Ambulatory, Breast Cancer, Skin Cancer, Surgery
Conditions
Keywords
Breast Cancer, Skin cancer, Surgery, Ambulatory
Brief summary
The number of surgical procedures performed in ambulatory hospitalization for cancers of the skin or breast is increasing for medical and economic reasons. But the protocols of care and the clinical pathways are poorly adapted for elderly patients with physical or cognitive impairment. The goal of this study is to test the impact of an oncology ambulatory surgical care in patients aged 75 years or older, with breast or skin cancer and treated in Henri Mondor hospital on the increase in the proportion of patients operated on an outpatient basis
Interventions
OTHERHealth care process with Nurse Navigator
A Nurse Navigator will: * Be present at the announcement consultation * Give information on the outpatient circuit * Offer assistance for patients over 75 years * Complete onco-geriatric orientation questionnaires * Take care of patients on the ambulatory circuit
Sponsors
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
COHORT
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
75 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient ≥ 75 years old with breast cancer or skin cancer and requiring surgical excision: partial mastectomy, lumpectomy, axillary dissection, cutaneous excision, etc. * With an indication of ambulatory care * Patient (legal representative or trusted person or member of the family) having been informed and having given his non-oral objection to his participation in the study * Possessing a health insurance
Exclusion criteria
* Patients reserved for breast reconstruction to the operative gesture of tumor resection. * Patients do not consent to care because of deficient mental state. * Formal surgical contraindication due to a pathology medical device does not allow anesthesia. - Participation in another interventional research or be in the exclusion period after a previous search, if applicable
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients operated on an outpatient basis | 3 month | Test the impact of an oncology ambulatory surgical care in patients aged 75 years or older, with breast or skin cancer and treated in Henri Mondor hospital |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients converted to conventional care | at Day 30 and Day 90 | Test the impact of the new organization of care on the proportion of patients converted to conventional care |
| Number of the passage to emergencies | at Day 30 and Day 90 | Test the impact of the new organization of care on the passage to emergencies |
| Number of not programmed hospitalizations | at Day 30 and Day 90 | Test the impact of the new organization of care on the not programmed hospitalizations |
| The autonomy Activities of Daily Living (ADL) | at Day 30 and Day 90 | Test the impact of the new organization of care on the autonomy (ADL/IADL) |
| The autonomy Instrumental Activities of Daily Living (IADL) | at Day 30 and Day 90 | Test the impact of the new organization of care on the autonomy (ADL/IADL) |
| Number of death | at Day 30 and Day 90 | Test the impact of the new organization of care on the mortality |
| Number of passage to Long-term care and skilled nursing facilities | at Day 30 and Day 90 | Test the impact of the new organization of care on the passage to Long-term care and skilled nursing facilities |
| Number of postoperative complications | at Day 90 | Test the impact of the new organization of care on the postoperative complications |
| Costs of care | at Day 30 and Day 90 | Test the impact of the new organization of care on the costs of care |
| Patients' satisfaction (questionnaire) for the prospective part of the study | at Day 30 and Day 90 | Test the impact of the new organization of care on patients' satisfaction |
| Patient's quality of life (EQ50 questionnaire, for the prospective part of the study) | at Day 30 and Day 90 | Test the impact of the new organization of care on quality of life (EQ50) (for the prospective part of the study) |
| Number of institutionalization to Long-term care and skilled nursing facilities | at Day 30 and Day 90 | Test the impact of the new organization of care on the institutionalization to Long-term care and skilled nursing facilities |
Countries
France
Contacts
Primary ContactRomain BOSC, MD
Outcome results
None listed