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Program of Evaluation and Geriatric Intervention on the Functional Status, Quality of the Life, and Survival

Not Applicable
Conditions
Acute Myeloid Leukemia
Interventions
Behavioral: WITH Comprehensive Geriatric assessment
Behavioral: Conventional
Registration Number
NCT01188330
Lead Sponsor
Institut Paoli-Calmettes
Brief Summary

Acute myeloid leukaemia (AML) is a disease of the elderly, with a median age at diagnosis of 65. A poor outcome in this population has been well established, with very short overall survival (OS) and disease free survival (DFS).There are numerous bad prognostic factors related to the disease itself or to the patient's medical condition.

This study will evaluate the impact of a Comprehensive Geriatric assessment (CGA) performed at diagnosis with planned interventions according to disabilities and monthly follow-up by a nurse practitioner during 6 months on functional status of older cancer patients treated for Acute myeloid leukaemia. Functional status will be assessed with the Lawson Instrumental Activities of Daily Living (IADL) scale at diagnosis and 6 months after randomisation.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  • Patients aged 70 years and older
  • Referred for treatment following a diagnosis of acute myeloid leukaemia.
  • signed informed consent
Exclusion Criteria
  • Terminal patients, with a life expectancy estimated to be less than 3 months, will be excluded from the study, due to ethical issues and the fact that they are unlikely to benefit from this evaluation.
  • Patients unable to give informed consent.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
WITH Comprehensive Geriatric assessmentWITH Comprehensive Geriatric assessmentConventional haematological management of patients and Comprehensive Geriatric assessment (CGA) at diagnosis followed by interventions according to disabilities detected and planned monthly follow up by a nurse practitioner during 6 months.
ConventionalConventionalConventional haematological management of patients
Primary Outcome Measures
NameTimeMethod
functional status6 months

The functional status is evaluated with KATZ INDEX : BASIC ACTIVITIES OF DAILY LIVING (ADL) and Older American Resources and Services, Instrumental Activities of Daily Living (IADL) mesured at diagnosis and 6 month after inclusion.

Secondary Outcome Measures
NameTimeMethod
nutritional status6 months

mesured by the Mini Nutritional Assessment Short Form (mini MNA-SF)

survival6 months

overall survival

quality of life6 months

estimated by a Quality of Life Questionnaire including 30 items (QLQ-C30)

Trial Locations

Locations (2)

Aude CHARBONNIER, MD

🇫🇷

Marseille, France

Christian RECHER

🇫🇷

Toulouse, France

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