Florian Scotté1,2,3,4, Christian Hervé5,6, Pauline Leroy5,6,7, Jean-Marc Tourani5,8, René-Jean Bensadoun5,9, Marie-Eve Bugat5,10, Fadila Farsi5,11,12, Nicolas Jovenin5,13, Moïse Namer5,14, Christophe Tournigand5,15, Sophie Morin5,6,7, Cloé Brami5,6,7, Stéphane Oudard16,5, Alexandre Saadi5,6,7, Ivan Krakowski5,17. 1. Department of Oncology, Hôpital Européen Georges Pompidou, 20 Rue Leblanc, 75105, Paris, France. florian.scotte@aphp.fr. 2. (AFSOS) Association Francophone pour les Soins Oncologiques de Support- French Speaking Association for Supportive Care in Cancer, Paris, France. florian.scotte@aphp.fr. 3. Department of Ethics, University Paris Descartes, 45 Rue des Saints Pères, 75006, Paris, France. florian.scotte@aphp.fr. 4. Supportive Care in Cancer Unit, Hôpital Européen Georges Pompidou, 20 Rue Leblanc, 75105, Paris, France. florian.scotte@aphp.fr. 5. (AFSOS) Association Francophone pour les Soins Oncologiques de Support- French Speaking Association for Supportive Care in Cancer, Paris, France. 6. Department of Ethics, University Paris Descartes, 45 Rue des Saints Pères, 75006, Paris, France. 7. Supportive Care in Cancer Unit, Hôpital Européen Georges Pompidou, 20 Rue Leblanc, 75105, Paris, France. 8. Department of Oncology, Centre Hospitalier Universitaire La Miletrie, 350 Avenue Jacques-Cœur, 86000, Poitiers, France. 9. Centre de Haute Energie, 06000, Nice, France. 10. Department of Oncology, Institut Universitaire de Cancérologie Toulousain, Toulouse, France. 11. Department of Oncology, Centre Léon Bérard, 28, Rue Laennec, 69008, Lyon, France. 12. Rhône-Alpes Region Cancer Network, Lyon, France. 13. Department of Oncology, Institut Jean Godinot, 1 Avenue du Général Koenig, 51100, Reims, France. 14. Department of Oncology, 1 Place Dr JL Broquerie, 06250, Mougins, France. 15. Department of Oncology, Hôpital Henri Mondor, 51 Avenue du Maréchal de Lattre de Tassigny, 94000, Créteil, France. 16. Department of Oncology, Hôpital Européen Georges Pompidou, 20 Rue Leblanc, 75105, Paris, France. 17. Department of Oncology, Centre Bergonié, Bordeaux, France.
Abstract
PURPOSE: Medical doctors' (MDs), but not patients', perception of supportive care in cancer (SCC) in France has been previously assessed in a national survey. This study evaluated MDs and patients' perceptions of the SCC organization and implementation in France. METHODS: The French SCC Association conducted two observational studies: study 1 (S1), containing a 30-point questionnaire sent to 2263 MDs, and study 2 (S2), containing a 40-point questionnaire sent to 2000 patients. RESULTS: Overall, 711 MDs completed S1 and 1562 patients completed S2. In S1, 81% of MDs reported relying on a SCC organization and 76% attended SCC multidisciplinary discussions. MDs considered palliative (98%), psychological (98%), and social care (98%) as the top 3 SCC areas of importance for patients. In contrast, patients' priorities were psychology (61%), nutrition (55%) and organization of intake consultations (55%). The concept of SCC was familiar to 34% of patients; according to MDs, this concept was introduced mainly by MDs (78%) and admission nurses (41%). Outpatients identified as professional resources for SCC information general practitioners (84%), nurses (58%), and pharmacists (52%). Patients reported supportive treatment being prescribed in 63% of cases, with 64% receiving information on the negative side-effects. Among MDs, 87% reported proposing palliative and 41% adjuvant SCC treatment. Furthermore, 72% of MDs recommended SCC treatment at the metastatic stage, and 36% immediately following diagnosis. DISCUSSION: Oncologists play a vital role in enhancing SCC efficacy. This can be increased by implementing a multidisciplinary integrated approach or by assuring the availability of patient information.
PURPOSE: Medical doctors' (MDs), but not patients', perception of supportive care in cancer (SCC) in France has been previously assessed in a national survey. This study evaluated MDs and patients' perceptions of the SCC organization and implementation in France. METHODS: The French SCC Association conducted two observational studies: study 1 (S1), containing a 30-point questionnaire sent to 2263 MDs, and study 2 (S2), containing a 40-point questionnaire sent to 2000 patients. RESULTS: Overall, 711 MDs completed S1 and 1562 patients completed S2. In S1, 81% of MDs reported relying on a SCC organization and 76% attended SCC multidisciplinary discussions. MDs considered palliative (98%), psychological (98%), and social care (98%) as the top 3 SCC areas of importance for patients. In contrast, patients' priorities were psychology (61%), nutrition (55%) and organization of intake consultations (55%). The concept of SCC was familiar to 34% of patients; according to MDs, this concept was introduced mainly by MDs (78%) and admission nurses (41%). Outpatients identified as professional resources for SCC information general practitioners (84%), nurses (58%), and pharmacists (52%). Patients reported supportive treatment being prescribed in 63% of cases, with 64% receiving information on the negative side-effects. Among MDs, 87% reported proposing palliative and 41% adjuvant SCC treatment. Furthermore, 72% of MDs recommended SCC treatment at the metastatic stage, and 36% immediately following diagnosis. DISCUSSION: Oncologists play a vital role in enhancing SCC efficacy. This can be increased by implementing a multidisciplinary integrated approach or by assuring the availability of patient information.
Entities:
Keywords:
Multidisciplinary; National survey; Patient’s opinion; Supportive care
Authors: F Scotté; C Hervé; S Oudard; M E Bugat; R Bugat; F Farsi; M Namer; J M Tourani; C Tournigand; G Yazbek; S Richard; I Krakowski Journal: Eur J Cancer Date: 2012-12-08 Impact factor: 9.162
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