Quality of Life and Cancers in Nursing Homes

Study Overview
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Brief Summary
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Quality of life (QOL) of nursing homes residents with cancer in France is not known. High prevalence of neurodegenerative diseases makes it difficult. It was found that oncological management is suboptimal among Poitevin territory residents. Publications report an inadequate management of symptoms of discomfort related to cancers. The multicentric study will comparate quality of life in patients with and without Cancers in nursing homes, including residents with neurodegenerative disease, using validated questionnaires. These questionnaires, as well as pain evaluation, will be carried out by a geriatric consultations' nurse.

Detailed Description
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Investigators will also make a descriptive inventory of the oncological care and support care in these patients, in order to evaluate the need for a specific oncogeriatric intervention. Quality of life and pain will be compared with a randomized residents control group, in each hospital.

Official Title
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Quality of Life and Cancers in Nursing Homes

Conditions
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Quality of Life, Cancer, Nurse's Role

Intervention / Treatment
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* Diagnostic Test: quality of life and pain measurement .


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Affiliated to the social security system talking french language Cancer group: All residents with a history of cancer, Control group: residents without any history of cancer (same number of residents as in the cancer group), randomly selected in each nursing home, matched to age, sex, presence of dementia (mild or Moderate), and AGGIR dependancy scale Exclusion Criteria: Severe dementia (MMS <10/30) • Total disability to communicate

Ages Eligible for Study
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Minimum Age: 70 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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Design Details

Primary Purpose: Supportive Care
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: cancer patient<br>cancer patient | Diagnostic Test: quality of life and pain measurement .<br>* comparison of quality of life measurement in residents with cancer and in cancer-free residents, by a geriatric consultations'nurse<br>|
| Active Comparator: no cancer patient<br>no cancer patient | Diagnostic Test: quality of life and pain measurement .<br>* comparison of quality of life measurement in residents with cancer and in cancer-free residents, by a geriatric consultations'nurse<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| quality of life measurement in patients | Logsdon Quality Of Life Alzheimer Dementia scale if neurodegenerative disease or WHO-Quality Of Life- OLD scale if none | day 1 | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pain level | Simple Verbal Scale or Doloplus scale | day 1 | 
| independance loss | AGGIR(Autonomie Gérontologique et Groupes Iso-Ressources) scale | day 1 | 
| frequency of dementia | in ordrer to Prepare a interventionnal care study for residents with cancer: Describing cancers management in nursing homes without any oncogeriatrician, Refining the expected effect of an oncogeriatry intervention on QOL (margin of improvement relative to the cancer free population) Estimating the intraclass correlation coefficient of QOL, Compare quality of life scores among seniors with no cognitive impairment | 3 months |