Aged Patients Treated for Cancer in Outclinics
Conditions
Keywords
aged, outpatients, cancer, accidental falls
Brief summary
The French Plan National AntiChute (published on February 21, 2022) and international recommendations on falls prevention (Age Ageing,September 2022) recommend identifying the risk of falling in people aged 65 and over, at least once a year during a follow-up consultation. The presence of chronic illness such as cancer increases the risk for falling. Recommendations suggest targeted preventive interventions according to the risk level, and early reassessment at 3 months in case of high risk. This study consists of a cross-sectional survey conducted during a week dedicated to patient safety (September 16-20, 2024), to identify the prevalence of patients at high risk for falling, requiring enhanced care. The relation between high risk for falling and social and oncological characteristics will be studied. A 3-month telephone follow-up will identify any obstacles to implementing the recommendations in this high-risk group. This multicenter cross-sectional prospective study is exploratory.
Interventions
DIAGNOSTIC_TESTscreening risk for falling and identifiy the risk level low-intermediate-high
3 key questions: Any posiitve answer to a) Has fallen in the past year? b) Feels unsteady when standing or walking? or c) Worries about falling? prompts to fall severity step. if no at the three questions= low level of fall-risk Fall severity: fall with injuires, laying on the ground with no capacity to get up, or a visit to emergency room, or loss of conscienciousness/suspected syncope. or Frailty (Clinical Frailty Scale)= if positive, high risk otherwise, 4 meter-walk test: if =\<0.8m/sec= intermediate risk if \>0.8m/sec=intermediate risk
DIAGNOSTIC_TEST3 mnth-follow-up
patient's phone call, and data collected from electronic medical record
Sponsors
University Hospital, Caen
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* aged 65 or over * undergoing treatment for cancer or hematological malignancy (oral or injectable systemic treatment, radiotherapy) * covered by health insurance * having read the information document and no objection * French-speaking * Autonomous ( with occasional assistance with instrumental daily activities),
Exclusion criteria
* refusal to participate * unable to communicate * dependent (requiring geriatric care)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| prevalence of each of the three levels of fall-risk | Day 1 | describe the distribution of patients in mild, intermediate and high risk for falling |
Secondary
| Measure | Time frame |
|---|---|
| look for association between high-risk categorization and rural place of residence, gender, age bracket (65-74 and 75 and over), investigating center, type of cancer (location). | Day 1 |
| Describe the rate of high-risk patients who will have benefited from (full or partial) implementation of recommended interventions according to 3-month follow-up. | 3 mnths |
| among high-risk patients followed up at 3 months, look for an association between the absence ofimplementation of recommendations and social, medical characteristics and motive | 3 mnths |
| describe the Average number of STOPPFALL medications per patient. Rate of patients with at least one oncologydrug listed as a fall risk (CIPN), in the 3 fall risk categories | Day 1 |
Countries
France
Outcome results
None listed