Assessment of palliative care for advanced non-small-cell lung cancer in France: A prospective observational multicenter study (GFPC 0804 study)
Summary Introduction Few studies assessed, in real life, symptoms, specific interventions and factors influencing palliative care (PC) initiation for patients with advanced non-small-cell lung cancer (NSCLC). The objective of this study was to examine, in a prospective cohort of advanced NSCLC patie...
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Veröffentlicht in: | Lung cancer (Amsterdam, Netherlands) Netherlands), 2013-11, Vol.82 (2), p.353-357 |
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creator | Vergnenègre, Alain Hominal, Stéphane Tchalla, Achille Edem Bérard, Henri Monnet, Isabelle Fraboulet, Gislaine Baize, Nathalie Audigier-Valette, Clarisse Robinet, Gilles Oliviero, Gérard Le Caer, Hervé Thomas, Pascal Gérinière, Laurence Mastroianni, Bénédicte Chouaïd, Christos |
description | Summary Introduction Few studies assessed, in real life, symptoms, specific interventions and factors influencing palliative care (PC) initiation for patients with advanced non-small-cell lung cancer (NSCLC). The objective of this study was to examine, in a prospective cohort of advanced NSCLC patients, PC use and factors associated with early (≤3 months after diagnosis) PC initiation. Methods It was an observational multicenter study. Each center included 10 consecutive patients with PC initiation. Results 514 patients were enrolled by 39 centers (age: 62.3 ± 10.7 years, performance status: 0/1; 68.6% cases). At baseline, the most frequent symptoms concerned pain (43.6%), malnutrition (37%) and psychological disorders (25.3%). Specific interventions were infrequent for pain control and malnutrition, but were more numerous for psychological and social problems and terminal care. Median time between diagnosis and PC initiation was 35 [13–84] days, median PC duration was 4.2 [0.6–9.3] months. Median overall survival was 8.6 [6.6–10.7] months; median survival after PC initiation was 3.6 [3.2–4.5] months. In multivariate analysis, only PS ≥2 was linked to early PC. Conclusion This study showed that early PC initiation is not a standard for patients with advanced NSCLC. |
doi_str_mv | 10.1016/j.lungcan.2013.07.014 |
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fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_00861552v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>1_s2_0_S0169500213003231</els_id><sourcerecordid>1449280915</sourcerecordid><originalsourceid>FETCH-LOGICAL-c484t-df21e141ba580bfec624a3aaccd8ef1fe8113bd6dc987f51991fa607af6f2dc23</originalsourceid><addsrcrecordid>eNqFks-O0zAQxiMEYpeFRwD5grR7SJmx88fhAKoquotUCSTgbLnOGFycpNhJpb4Fj4xDyyJx4WRr_JtvPPNNlj1HWCBg9Wq38FP_1eh-wQHFAuoFYPEgu0RZ81wKwR9ml4lr8hKAX2RPYtwBYI3QPM4uuGgEL8rqMvu5jJFi7Kgf2WDZXnvv9OgOxIwOxOwQmG4PujfUsn7o89glIjfkPZvrJyo9BeZ6tg7z9TVbsn0Y4p7Mb5VhGykckuLQa8-6yY_OpFopJY5Te2TXt-uPKwYSilPg5mn2yGof6dn5vMq-rN99Xt3lmw-371fLTW4KWYx5azkSFrjVpYStJVPxQgutjWklWbQkEcW2rVrTyNqW2DRodQW1tpXlreHiKrs56X7TXu2D63Q4qkE7dbfcqDkGICssS37AxF6f2NTZj4niqDoX5xnonoYpKiyKhktosExoeUJNGkIMZO-1EdRsnNqps3FqNk5BrZJxKe_FucS07ai9z_rjVAJengEdjfZ2nraLf7m64SiLOnFvTxyl4R0cBRWNo9k_F5Inqh3cf7_y5h8F413vUtHvdKS4G6aQvExdq8gVqE_zls1LhgJAcIHiF9jbzws</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1449280915</pqid></control><display><type>article</type><title>Assessment of palliative care for advanced non-small-cell lung cancer in France: A prospective observational multicenter study (GFPC 0804 study)</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Vergnenègre, Alain ; Hominal, Stéphane ; Tchalla, Achille Edem ; Bérard, Henri ; Monnet, Isabelle ; Fraboulet, Gislaine ; Baize, Nathalie ; Audigier-Valette, Clarisse ; Robinet, Gilles ; Oliviero, Gérard ; Le Caer, Hervé ; Thomas, Pascal ; Gérinière, Laurence ; Mastroianni, Bénédicte ; Chouaïd, Christos</creator><creatorcontrib>Vergnenègre, Alain ; Hominal, Stéphane ; Tchalla, Achille Edem ; Bérard, Henri ; Monnet, Isabelle ; Fraboulet, Gislaine ; Baize, Nathalie ; Audigier-Valette, Clarisse ; Robinet, Gilles ; Oliviero, Gérard ; Le Caer, Hervé ; Thomas, Pascal ; Gérinière, Laurence ; Mastroianni, Bénédicte ; Chouaïd, Christos ; the GFPC 0804 team ; GFPC 0804 team</creatorcontrib><description>Summary Introduction Few studies assessed, in real life, symptoms, specific interventions and factors influencing palliative care (PC) initiation for patients with advanced non-small-cell lung cancer (NSCLC). The objective of this study was to examine, in a prospective cohort of advanced NSCLC patients, PC use and factors associated with early (≤3 months after diagnosis) PC initiation. Methods It was an observational multicenter study. Each center included 10 consecutive patients with PC initiation. Results 514 patients were enrolled by 39 centers (age: 62.3 ± 10.7 years, performance status: 0/1; 68.6% cases). At baseline, the most frequent symptoms concerned pain (43.6%), malnutrition (37%) and psychological disorders (25.3%). Specific interventions were infrequent for pain control and malnutrition, but were more numerous for psychological and social problems and terminal care. Median time between diagnosis and PC initiation was 35 [13–84] days, median PC duration was 4.2 [0.6–9.3] months. Median overall survival was 8.6 [6.6–10.7] months; median survival after PC initiation was 3.6 [3.2–4.5] months. In multivariate analysis, only PS ≥2 was linked to early PC. Conclusion This study showed that early PC initiation is not a standard for patients with advanced NSCLC.</description><identifier>ISSN: 0169-5002</identifier><identifier>EISSN: 1872-8332</identifier><identifier>DOI: 10.1016/j.lungcan.2013.07.014</identifier><identifier>PMID: 23932456</identifier><identifier>CODEN: LUCAE5</identifier><language>eng</language><publisher>Oxford: Elsevier Ireland Ltd</publisher><subject>Aged ; Biological and medical sciences ; Carcinoma, Non-Small-Cell Lung - pathology ; Carcinoma, Non-Small-Cell Lung - therapy ; Combined Modality Therapy ; Economics ; Female ; Follow-Up Studies ; France ; Hematology, Oncology and Palliative Medicine ; Human health and pathology ; Humans ; Life Sciences ; Lung Neoplasms - pathology ; Lung Neoplasms - therapy ; Male ; Medical sciences ; Middle Aged ; Multiple tumors. Solid tumors. Tumors in childhood (general aspects) ; Non-small-cell lung cancer ; Observational study ; Palliative Care ; Pneumology ; Prognosis ; Prospective Studies ; Pulmonary/Respiratory ; Quality of care ; Tumors ; Tumors of the respiratory system and mediastinum</subject><ispartof>Lung cancer (Amsterdam, Netherlands), 2013-11, Vol.82 (2), p.353-357</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2013 Elsevier Ireland Ltd</rights><rights>2014 INIST-CNRS</rights><rights>Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c484t-df21e141ba580bfec624a3aaccd8ef1fe8113bd6dc987f51991fa607af6f2dc23</citedby><cites>FETCH-LOGICAL-c484t-df21e141ba580bfec624a3aaccd8ef1fe8113bd6dc987f51991fa607af6f2dc23</cites><orcidid>0000-0002-4290-5524</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0169500213003231$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>230,314,776,780,881,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27921847$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23932456$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://unilim.hal.science/hal-00861552$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Vergnenègre, Alain</creatorcontrib><creatorcontrib>Hominal, Stéphane</creatorcontrib><creatorcontrib>Tchalla, Achille Edem</creatorcontrib><creatorcontrib>Bérard, Henri</creatorcontrib><creatorcontrib>Monnet, Isabelle</creatorcontrib><creatorcontrib>Fraboulet, Gislaine</creatorcontrib><creatorcontrib>Baize, Nathalie</creatorcontrib><creatorcontrib>Audigier-Valette, Clarisse</creatorcontrib><creatorcontrib>Robinet, Gilles</creatorcontrib><creatorcontrib>Oliviero, Gérard</creatorcontrib><creatorcontrib>Le Caer, Hervé</creatorcontrib><creatorcontrib>Thomas, Pascal</creatorcontrib><creatorcontrib>Gérinière, Laurence</creatorcontrib><creatorcontrib>Mastroianni, Bénédicte</creatorcontrib><creatorcontrib>Chouaïd, Christos</creatorcontrib><creatorcontrib>the GFPC 0804 team</creatorcontrib><creatorcontrib>GFPC 0804 team</creatorcontrib><title>Assessment of palliative care for advanced non-small-cell lung cancer in France: A prospective observational multicenter study (GFPC 0804 study)</title><title>Lung cancer (Amsterdam, Netherlands)</title><addtitle>Lung Cancer</addtitle><description>Summary Introduction Few studies assessed, in real life, symptoms, specific interventions and factors influencing palliative care (PC) initiation for patients with advanced non-small-cell lung cancer (NSCLC). The objective of this study was to examine, in a prospective cohort of advanced NSCLC patients, PC use and factors associated with early (≤3 months after diagnosis) PC initiation. Methods It was an observational multicenter study. Each center included 10 consecutive patients with PC initiation. Results 514 patients were enrolled by 39 centers (age: 62.3 ± 10.7 years, performance status: 0/1; 68.6% cases). At baseline, the most frequent symptoms concerned pain (43.6%), malnutrition (37%) and psychological disorders (25.3%). Specific interventions were infrequent for pain control and malnutrition, but were more numerous for psychological and social problems and terminal care. Median time between diagnosis and PC initiation was 35 [13–84] days, median PC duration was 4.2 [0.6–9.3] months. Median overall survival was 8.6 [6.6–10.7] months; median survival after PC initiation was 3.6 [3.2–4.5] months. In multivariate analysis, only PS ≥2 was linked to early PC. Conclusion This study showed that early PC initiation is not a standard for patients with advanced NSCLC.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carcinoma, Non-Small-Cell Lung - pathology</subject><subject>Carcinoma, Non-Small-Cell Lung - therapy</subject><subject>Combined Modality Therapy</subject><subject>Economics</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>France</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Human health and pathology</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - therapy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</subject><subject>Non-small-cell lung cancer</subject><subject>Observational study</subject><subject>Palliative Care</subject><subject>Pneumology</subject><subject>Prognosis</subject><subject>Prospective Studies</subject><subject>Pulmonary/Respiratory</subject><subject>Quality of care</subject><subject>Tumors</subject><subject>Tumors of the respiratory system and mediastinum</subject><issn>0169-5002</issn><issn>1872-8332</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFks-O0zAQxiMEYpeFRwD5grR7SJmx88fhAKoquotUCSTgbLnOGFycpNhJpb4Fj4xDyyJx4WRr_JtvPPNNlj1HWCBg9Wq38FP_1eh-wQHFAuoFYPEgu0RZ81wKwR9ml4lr8hKAX2RPYtwBYI3QPM4uuGgEL8rqMvu5jJFi7Kgf2WDZXnvv9OgOxIwOxOwQmG4PujfUsn7o89glIjfkPZvrJyo9BeZ6tg7z9TVbsn0Y4p7Mb5VhGykckuLQa8-6yY_OpFopJY5Te2TXt-uPKwYSilPg5mn2yGof6dn5vMq-rN99Xt3lmw-371fLTW4KWYx5azkSFrjVpYStJVPxQgutjWklWbQkEcW2rVrTyNqW2DRodQW1tpXlreHiKrs56X7TXu2D63Q4qkE7dbfcqDkGICssS37AxF6f2NTZj4niqDoX5xnonoYpKiyKhktosExoeUJNGkIMZO-1EdRsnNqps3FqNk5BrZJxKe_FucS07ai9z_rjVAJengEdjfZ2nraLf7m64SiLOnFvTxyl4R0cBRWNo9k_F5Inqh3cf7_y5h8F413vUtHvdKS4G6aQvExdq8gVqE_zls1LhgJAcIHiF9jbzws</recordid><startdate>20131101</startdate><enddate>20131101</enddate><creator>Vergnenègre, Alain</creator><creator>Hominal, Stéphane</creator><creator>Tchalla, Achille Edem</creator><creator>Bérard, Henri</creator><creator>Monnet, Isabelle</creator><creator>Fraboulet, Gislaine</creator><creator>Baize, Nathalie</creator><creator>Audigier-Valette, Clarisse</creator><creator>Robinet, Gilles</creator><creator>Oliviero, Gérard</creator><creator>Le Caer, Hervé</creator><creator>Thomas, Pascal</creator><creator>Gérinière, Laurence</creator><creator>Mastroianni, Bénédicte</creator><creator>Chouaïd, Christos</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-4290-5524</orcidid></search><sort><creationdate>20131101</creationdate><title>Assessment of palliative care for advanced non-small-cell lung cancer in France: A prospective observational multicenter study (GFPC 0804 study)</title><author>Vergnenègre, Alain ; Hominal, Stéphane ; Tchalla, Achille Edem ; Bérard, Henri ; Monnet, Isabelle ; Fraboulet, Gislaine ; Baize, Nathalie ; Audigier-Valette, Clarisse ; Robinet, Gilles ; Oliviero, Gérard ; Le Caer, Hervé ; Thomas, Pascal ; Gérinière, Laurence ; Mastroianni, Bénédicte ; Chouaïd, Christos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c484t-df21e141ba580bfec624a3aaccd8ef1fe8113bd6dc987f51991fa607af6f2dc23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carcinoma, Non-Small-Cell Lung - pathology</topic><topic>Carcinoma, Non-Small-Cell Lung - therapy</topic><topic>Combined Modality Therapy</topic><topic>Economics</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>France</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Human health and pathology</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - therapy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Multiple tumors. Solid tumors. Tumors in childhood (general aspects)</topic><topic>Non-small-cell lung cancer</topic><topic>Observational study</topic><topic>Palliative Care</topic><topic>Pneumology</topic><topic>Prognosis</topic><topic>Prospective Studies</topic><topic>Pulmonary/Respiratory</topic><topic>Quality of care</topic><topic>Tumors</topic><topic>Tumors of the respiratory system and mediastinum</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vergnenègre, Alain</creatorcontrib><creatorcontrib>Hominal, Stéphane</creatorcontrib><creatorcontrib>Tchalla, Achille Edem</creatorcontrib><creatorcontrib>Bérard, Henri</creatorcontrib><creatorcontrib>Monnet, Isabelle</creatorcontrib><creatorcontrib>Fraboulet, Gislaine</creatorcontrib><creatorcontrib>Baize, Nathalie</creatorcontrib><creatorcontrib>Audigier-Valette, Clarisse</creatorcontrib><creatorcontrib>Robinet, Gilles</creatorcontrib><creatorcontrib>Oliviero, Gérard</creatorcontrib><creatorcontrib>Le Caer, Hervé</creatorcontrib><creatorcontrib>Thomas, Pascal</creatorcontrib><creatorcontrib>Gérinière, Laurence</creatorcontrib><creatorcontrib>Mastroianni, Bénédicte</creatorcontrib><creatorcontrib>Chouaïd, Christos</creatorcontrib><creatorcontrib>the GFPC 0804 team</creatorcontrib><creatorcontrib>GFPC 0804 team</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Lung cancer (Amsterdam, Netherlands)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vergnenègre, Alain</au><au>Hominal, Stéphane</au><au>Tchalla, Achille Edem</au><au>Bérard, Henri</au><au>Monnet, Isabelle</au><au>Fraboulet, Gislaine</au><au>Baize, Nathalie</au><au>Audigier-Valette, Clarisse</au><au>Robinet, Gilles</au><au>Oliviero, Gérard</au><au>Le Caer, Hervé</au><au>Thomas, Pascal</au><au>Gérinière, Laurence</au><au>Mastroianni, Bénédicte</au><au>Chouaïd, Christos</au><aucorp>the GFPC 0804 team</aucorp><aucorp>GFPC 0804 team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assessment of palliative care for advanced non-small-cell lung cancer in France: A prospective observational multicenter study (GFPC 0804 study)</atitle><jtitle>Lung cancer (Amsterdam, Netherlands)</jtitle><addtitle>Lung Cancer</addtitle><date>2013-11-01</date><risdate>2013</risdate><volume>82</volume><issue>2</issue><spage>353</spage><epage>357</epage><pages>353-357</pages><issn>0169-5002</issn><eissn>1872-8332</eissn><coden>LUCAE5</coden><abstract>Summary Introduction Few studies assessed, in real life, symptoms, specific interventions and factors influencing palliative care (PC) initiation for patients with advanced non-small-cell lung cancer (NSCLC). The objective of this study was to examine, in a prospective cohort of advanced NSCLC patients, PC use and factors associated with early (≤3 months after diagnosis) PC initiation. Methods It was an observational multicenter study. Each center included 10 consecutive patients with PC initiation. Results 514 patients were enrolled by 39 centers (age: 62.3 ± 10.7 years, performance status: 0/1; 68.6% cases). At baseline, the most frequent symptoms concerned pain (43.6%), malnutrition (37%) and psychological disorders (25.3%). Specific interventions were infrequent for pain control and malnutrition, but were more numerous for psychological and social problems and terminal care. Median time between diagnosis and PC initiation was 35 [13–84] days, median PC duration was 4.2 [0.6–9.3] months. Median overall survival was 8.6 [6.6–10.7] months; median survival after PC initiation was 3.6 [3.2–4.5] months. In multivariate analysis, only PS ≥2 was linked to early PC. Conclusion This study showed that early PC initiation is not a standard for patients with advanced NSCLC.</abstract><cop>Oxford</cop><pub>Elsevier Ireland Ltd</pub><pmid>23932456</pmid><doi>10.1016/j.lungcan.2013.07.014</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-4290-5524</orcidid></addata></record> |
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subjects | Aged Biological and medical sciences Carcinoma, Non-Small-Cell Lung - pathology Carcinoma, Non-Small-Cell Lung - therapy Combined Modality Therapy Economics Female Follow-Up Studies France Hematology, Oncology and Palliative Medicine Human health and pathology Humans Life Sciences Lung Neoplasms - pathology Lung Neoplasms - therapy Male Medical sciences Middle Aged Multiple tumors. Solid tumors. Tumors in childhood (general aspects) Non-small-cell lung cancer Observational study Palliative Care Pneumology Prognosis Prospective Studies Pulmonary/Respiratory Quality of care Tumors Tumors of the respiratory system and mediastinum |
title | Assessment of palliative care for advanced non-small-cell lung cancer in France: A prospective observational multicenter study (GFPC 0804 study) |
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