Supportive Care Needs of Newly Diagnosed Cancer Patients in a Comprehensive Cancer Center: Identifying Care Profiles and Future Perspectives

Loula Papageorgiou, Jean-Bernard Le Provost, Mario Di Palma, Marc Langlois, Israa Salma (), Manuella Lopes, E. Minvielle (), Maya Abbas and Florian Scotté
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Loula Papageorgiou: DIOPP - Département interdisciplinaire d’organisation des parcours patients - IGR - Institut Gustave Roussy
Jean-Bernard Le Provost: UPO - Unité de psycho-oncologie [Gustave Roussy] - DISSPO - Département Interdisciplinaire de Soins de Support aux Patients en Onco-hématologie [Gustave Roussy] - IGR - Institut Gustave Roussy
Mario Di Palma: DIOPP - Département interdisciplinaire d’organisation des parcours patients - IGR - Institut Gustave Roussy
Marc Langlois: Doo Conseil
Israa Salma: DIOPP - Département interdisciplinaire d’organisation des parcours patients - IGR - Institut Gustave Roussy, CRG I3 - Centre de recherche en gestion I3 - X - École polytechnique - IP Paris - Institut Polytechnique de Paris - I3 - Institut interdisciplinaire de l’innovation - CNRS - Centre National de la Recherche Scientifique
Manuella Lopes: DIOPP - Département interdisciplinaire d’organisation des parcours patients - IGR - Institut Gustave Roussy
E. Minvielle: DIOPP - Département interdisciplinaire d’organisation des parcours patients - IGR - Institut Gustave Roussy, CRG I3 - Centre de recherche en gestion I3 - X - École polytechnique - IP Paris - Institut Polytechnique de Paris - I3 - Institut interdisciplinaire de l’innovation - CNRS - Centre National de la Recherche Scientifique
Maya Abbas: DIOPP - Département interdisciplinaire d’organisation des parcours patients - IGR - Institut Gustave Roussy
Florian Scotté: DIOPP - Département interdisciplinaire d’organisation des parcours patients - IGR - Institut Gustave Roussy

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Abstract: 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.

Keywords: patient needs; patient pathway; personalized care; supportive care; besoins du patient; parcours patient; soins personnalisés; soins de soutien (search for similar items in EconPapers)
Date: 2024-02-28
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Published in Cancers, 2024, 16 (5), pp.1017. ⟨10.3390/cancers16051017⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-05126583

DOI: 10.3390/cancers16051017

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