PALLIA-10, a screening tool to identify patients needing palliative care referral in comprehensive cancer centers: A prospective multicentric study (PREPA-10)
| العنوان: | PALLIA-10, a screening tool to identify patients needing palliative care referral in comprehensive cancer centers: A prospective multicentric study (PREPA-10) |
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| المؤلفون: | Nathalie Bremaud, Agnès Hutin, Audrey Lardy‐Cleaud, Julien Gautier, Valérie Triolaire, Carole Bouleuc, Caroline Gallay, Anne Fogliarini, Stéphanie Villet, Véronique Frasie, Christine Villatte, Véronique Barbarot, Gérard Guesdon, Gisèle Chvetzoff, Aline Henry, Yann Molin, Marie-Christine Grach, Olivier Dubroeucq, Géraldine Capodano, Jean‐Marie Commer, Nathalie Caunes‐Hilary, Romaine Mayet |
| المصدر: | Cancer Medicine Cancer Medicine, Vol 8, Iss 6, Pp 2950-2961 (2019) |
| سنة النشر: | 2018 |
| مصطلحات موضوعية: | 0301 basic medicine, Adult, Male, Cancer Research, medicine.medical_specialty, Palliative care, Referral, Population, Cancer Care Facilities, lcsh:RC254-282, decision making, 03 medical and health sciences, Young Adult, 0302 clinical medicine, Quality of life (healthcare), medicine, Humans, Mass Screening, advanced cancer, Radiology, Nuclear Medicine and imaging, Screening tool, Prospective Studies, education, Referral and Consultation, Aged, Original Research, Aged, 80 and over, education.field_of_study, palliative care, business.industry, Cancer, Clinical Cancer Research, Middle Aged, lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens, medicine.disease, Prognosis, Advanced cancer, 030104 developmental biology, Oncology, Palliative care.team, quality of life, 030220 oncology & carcinogenesis, Emergency medicine, surveys and questionnaire, Female, Comprehensive Health Care, business |
| الوصف: | Purpose The identification and referral of patients in need of palliative care should be improved. The French society for palliative support and care recommended to use the PALLIA‐10 questionnaire and its score greater than 3 to refer patients to palliative care. We explored the use of the PALLIA‐10 questionnaire and its related score in a population of advanced cancer patients. Methods This prospective multicentric study is to be conducted in authorized French comprehensive cancer centers on hospitalized patients on a given day. We aimed to use the PALLIA‐10 score to determine the proportion of palliative patients with a score >3. Main secondary endpoints were to determine the proportion of patients already managed by palliative care teams at the study date or referred to palliative care in six following months, the prevalence of patients with a score greater than 5, and the overall survival using the predefined thresholds of 3 and 5. Results In 2015, eighteen French cancer centers enrolled 840 patients, including 687 (82%) palliative patients. 479 (69.5%) patients had a score >3, 230 (33.5%) had a score >5, 216 (31.4%) patients were already followed‐up by a palliative care team, 152 patients were finally referred to PC in the six subsequent months. The PALLIA‐10 score appeared as a reliable predictive (adjusted ORR ef≤3: 1.9 [1.17‐3.16] and 3.59 [2.18‐5.91]) and prognostic (adjusted HRR ef≤3 = 1.58 [95%CI 1.20‐2.08] and 2.18 [95%CI 1.63‐2.92]) factor for patients scored 4‐5 and >5, respectively. Conclusion The PALLIA‐10 questionnaire is an easy‐to‐use tool to refer cancer inpatients to palliative care in current practice. However a score greater than 5 using the PALLIA‐10 questionnaire would be more appropriate for advanced cancer patients hospitalized in comprehensive cancer center. |
| تدمد: | 2045-7634 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e1aec4d256b092567b82667726ee5a51Test https://pubmed.ncbi.nlm.nih.gov/31055887Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e1aec4d256b092567b82667726ee5a51 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20457634 |
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