PALLIA-10, a screening tool to identify patients needing palliative care referral in comprehensive cancer centers: A prospective multicentric study (PREPA-10)

Autor: 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
Rok vydání: 2018
Předmět:
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
Zdroj: Cancer Medicine
Cancer Medicine, Vol 8, Iss 6, Pp 2950-2961 (2019)
ISSN: 2045-7634
Popis: 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.
Databáze: OpenAIRE
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