Towards an Early Integration of Palliative Care in Oncology

Study Overview
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Brief Summary
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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
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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.

Official Title
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Towards an Early Integration of Palliative Care in Oncology: Descriptive Study of Needs for Patients With Metastatic Cancer and the Adequacy of These Needs With Healthcare Facilities

Conditions
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Metastatic Cancer, Palliatives Treatments

Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Auto-evaluation | Evaluation by patient and principal caregiver the health needs. Questionnaires: EORTC-QLQ C30 | at baseline | 
| Auto-evaluation | Evaluation by patient and principal caregiver the health needs. Questionnaires: SCNS-SF34 | at baseline | 
| Auto-evaluation | Evaluation by patient and principal caregiver the health needs. Questionnaires: EPICES | at baseline | 
| Auto-evaluation | Evaluation by patient and principal caregiver the health needs. Questionnaires: Echelle de Zarit. | at baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Description of disease |  | at baseline | 
| Clinical trajectory description |  | at baseline | 
| Proportion (%) of patients needing palliative treatment |  | at the end of study | 
| Survivor (%) | Vital statute of patients at 1 year | at 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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metastatic cancer, palliative care, oncology, health needs, early integration