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Patient reported outcomes (PRO) measure the health status directly reported by the patients, without external interpretation, generally collected using self-questionnaires, including online tools (ePRO). This approach is useful in early detection of signs of relapse, with reduced anxiety, improved quality of life and survival, and reduced readmissions to emergency departments in patients with advanced cancer. In the current context where hospitalization is increasingly short, the transition from hospital to home is a critical moment that poses a significant safety challenge Patient follow-up strategies help patients return home, particularly in surgery, with telephone calls from a nurse the day after or several days after discharge. In oncology, telephone calls from the pharmacist 3 days after discharge from hospital helped to identify undesirable effects of treatments. In general medicine, these calls have led to improved patient satisfaction, reduced use of emergency departments and the resolution of drug-related problems, but are costly. The introduction of post-hospitalization ePRO monitoring in oncology could ensure effective follow-up while keeping costs under control. A coordinating nurse could manage this process and play a crucial role in accompanying patients when they return home.
The study authors aimed to evaluate the feasibility of a transitional nurse consultation and ePRO follow-up on discharge from full hospitalization in oncology in this population of frail and elderly patients.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| OncoCare transition program | Other | Interview with the coordinating nurse who reviews the patient's prescriptions and appointments, installs the electronic patient-reported outcome (ePRO) application on the patient's smartphone and explains collection of any symptoms. ePRO symptom monitoring by the patient on D2, D7 and D15 after discharge. The coordinating nurse phones the patient on D7 to review the symptoms reported, assess compliance with treatment and provide support. In the event of grade ≥ 2 symptoms, the nurse contacts the patient for further information and informs the referring oncologist, who decides on the course of treatment. |
| Measure | Description | Time Frame |
|---|---|---|
| Compliance with ePRO monitoring | Percentage of patients who responded to all questionnaires | Day 2 |
| Compliance with the telephone call at day 7 | Percentage of patients successfully contacted at day 7 | Day 7 |
| Patient satisfaction with the care pathway | Question: "Are you satisfied with your care pathway?" (Yes/no) | Day 15 |
| Measure | Description | Time Frame |
|---|---|---|
| Quality of the transition pathway to home | Care Transitions Measure (CTM-3) questionnaire, where a 10-point increase reduces the risk of readmission by 14% | Day 15 |
| Quality of life as reported by the patient |
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Inclusion Criteria:
Exclusion Criteria:
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Consecutive patients treated as inpatients in the Medical Oncology Department of Nîmes University Hospital and scheduled to be discharged and returned home.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Astrid Basset | Contact | 06.24.89.63.27 | astrid.basset@chu-nimes.fr |
| Name | Affiliation | Role |
|---|---|---|
| Astrid Basset | CHU de Nimes | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre Hospitalier de Nimes | Recruiting | Nîmes | 30000 | France |
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| ID | Term |
|---|---|
| D009369 | Neoplasms |
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EORTC QLQ-C30 questionnaire: The score for each subscale ranges from 0 to 100and good quality of life is associated with a high score on the functional scales and a low score on the symptom scales.
| Day 0 |
| Quality of life as reported by the patient | EORTC QLQ-C30 questionnaire: The score for each subscale ranges from 0 to 100and good quality of life is associated with a high score on the functional scales and a low score on the symptom scales. | Day 7 |
| Quality of life as reported by the patient | EORTC QLQ-C30 questionnaire: The score for each subscale ranges from 0 to 100and good quality of life is associated with a high score on the functional scales and a low score on the symptom scales. | Day 15 |
| Quality of life as reported by the patient | EORTC QLQ-C30 questionnaire: The score for each subscale ranges from 0 to 100and good quality of life is associated with a high score on the functional scales and a low score on the symptom scales. | Day 30 |
| Patient satisfaction with their care | EORTC PATSAT-C33 questionnaire: The total score ranges from 0 to 100 | Day 15 |
| Rate of readmissions to a healthcare facility | Rate of readmissions to healthcare establishments (hospitalization department, emergency room) | One month after hospitalization |