Evidence map›Paper›PMID 33392770›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2021

Impact of care pathway for nursing home residents treated for cancer: ONCO-EHPAD study.

Anne-Laure Couderc, Julie Berbis, Géraldine Delalande, Bénédicte Mugnier, Anais Courcier, Maryline Bourriquen, Dominique Rey, Laurent Greillier, Marjorie Baciuchka, Patrick Sudour and 4 more

Registry-linked trialAbstract read
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In one paragraph

Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03103659 (Optimization and Improvement of Care Course for 75 Years and Over Patient With Cancer and Living in Nursing Home on the Marseille Agglomeration), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 99% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03103659 naunknown statusnot on this map

Optimization and Improvement of Care Course for 75 Years and Over Patient With Cancer and Living in Nursing Home on the Marseille Agglomeration

TypeinterventionalSponsorAssistance Publique Hopitaux De MarseilleRan2017 to 2019Enrolled50ConditionsCancer, ElderlyArmspersonalised care plan
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 3 institutions in 1 country.

Anne-Laure CoudercDivision of Internal Medicine, Geriatric and Therapeutic, University Hospital of Marseille (AP-HM), Marseille, France. anne-laure.couderc@ap-hm.fr.
Julie BerbisDepartment of Public Health, EA 3279 Self-perceveid Health Assessment Research Unit, Medical School, Aix-Marseille University, Marseille, France.
Géraldine DelalandeDivision of Internal Medicine, Geriatric and Therapeutic, University Hospital of Marseille (AP-HM), Marseille, France.
Bénédicte MugnierDivision of Internal Medicine, Geriatric and Therapeutic, University Hospital of Marseille (AP-HM), Marseille, France.
Anais CourcierDivision of Internal Medicine, Geriatric and Therapeutic, University Hospital of Marseille (AP-HM), Marseille, France.
Maryline BourriquenDivision of Internal Medicine, Geriatric and Therapeutic, University Hospital of Marseille (AP-HM), Marseille, France.
Dominique ReyDivision of Internal Medicine, Geriatric and Therapeutic, University Hospital of Marseille (AP-HM), Marseille, France.
Laurent GreillierAix Marseille University, Marseille, France.
Marjorie BaciuchkaDivision of Multidisciplinary Oncology and Therapeutic Innovations, AP-HM, Marseille, France.
Patrick SudourDivision of research and innovation, AP-HM, Marseille, France.
Lauren AgnelliDivision of research and innovation, AP-HM, Marseille, France.
Emilie NougueredeDivision of Internal Medicine, Geriatric and Therapeutic, University Hospital of Marseille (AP-HM), Marseille, France.
Stéphane FabriesGroupement de Coopération Sanitaire pour un Parcours Gérontologique dans l'Agglomération Marseillaise (GCS PGAM), Marseille, France.
Patrick VillaniDivision of Internal Medicine, Geriatric and Therapeutic, University Hospital of Marseille (AP-HM), Marseille, France.
Assistance Publique Hôpitaux de Marseille · FRAix-Marseille Université · FRCentre National de la Recherche Scientifique · FR

Funding

Fondation de l'Avenir pour la Recherche Médicale Appliquée AP-IPSA-15-007
6 · The paper itself

Abstract

purposeFew data are known about cancer management in frail nursing home residents.

methodsObjective of our prospective, interventional study was to set up in the Marseille area, a care pathway for nursing homes residents with a suspected cancer. It combined cancer diagnosis procedures and comprehensive geriatric assessment (CGA), both made in our geriatric oncology outpatient unit, before oncologic advice for treatment decision. In standard care, CGA is carried out after therapeutic decision, to determine whether the planned treatment is compatible with the patient's frailties. CGA and quality of life were performed at enrolment and at 6 months. This study was registered in ClinicalTrials.gov (NCT03103659).

resultsBetween April 2017 and March 2020, 48 residents from 38 nursing homes were included: 24 had the care pathway (PP), and 24 the standard care (NPP). Six were excluded (no cancer). PP had more frailties than NPP. All PP and 75% of NPP had outpatient care. Curative treatment was given to 77% of NPP (including chemotherapy in 10 cases), and 25% of PP (surgery, radiotherapy, hormone therapy). A majority of PP (75%) had supportive care. At 6 months, 16 patients died (11 NPP, 5 PP). Quality of life evolution was available for 11 PP and 7NPP: it showed stability in PP and degradation in NPP.

conclusionEven if part of residents were too frail to get curative treatment, the care pathway enabled them to benefit from oncologic advice and appropriate supportive care while preserving their quality of life. Further investigations are needed to confirm these findings.

Indexed as

AgedAged, 80 and overFemaleGeriatric AssessmentHumansMaleNeoplasmsNursing HomesPatient Care PlanningProspective StudiesQuality of LifeCare pathwayNursing homeOlder patients with cancerOutpatient careQuality of life

Identifiers

PMID33392770
OpenAlexW3120972125

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.