"T2","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your cancer can be removed by a surgeon","name":"Cancer surgery","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types","host":"cancer.gov","quote":"Surgery, when used to treat cancer, is a procedure in which a surgeon removes cancer from your body.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"You want treatment that uses high-dose radiation to kill cancer cells","name":"Radiation therapy","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types","host":"cancer.gov","quote":"Radiation therapy is a type of cancer treatment that uses high doses of radiation to kill cancer cells and shrink tumors.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A3","text":"You want treatment that helps your immune system fight cancer","name":"Immunotherapy","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types","host":"cancer.gov","quote":"Immunotherapy is a type of cancer treatment that helps your immune system fight cancer.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":283}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"intravenous-chemotherapy","name":"Intravenous chemotherapy (infusion)","how_it_works":{"text":"Medicine is given into a vein through a drip or pump","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"A thin tube is inserted into a vein (usually in your arm) and attached to a bag of medicine (a drip) or a pump.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"oral-chemotherapy","name":"Oral chemotherapy","how_it_works":{"text":"Medicine is taken at home, with regular check-ups","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"You're given medicine to take at home and have regular appointments to check how things are going and get more medicine.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"regional","name":"Regional or intrathecal chemotherapy","how_it_works":{"text":"Medicine is injected into tissue spaces covering the brain and spinal cord","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/chemotherapy","host":"cancer.gov","quote":"injected into the space between the layers of tissue that cover the brain and spinal cord","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}}},"techniques":[{"id":"intravenous-chemotherapy","name":"Intravenous chemotherapy (infusion)","how_it_works":{"id":"H1","text":"Medicine is given into a vein through a drip or pump","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"A thin tube is inserted into a vein (usually in your arm) and attached to a bag of medicine (a drip) or a pump.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Most common route; used for a wide range of cancers according to regimen","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Cyclical; side effects typically peak days after each cycle, with recovery before the next cycle"},{"id":"oral-chemotherapy","name":"Oral chemotherapy","how_it_works":{"id":"H1","text":"Medicine is taken at home, with regular check-ups","source":{"url":"https://www.nhs.uk/tests-and-treatments/chemotherapy/","host":"nhs.uk","quote":"You're given medicine to take at home and have regular appointments to check how things are going and get more medicine.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected regimens and patients able to adhere to home treatment with monitoring","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Continuous or cyclical dosing at home; side effects depend on the agent"},{"id":"regional","name":"Regional or intrathecal chemotherapy","how_it_works":{"id":"H1","text":"Medicine is injected into tissue spaces covering the brain and spinal cord","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types/chemotherapy","host":"cancer.gov","quote":"injected into the space between the layers of tissue that cover the brain and spinal cord","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"},"suits_whom":"Selected cases such as CNS involvement or localized disease","price_from":{"status":"missing","reason":"not_collected"},"recovery":"Procedure-dependent; may need specialist monitoring"}],"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your cancer can be removed by a surgeon","name":"Cancer surgery","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types","host":"cancer.gov","quote":"Surgery, when used to treat cancer, is a procedure in which a surgeon removes cancer from your body.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A2","text":"You want treatment that uses high-dose radiation to kill cancer cells","name":"Radiation therapy","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types","host":"cancer.gov","quote":"Radiation therapy is a type of cancer treatment that uses high doses of radiation to kill cancer cells and shrink tumors.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":null},{"id":"A3","text":"You want treatment that helps your immune system fight cancer","name":"Immunotherapy","source":{"url":"https://www.cancer.gov/about-cancer/treatment/types","host":"cancer.gov","quote":"Immunotherapy is a type of cancer treatment that helps your immune system fight cancer.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200},"operation_id":283}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"diagnostic":{"status":"not_applicable"},"country":{"why":{"status":"missing","reason":"no_official_source","checked_at":"2026-11-11","next_check_at":"2027-02-09"},"travel":{"status":"ok","items":[{"id":"V1","item":"prescriptions","audience":"uk","volatile":false,"text":"UK prescriptions are not valid in United States of America","source":{"url":"https://www.gov.uk/foreign-travel-advice/usa/health","host":"gov.uk","quote":"UK prescriptions are not valid in the US.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V2","item":"hospital_payment","audience":"all","volatile":false,"text":"Some hospitals in United States of America ask non-US residents to pay a deposit when admitted","source":{"url":"https://www.gov.uk/foreign-travel-advice/usa/health","host":"gov.uk","quote":"Some hospitals ask non-US residents to pay a deposit when admitted.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}},{"id":"V3","item":"emergency_number","audience":"all","volatile":false,"text":"Dial 911 and ask for an ambulance","source":{"url":"https://www.gov.uk/foreign-travel-advice/usa/health","host":"gov.uk","quote":"Dial 911 and ask for an ambulance.","tier":"official_travel","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-05-10","version":1},"other_countries_with_page":["austria","azerbaijan","china","egypt","germany","greece","india","israel","italy","japan","latvia","malaysia","mexico","poland","republic-of-korea","spain","switzerland","thailand","turkey","ukraine","united-arab-emirates"]},"often_combined_with":{"status":"missing","reason":"not_collected"},"reviews":{"avg_rating":4.8,"count":4,"scope":"clinic","rating_scale":5,"pros":{"status":"missing","reason":"not_collected"},"cons":{"status":"missing","reason":"not_collected"}},"current":{"seo_text":{"status":"missing","reason":"not_collected"},"faq":[{"q":"Is United States of America a good place for Chemotherapy procedure?","a":"<p>According to Bookimed, the United States of America is a top destination for Chemotherapy procedures due to its world-class medical institutions and experienced doctors.</p>\n\n<ul>\n<li>Some of the best medical institutions in the world are located in the United States, such as the Cleveland Clinic, Memorial Sloan Kettering Cancer Center, MD Anderson Cancer Center, University Medical Center in Princeton, and Johns Hopkins Medical Center.</li>\n<li>These medical centers have highly ranked and experienced doctors who are members of the National Academies of Science and Medicine.</li>\n<li>The success rate of Chemotherapy treatment in the United States is high, with more than 130,000 patients receiving treatment annually at the MD Anderson Cancer Center and over 15,600 medical specialists treating more than 200 types of cancer at Memorial Sloan Kettering Cancer Center.</li>\n<li>Johns Hopkins Medical Center receives patients from 49 states each year.</li>\n</ul>"},{"q":"How long does it take to get Chemotherapy in United States of America?","a":"Total time for a Chemotherapy trip to USA varies based on treatment length and travel distance. Typically takes 1-6 months for treatment and recovery."},{"q":"Who is the best Chemotherapy doctors in United States of America?","a":"<p>Bookimed has identified the top doctors in United States of America who excel in performing Chemotherapy:</p><ol><li><strong>David B Sokol</strong>, Oncology</li></ol>"}],"h2":[{"text":"Яка вартість хіміотерапії в США?","kind":"content"},{"text":"Переваги та гарантії Bookimed","kind":"content"},{"text":"Ваш особистий лікар-координатор Bookimed","kind":"content"},{"text":"Пропозиції з хіміотерапії в США — листопад 2026","kind":"content"},{"text":"Дізнайтеся про найкращі клініки з хіміотерапії у США: 4 перевірені клініки та ціни","kind":"content"},{"text":"Огляд процедури Хіміотерапія в США","kind":"content"},{"text":"Отримайте медичну консультацію щодо хіміотерапії в США: Обирайте серед найкращих фахівців у галузі","kind":"content"},{"text":"Відеоісторії пацієнтів Bookimed","kind":"content"},{"text":"Поділитися цим контентом","kind":"content"},{"text":"FAQ з хіміотерапії в США","kind":"content"},{"text":"Отримати безкоштовну консультацію","kind":"content"}]},"placeholders":{"price_from":"{{price_from}}","clinics_count":"{{clinics_count}}","cities_count":"{{cities_count}}","savings_pct":"{{savings_pct}}","data_date":"{{data_date}}"},"legal":{"restricted_markets":{"status":"missing","reason":"not_collected"}},"conflicts":[]}