Papageorgiou Loula, Le Provost Jean-Bernard, Di Palma Mario, Langlois Marc, Salma Israa, Lopes Manuella, Minvielle Etienne, Abbas Maya, Scotté Florian
Patient Pathway Division, Gustave Roussy, 94805 Villejuif, France.
Psycho-Oncology Unit, Gustave Roussy, 94805 Villejuif, France.
Cancers (Basel). 2024 Feb 29;16(5):1017. doi: 10.3390/cancers16051017.
The prompt introduction of supportive care for patients with cancer leads to a better quality of life, potential survival benefits, and improvements in treatment safety. Considering that patients' needs vary, descriptive assessments could serve as a compass for an efficient and prompt healthcare response. The aim of this study was to identify supportive care needs in newly diagnosed patients according to cancer type. A retrospective study was conducted by collecting data from the case consultation and medical records of a comprehensive cancer center in France. Patients' needs were divided into twelve domains: nutrition, psychological support, psychiatric support, social care, physiotherapy, addictology, pain management, palliative care, pharmacology, complementary and alternative practice (CAM), sexual health, and speech therapy. Out of 6217 newly diagnosed patients of various cancer types who sought medical care at Gustave Roussy in 2021, 2541 (41%) required supportive cancer care (SCC), and of them, 1331 patients (52%) required two or more different SCC specialist interventions. The top five interventions were dietary (for 60% of patients), physiotherapy (33%), psychology (29%), social care (28%), and pain management (16%). Subgroup analysis according to cancer department highlighted additional specific needs: CAM for breast cancer patients (11%), speech specialist (27%) and addictologist (22%) interventions for ENT patients, psychiatry consultations for neurological patients (16%), and palliative care for dermatology patients (23%). The aforementioned data suggest that an early, multidisciplinary supportive care intervention should be required. Assembling human resources at the time of diagnosis within a dedicated day unit would be the next appropriate step in developing personalized care pathways related to the highlighted needs.
对癌症患者及时引入支持性护理可带来更好的生活质量、潜在的生存益处以及治疗安全性的提高。鉴于患者需求各异，描述性评估可作为高效且及时的医疗响应的指南。本研究的目的是根据癌症类型确定新诊断患者的支持性护理需求。通过收集法国一家综合癌症中心的病例咨询和医疗记录数据进行了一项回顾性研究。患者的需求分为十二个领域：营养、心理支持、精神支持、社会护理、物理治疗、药物成瘾学、疼痛管理、姑息治疗、药理学、补充和替代疗法（CAM）、性健康以及言语治疗。在2021年到古斯塔夫·鲁西医院就医的6217名新诊断的各类癌症患者中，2541名（41%）需要癌症支持性护理（SCC），其中1331名患者（52%）需要两种或更多不同的SCC专科干预。前五项干预措施是饮食（60%的患者）、物理治疗（33%）、心理（29%）、社会护理（28%）和疼痛管理（16%）。根据癌症科室进行的亚组分析突出了其他特定需求：乳腺癌患者的CAM（11%）、耳鼻喉科患者的言语专科（27%）和药物成瘾专科（22%）干预、神经科患者的精神科会诊（16%）以及皮肤科患者的姑息治疗（23%）。上述数据表明应进行早期的多学科支持性护理干预。在诊断时于专门的日间病房整合人力资源将是制定与突出需求相关的个性化护理路径的下一个合适步骤。
