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PREDOMOS研究:一项针对社会孤立老年癌症患者的社会干预项目的影响——随机对照试验研究方案更新

PREDOMOS study, impact of a social intervention program for socially isolated elderly cancer patients: update to the study protocol for a randomized controlled trial.

作者信息

Couderc Anne-Laure, Nouguerède Emilie, Baumstarck Karine, Loubière Sandrine, Le Caer Hervé, Guillem Olivier, Rousseau Frédérique, Greillier Laurent, Norguet-Monnereau Emmanuelle, Cecile Maud, Boulahssass Rabia, Le Caer Françoise, Tournier Sandrine, Butaud Chantal, Guillet Pierre, Nahon Sophie, Kirscher Sylvie, Diaz Nadine, Morando Claire, Villani Patrick, Auquier Pascal, Daumas Aurélie

机构信息

Service de Médecine Interne Gériatrie et Thérapeutique, CHU Sainte Marguerite, Assistance Publique des Hôpitaux de Marseille (AP-HM), 270 Boulevard de Sainte Marguerite Dromel, 13274, Marseille, cedex 09, France.

Unit of Coordination in Onco-Geriatry (UCOG), PACA-west, France.

出版信息

Trials. 2019 Jan 15;20(1):54. doi: 10.1186/s13063-018-3127-0.

DOI:10.1186/s13063-018-3127-0
PMID:30646923
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6334455/
Abstract

BACKGROUND

Social isolation potentiates the risk of death by cancer in the older cancer patient population. The PREDOMOS study investigates the impact of establishing a Program of Social intervention associated with techniques of Domotic and Remote assistance on the improvement of quality of life of older isolated patients, treated for locally advanced or metastatic cancer. This paper updates the pilot trial protocol.

METHODS/DESIGN: The original protocol was published in Trials, accessible at https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-017-1894-7 . This update reports on the eligibility criteria expansion and on the adjunction of a cost-utility analysis. We widened the eligible population to patients with locally advanced or metastatic cancer including malignant hemopathies (except acute myeloid leukemia) and to patients in the first and second lines of oncologic treatment. We restricted the inclusion to patients with a Mini Mental State Examination score strictly over 24. In addition to the secondary outcomes outlined in the protocol, a medico-economic analysis has been added to evaluate both the health benefits and costs of the two strategies and calculate the incremental cost-utility ratio of the innovative program assessed, compared to the standard practice.

TRIAL REGISTRATION

ClinicalTrials.gov, NCT02829762 . Registered on 29 June 2016.

摘要

背景

社会隔离会增加老年癌症患者群体因癌症死亡的风险。PREDOMOS研究调查了建立一个与智能家居和远程协助技术相关的社会干预项目对改善老年孤立患者生活质量的影响,这些患者接受局部晚期或转移性癌症治疗。本文更新了试点试验方案。

方法/设计:原始方案发表于《试验》杂志,可在https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-017-1894-7获取。本次更新报告了资格标准的扩展以及成本效用分析的加入。我们将符合条件的人群扩大到局部晚期或转移性癌症患者,包括恶性血液病患者(急性髓系白血病除外)以及处于肿瘤治疗一线和二线的患者。我们将纳入范围限制为简易精神状态检查表得分严格超过24分的患者。除了方案中概述的次要结局外,还增加了一项医学经济分析,以评估两种策略的健康效益和成本,并计算与标准做法相比所评估的创新项目的增量成本效用比。

试验注册

ClinicalTrials.gov,NCT02829762。于2016年6月29日注册。

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PREDOMOS study, impact of a social intervention program for socially isolated elderly cancer patients: study protocol for a randomized controlled trial.PREDOMOS研究:一项针对社会孤立老年癌症患者的社会干预项目的影响——一项随机对照试验的研究方案
Trials. 2017 Apr 12;18(1):174. doi: 10.1186/s13063-017-1894-7.
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