Neoplasms Clinical Trial
Official title:
A Randomized, Controlled, Multicenter, Prospective, Open Study Evaluating the Efficiency of the IsereADOM Home-care Service Package in the Prevention of Unplanned Hospitalizations of Patients With Cancer
The main objective of the project is to compare the effectiveness and efficiency of innovative care through the IsereADOM home-care service package versus standard care in the prevention of unplanned hospitalizations in patients with cancer treatment. In accordance with the recommendations of the French High Authority of Health (HAS), a cost-utility analysis (ACU) will be implemented
Specific management of cancer patients involves carrying out often heavy treatments (surgery,
chemotherapy, radiotherapy, interventional radiology, etc.) during which close coaching is
necessary. In spite of this adapted follow-up, the natural evolution of the disease and the
management of treatment tolerance make these patients a frail population, sometimes isolated,
for which admission to emergency services and admission to full hospitalization can be
required.
This trial will use a service package at home named IsereADOM, currently in the development
phase in the management of 4 types of populations:
- Retired persons with no proven loss of autonomy;
- Users with loss of autonomy at risk of falling;
- Cardiac insufficiency;
- Patients with cancer.
This service package is based on the identification of a person of proximity, called
"sentinel referent". This person, in charge of monitoring the patient at his / her home, has
access to various connected tools installed at the patient's home (scales, tensiometer ...)
as well as computer solutions enabling the sharing of information with the different actors
in the management of the patient.
In addition, the patient benefits from motivational coaching based on investigator's
recommendation and telephone and internet information platforms.
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