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
Hauptverfasser: 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
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container_end_page 357
container_issue 2
container_start_page 353
container_title Lung cancer (Amsterdam, Netherlands)
container_volume 82
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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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>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=27921847$$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. 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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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