Clinical trial NCT04395040: Identify the Obstacles to Early Diagnosis of Cancer in Patients Over 75 Years Old, on an Outpatient Basis
Official title: Identify the Obstacles to Early Diagnosis of Cancer in Patients Over 75 Years Old, on an Outpatient Basis
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Cancer
Aging
Lead sponsor: Hospices Civils de Lyon
Sponsor class: OTHER
First posted: 2020-05-20
Enrollment: 16
Sex: ALL
Minimum age (years): 75
Standard ages: OLDER_ADULT
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Elderly patients with digestive or breast cancer.

Brief summary: A third of cancers are diagnosed in patients over 75 years of age. There are fears of the elderly talking about new symptoms. The doctor may find himself trapped by general symptoms, which can be confused with "normal aging".

Some older, younger people have lived in a world where cancer was little talked about, where there was little treatment possible.

There is an idea that doctors are not very quick to start curative treatment because they think that the elderly cannot bear it.

It is important to differentiate screening and early diagnosis.

Delayed treatment causes a decrease in survival and quality of life. Cancer can be discovered suddenly: for example, occlusion with peritonitis in case of a stenosing colonic tumor, leading to urgent management.

The elderly are often excluded from clinical studies.

In addition, the geriatric population is heterogeneous, leading to very diverse and individual care, with prioritization of issues.

Oncogeriatrics, which combines two services (oncology and geriatrics), is a specialized discipline, promoting comprehensive care for the elderly patient with cancer.

The general practitioner is at the center of care. It detects early signs and starts examinations if necessary.

Cancer care can be divided up with the different stages of care with various teams, including organ specialists.

The general practitioner is the privileged interlocutor for the patient and their family (medico-psycho-social plan), who knows their history and their experience.


Eligibility criteria: Inclusion Criteria:

* Patients over 75 years old (terminal included)
* Incident diagnosis
* Has cancer whose diagnosis dates back more than 3 months
* Digestive cancer, breast cancer
* Stage of advanced cancer (TNM stage: T\> T2 (terminal included), M1)
* According to the opinion of the oncogeriatrician on the time of taking charge
* Follow-up of a geriatrics service, onco-geriatrics orientation
* Living in the Rhône department
* Non-opposition of the patient to the study

Exclusion Criteria:

* Cancer diagnosis more than 6 months old
* Patient denies

Primary outcomes:
measure: Identify the obstacles to the early diagnosis of cancer in patients over 75 years old suffering from cancer.
timeFrame: 1 hour
Secondary outcomes:
Other outcomes:
Locations:
city: Lyon
country: France
facility: Centre Léon Bérard
city: Pierre-Bénite
country: France
facility: Hôpital Lyon Sud
city: Viriat
country: France
facility: Centre hospitalier Fleyriat
Study officials:
affiliation: Hospices Civils de Lyon
name: Camille TAZELMATI, MD Student
role: PRINCIPAL_INVESTIGATOR
affiliation: Hospices Civils de Lyon
name: Marie VALERO, MD
role: STUDY_DIRECTOR
References: