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Several studies have shown that patients with acute leukemia have many symptoms during disease These symptoms decrease the quality of life and may even appear or worsen other symptoms such as depression Several studies point to the involvement of supportive care and palliative care is delayed in these patients The aim of this study is to evaluate the impact on the quality of life of an early and standardized involvement of a support / palliative care team for patients with acute leukemia in first relapse compared to a control group .
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Supportive /palliative care intervention | Experimental | patients will be supported by a multidisciplinary palliative specialist team |
|
| usual medical follow up | No Intervention | patients will be supported by the support care team if asked by the oncologist |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Supportive /palliative care intervention | Other | patients will be seen by palliative care team at least once a month until the 12th week, more if needed. The symptom and suffering will be assessed by a multidisciplinary palliative specialist team of physician, nurse and psychologist. Physical, psychological, social and existential suffering will be addressed. |
| Measure | Description | Time Frame |
|---|---|---|
| mesure of quality of life | Quality of life measured by FACT Leu questionnaire. score of quality of life will be compared between the 2 groups | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| measure of symptoms intensity | Symptom intensity measured by ESAS questionnaire. Score of symptoms intensity will be compared between the 2 groups | 12 weeks |
| measure of depression | score of depression measured by HADS questionnaire. Score of depression will be compared between the 2 groups |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier LYON SUD | Pierre-Bénite | 69495 | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 26399699 | Result | Ledoux M, Rhondali W, Lafumas V, Berthiller J, Teissere M, Piegay C, Couray-Targe S, Schott AM, Bruera E, Filbet M. Palliative care referral and associated outcomes among patients with cancer in the last 2 weeks of life. BMJ Support Palliat Care. 2019 Mar;9(1):e16. doi: 10.1136/bmjspcare-2014-000791. Epub 2015 Sep 23. |
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| ID | Term |
|---|---|
| D010166 | Palliative Care |
| ID | Term |
|---|---|
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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|
| 12 weeks |
| measure of anxiety | score of anxiety measured by HADS questionnaire. score of anxiety will be compared between the 2 groups | 12 weeks |
| measure of the quality of the end of life | Within the last month of life, several parameters will be studied to evaluate the quality of the end of life like number of admission in emergency unit. | up to 9 months |
| overall survival | 9 months |