Metastatic Cancer, Palliatives Treatments
Conditions
Keywords
metastatic cancer, palliative care, oncology, health needs, early integration
Brief summary
The primary objective of the study is to describe the nature and to estimate the prevalence the health needs of patients with metastatic cancer and their main caregivers, between the period from diagnosis to death. As secondary objectives, the study aims: * to determinate the proportion of patients with an indication for palliative care according to Hui et al., and to describe the adequation of health needs and the services for them; * to study the association between clinical pathway and the indication of targeted palliative care; * to study the association between the integration of palliative care service and the adequation of health needs service of patients; * to study the factors such as the disease, the practice and the care, contribute to the patient's survivor of 1 year.
Detailed description
This is a descriptive, transversal, multicenter study, which will be performed in healthcare facilities in Ile de France area. Each investigator center will be composed by oncologist / palliative care and support team. 10 centers will participate to the study, enrollement will be perfomed during 6 months targetting 400 patients with advanced cancer.
Interventions
None listed
Sponsors
Fondation de France
Assistance Publique - Hôpitaux de Paris
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients ≥ 18 years; * Diagnosed metastatic cancer; * Outpatient or inpatient care at a participating site to the study; * Affiliation to the social security scheme; * Patient informed and non-opposed to participate to the study.
Exclusion criteria
* Testicular or choriocarcinoma ovarian cancer; * Hematology cancer; * No understanding french language; * Unable to express if needed his non-opposition opinion, according to physician investigator; * Visually impaired, hearing impaired or aphasic.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Auto-evaluation | at baseline | Evaluation by patient and principal caregiver the health needs. Questionnaires: EORTC-QLQ C30 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Description of disease | at baseline | — |
| Clinical trajectory description | at baseline | — |
| Proportion (%) of patients needing palliative treatment | at the end of study | — |
| Survivor (%) | at 1 year | Vital statute of patients at 1 year |
Countries
France
Outcome results
None listed