Etude de faisabilité d'un Parcours de Transition à la Sortie d'Hospitalisation complète en Oncologie - Etude Pilote Monocentrique
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Compliance with ePRO monitoring
研究概览
简要总结
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.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •The patient must have given their free and informed consent and signed the consent form
- •The patient must be a member or beneficiary of a health insurance plan
- •Adult patient hospitalized in an oncology unit for at least 48 hours.
- •Patient capable of using a connected device, in possession of a smartphone or tablet, and with an internet connection at home.
- •Patient discharged from hospital to go home.
排除标准
- •The patient is in a period of exclusion determined by a previous study
- •The subject refuses to sign the consent
- •It is impossible to give the subject informed information
- •The patient is under safeguard of justice or state guardianship
- •Patient considered to be at the end of life.
- •Patient unable to read and understand French
- •Patient discharged from hospitalization to a home care facility
- •Patient having been hospitalized in a full-time inpatient setting for a scheduled procedure (chemotherapy or interventional procedure)
- •Pregnant, parturient, or breastfeeding
结局指标
主要结局
Compliance with ePRO monitoring
时间窗: Day 2
Percentage of patients who responded to all questionnaires
Compliance with the telephone call at day 7
时间窗: Day 7
Percentage of patients successfully contacted at day 7
Patient satisfaction with the care pathway
时间窗: Day 15
Question: "Are you satisfied with your care pathway?" (Yes/no)
次要结局
- Patient satisfaction with their care(Day 15)
- Quality of life as reported by the patient(Day 0)
- Quality of life as reported by the patient(Day 7)
- Quality of life as reported by the patient(Day 15)
- Quality of the transition pathway to home(Day 15)
- Quality of life as reported by the patient(Day 30)
- Rate of readmissions to a healthcare facility(One month after hospitalization)
