[Implementation of geriatric oncology in a remote hospital in French Guiana].

Autor:	Angénieux O; Service de gériatrie, centre hospitalier Franck-Joly, avenue du Général-de-Gaulle, Saint-Laurent-du-Maroni, Guyane française., Wankpo B; Centre hospitalier Franck-Joly, hôpital de jour d'oncologie, 1465, boulevard de la Liberté, 97393 Saint-Laurent-du-Maroni, Guyane française., Ferrand A; Centre hospitalier Franck-Joly, hôpital de jour d'oncologie, 1465, boulevard de la Liberté, 97393 Saint-Laurent-du-Maroni, Guyane française., Coulaud X; Centre hospitalier Franck-Joly, hôpital de jour d'oncologie, 1465, boulevard de la Liberté, 97393 Saint-Laurent-du-Maroni, Guyane française., Albrand G; Département de gériatrie, centre hospitalier Lyon-Sud, Pierre-Bénite, France., Vernon D; Unité de mediation culturelle, centre hospitalier Franck-Joly, avenue du Général-de-Gaulle, Saint-Laurent-du-Maroni, Guyane française., Nacher M; Université de Guyane, 1, campus de Troubiran, 97300 Cayenne, Guyane française., Droz JP; Université de Guyane, 1, campus de Troubiran, 97300 Cayenne, Guyane française; Université Claude-Bernard Lyon1, 43, boulevard du 11-Novembre 1918, 69100 Villeurbanne, France. Electronic address: jpdroz@orange.fr.
Jazyk:	francouzština
Zdroj:	Bulletin du cancer [Bull Cancer] 2024 Dec 20. Date of Electronic Publication: 2024 Dec 20.
DOI:	10.1016/j.bulcan.2024.11.002
Abstrakt:	Introduction: The aim was to analyze the implementation of the Onco-Geriatrics model in a remote ultramarine territory: West-French Guiana. The population is socially precarious in terms of income, social coverage and administrative status, and most often speaks a non-French language and has a non-Western culture. Methods: Narrative description of the implementation and retrospective study of anonymized data from the database of older patients managed for cancer between September 2014 and December 2020. Results: A total of 574 new patients were managed. Of these, 107 were aged 70 and over; 78 (73 %) had a G8 test. Forty-two patients had a multidimensional geriatric assessment (MGA). More than half the patients had dependency criteria, malnutrition and a high number of severe comorbidities. Difficulties encountered were language, level of education, clinical context (in 18 patients), but also insufficient involvement of health professional and the consequences of health organization and gradual implementation. Discussion: Implementation was impacted by the fact that quality criteria for implementation were not sufficient. Studies in high-middle-income countries in South America suggest that initial implementation of the MGA may be preferable, that frailty screening tests and the MGA procedure can be adapted to non-Western populations, and that the use of new technologies can improve the management of older patients in this context. (Copyright © 2024 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.)
Databáze:	MEDLINE
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