Palliative care in day-hospital for advanced cancer patients: a study protocol for a multicentre randomized controlled trial
In: ISSN: 1472-684X ; BMC Palliative Care ; https://hal.sorbonne-universite.fr/hal-03202087 ; BMC Palliative Care, 2021, 2021
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Zugriff:
International audience ; Background: Team-based and timely integrated palliative care is a gold standard of care in oncology, but issues concerning its optimal organization remain. Palliative Care in Day-Hospital (PCDH) could be one of the most efficient service model of palliative care to deliver interdisciplinary and multidimensional care addressing the complex supportive care needs of patients with advanced cancer. We hypothesize that, compared to conventional outpatient palliative care, PCDH allows the clinical benefits of palliative care to be enhanced.Methods/design: This study is a multicentre parallel group trial with stratified randomization. Patient management in PCDH will be compared to conventional outpatient palliative care. The inclusion criteria are advanced cancer patients referred to a palliative care team with an estimated life expectancy of more than 2 months and less than 1 year. The primary endpoint is health-related quality of life with deterioration-free survival based on the EORTC QLQ-C30 questionnaire. The secondary objectives are the following: increase in patient satisfaction with care using the EORTC PATSAT-C33 and OUT-PATSAT7 questionnaires, better understanding of the prognosis using the PTPQ questionnaire and advance care planning; decrease in the need for supportive care among relatives using the SCNS-P&C-F questionnaire, and reduction in end-of-life care aggressiveness. Patients will complete one to five questionnaires on a tablet before each monthly visit over 6 months and will be followed for 1 year. A qualitative study will take place, aiming to understand the specificity of palliative care management in PCDH. Cost-effectiveness, cost-utility and, an additional economic evaluation based on capability approach will be conducted from a societal point of view.Discussion: The first strength of this study is that it combines the main relevant outcomes assessing integrated palliative care; patient quality of life and satisfaction; discussion of the prognosis and advance care ...
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Palliative care in day-hospital for advanced cancer patients: a study protocol for a multicentre randomized controlled trial
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Autor/in / Beteiligte Person: | Thery, Laura ; Anota, Amélie ; Waechter, Lorraine ; Laouisset, Celine ; Marchal, Timothee ; Burnod, Alexis ; Angellier, Elisabeth ; Djoumakh, Oum El Kheir ; Thebaut, Clemence ; Brédart, Anne ; Dolbeault, Sylvie ; Mino, Jean-Christophe ; Bouleuc, Carole ; Institut Curie Paris ; Centre Léon Bérard Lyon ; Interactions hôte-greffon-tumeur, ingénierie cellulaire et génique - UFC (UMR INSERM 1098) (RIGHT) ; Institut National de la Santé et de la Recherche Médicale (INSERM)-Etablissement français du sang Bourgogne-Franche-Comté (EFS BFC)-Université de Franche-Comté (UFC) ; Université Bourgogne Franche-Comté COMUE (UBFC)-Université Bourgogne Franche-Comté COMUE (UBFC) ; Hôpital Cochin AP-HP ; Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP) ; Neuroépidémiologie Tropicale (NET) ; CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST) ; Université de Limoges (UNILIM)-Université de Limoges (UNILIM) ; Laboratoire d'Economie de Dauphine (LEDa) ; Institut de Recherche pour le Développement (IRD)-Université Paris Dauphine-PSL ; Université Paris Sciences et Lettres (PSL)-Université Paris Sciences et Lettres (PSL)-Centre National de la Recherche Scientifique (CNRS) ; Laboratoire de Psychopathologie et Processus de Santé (LPPS (URP_4057)) ; Université Paris Cité (UPCité) ; Sorbonne Université - Faculté de Médecine (SU FM) ; Sorbonne Université (SU) |
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Zeitschrift: | ISSN: 1472-684X ; BMC Palliative Care ; https://hal.sorbonne-universite.fr/hal-03202087 ; BMC Palliative Care, 2021, 2021 |
Veröffentlichung: | HAL CCSD ; BioMed Central, 2021 |
Medientyp: | academicJournal |
DOI: | 10.1186/s12904-021-00754-x |
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