Multiple Myeloma
Conditions
Keywords
supportive care, multiple myeloma
Brief summary
Multiple myeloma is the second most frequent hematologic malignancy, which incidence augmented between 1995 and 2018, with an annual mean variation of +0.6% to 1.1%. Although treatment improved in the last years, the patients' prognostic is associated with cytogenetic abnormalities. Oncological supportive care provides patients with a global perspective, in addition to specific medical treatment adapted to pathology and patient profile. It contributes to the improvement of quality of life of patients, throughout their care pathway regarding physical, psychological and social aspects, according to their specific needs as well as their caregivers'. The aim of this study is to evaluate the quality of life at 6 months after multiple myeloma diagnosis in outpatients receiving paramedical consultations in oncological supportive care from the diagnosis versus outpatients receiving paramedical consultations in oncological supportive care after 6 months after diagnosis.
Interventions
Several appointments (at diagnosis, 3 months, 6 months and 9 months) with nursing coordinator to define the needs in oncological supportive care. Different appointments will be planned according to patient's needs, with several possibilities: oncological supportive care nurse, social worker, psychologist, physiotherapist, adapted physical activity, medication reconciliation, oncologic geriatric medicine, dietician, nutritionist, smoking cessation advisor, sexologist, sophrologist, pain management nursing and palliative care, socio-aesthetician and religious cult coordinator.
Two appointments (6 months and 9 months) with nursing coordinator to define the needs in oncological supportive care. Different appointments will be planned according to patient's needs, with several possibilities: oncological supportive care nurse, social worker, psychologist, physiotherapist, adapted physical activity, medication reconciliation, oncologic geriatric medicine, dietician, nutritionist, smoking cessation advisor, sexologist, sophrologist, pain management nursing and palliative care, socio-aesthetician and religious cult coordinator.
Sponsors
Study design
Eligibility
Inclusion criteria
* Age superior to 18 years old * Patient recently diagnosed with multiple myeloma not eligible to autologous blood stem-cell transplantation, before starting therapy in day hospital * Patient coming regularly to Centre Henri Becquerel for treatment and follow up for multiple myeloma * Informed consent form signed
Exclusion criteria
* Inclusion Criteria: * Age superior to 18 years old * Patient recently diagnosed with multiple myeloma not eligible to autologous blood stem-cell transplantation, before starting therapy in day hospital * Patient coming regularly to Centre Henri Becquerel for treatment and follow up for multiple myeloma * Informed consent form signed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of quality of life evolution in outpatients with multiple myeloma between the two groups | 6 months | Comparison of the score obtained with Functional Assessment of Cancer Therapy- Multiple Myeloma questionnary |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Qualitative evaluation of quality of life | 6 months | Semi-structured individual interviews |
| Comparison of quality of life in outpatients with multiple myeloma between the two groups | 3 months | Comparison of the score obtained with Functional Assessment of Cancer Therapy- Multiple Myeloma questionnary |
| Comparison of autonomy evolution in outpatients with multiple myeloma between the two groups | 6 months | Comparison of the score of Instrument Activities of daily Living questionnary |
Countries
France