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Impact of the Paramedic Announced Consultation on the Use of Patient Care With Cancer and Treated With Chemotherapy (ANNONCEP)

28. oktober 2016 opdateret af: Centre Francois Baclesse

The project aims primarily to measure the expected paramedic consultation announcement benefits for the patient, at different levels. It will measure improvements in the management of patients treated with chemotherapy. Indeed, paramedical consultation ad aims to provide a better understanding of the disease and treatment incurred, which should lead to the implementation of joint strategies between the healthcare team and the patient to prevent the effects of and treatment of the disease by the patient and caregivers.

This improvement is to promote the fair treatment by reducing patient anxiety and / or carers and involving them in the management of their disease. In this context, it is shown a profit of paramedical consultation for the patient, it will work, based on the recommendations of the Cancer Plan, strengthen the need to routinely offer paramedic Ad consultation.

This work should also help measure the impact of ad paramedical consultation on optimizing care consumption off-line therapy and to assess the associated costs.

For patients who received paramedic ad or not consultation, it will therefore be of particular compare intercurrent hospitalizations, commuting structure of care, the number of consultations with the doctor, the reports of cure, additional biological monitoring or other health care consumption.

With the participation of several centers in the fight against cancer, this study will provide valuable information on the practice of paramedical consultation ad in several tumor sites.

It will objectify the benefit provided by the Medical device announcement for both patients and the organization and use of care prerequisite to encourage better integration of this device in the course of patient care, the consultation paramedical ad remaining poorly understood by many health professionals.

Studieoversigt

Status

Afsluttet

Undersøgelsestype

Observationel

Tilmelding (Faktiske)

44

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

      • Caen, Frankrig, 14076
        • Centre François Baclesse

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 75 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Prøveudtagningsmetode

Sandsynlighedsprøve

Studiebefolkning

Patients undergoing treatment with first-line IV chemotherapy

Beskrivelse

Inclusion Criteria:

  • 18 ≤ age <75 years;
  • WHO ≤ 1;
  • Patients with cancer and candidate for chemotherapy treatment of first intention;
  • Solid or lymphoid malignant disease pathology for which chemotherapy is given intravenously;
  • Patient affiliated to a social security scheme;
  • Mastery of the French language;
  • Informed Consent and signed;
  • In the first cohort, patients will have received paramedical consultation announcement in the days preceding the first cycle of chemotherapy;
  • In the second cohort, patients have not received paramedical consultation announcement.

Exclusion Criteria:

  • Patient deprived of liberty, under guardianship;
  • Any medical or psychological condition associated that could compromise the patient's ability to participate in the study;
  • Exclusive Oral Chemotherapy;
  • Exclusive Targeted therapy;
  • Targeted therapy to be introduced during chemotherapy;
  • Presence of cerebral localization;
  • Pain requiring analgesics bearing 3;
  • Patient in medical and social structure;
  • Inability to submit to medical monitoring test for geographical, social or psychological reasons;
  • Rare Cancers making matching difficult (sarcomas of soft tissue and internal organs, malignant neuroendocrine tumors sporadic and hereditary rare ...)
  • Inclusion in another clinical trial.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

Kohorter og interventioner

Gruppe / kohorte
Paramedical ad consultation
Monitoring will be the same in the 2 groups; That paramedical consultation announcement is made in current practice.
No paramedical ad consultation
Monitoring will be the same in the 2 groups

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Care consumption
Tidsramme: Up to 18 weeks
Compare among patients candidates for chemotherapy treatment IV first line, the proportions of patients who need more care than anticipated during the first cycle of chemotherapy among patients who have had paramedical announcement of consultation and those who have not had.
Up to 18 weeks

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Hospital costs
Tidsramme: Up to 18 weeks
Evaluate and compare between the 2 groups the total hospital costs
Up to 18 weeks
Number of patients with adverse events
Tidsramme: Up to 18 weeks
Evaluate and compare between the 2 groups the health care consumption and side effects of chemotherapy
Up to 18 weeks
Satisfaction measured by self-administered questionnaires
Tidsramme: Up to 18 weeks
Evaluate and compare between the 2 groups patient and physicians satisfaction
Up to 18 weeks
Anxiety and depression measured by HADS scale
Tidsramme: Inclusion
Compare baseline characteristics of the 2 groups (anxiety and depression)
Inclusion

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: François GERNIER, health executive, Centre François Baclesse

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. januar 2016

Primær færdiggørelse (Faktiske)

1. oktober 2016

Datoer for studieregistrering

Først indsendt

10. december 2014

Først indsendt, der opfyldte QC-kriterier

29. december 2014

Først opslået (Skøn)

31. december 2014

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Skøn)

31. oktober 2016

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

28. oktober 2016

Sidst verificeret

1. februar 2016

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • ANNONCEP

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

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