Cancer Clinical Trial
Official title:
Optimization and Improvement of Care Course for 75 Years and Over Patient With Cancer and Living in Nursing Home on the Marseille Agglomeration
According to data from the French National Cancer Institute (INCA), almost one third of the
cancers were diagnosed in overs 75 years patients in France in 2008. The elderly patients
management is an important part in oncology daily practice.
These last years, through the geriatric oncology development, collaboration between
oncologists and geriatricians, the anti-cancer management and supportive care for elderly
patients has evolved. The assessement of potential fragility helps to determine the cancers
appropriate treatment plan.
Studies have shown that alterations in geriatric fields, found through Comprehensive
Geriatric Assessment (CGA) are associated with poorer survival, increased risk of
chemotherapy severe toxicity and autonomy loss.
Nursing home residents have often more frailties and functional problems than living at home
elderly resulting in diagnostic and therapeutic cancer delay. In addition, nursing home
residents must have appropriate treatment to preserve as much as possible their quality of
life.
Transversal Onco-Geriatrics Unit (UTOG), Day Hospital (HDJ), External Geriatric Mobile Unit
(EMGE) of the Internal Medicine, Geriatric and Therapeutic Department of the Marseille
hospital propose to organize a personalized care course for nursing home residents with
cancer to minimize the diagnostics delay, facilitate their management in oncology and
maintain their quality of life.
Elderly patient with suspected cancer is oriented by EMGE to HDJ to realize an oncological
and geriatric assessment. Patient would be supported by UTOG and would have access to
technical platform.
According to his cancer and nursing home location, the nearest reference center would be
offered.
Treatment or course of action (monitoring, palliative care …) would be decided in
onco-geriatric multidisciplinary meeting (RCP) (organized by Onco-Geriatric Coordination
Unit UCOG PACA west) and programmed and fast hospitalization would be organized in the
reference center.
When returning in nursing homes, elderly patient would be revalued by EMGE to continue
therapeutic management and personalized care plan. The aim of this management is to allow a
shorter hospitalization and maintain the quality of life of frailty patient during cancer
treatment.
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