The main objective of study is to describe the priorities of elderly patients (70 years and over) undergoing a first medical treatment for cancer, at initiation of treatment and after 3 months of treatment. The main criterion is a prioritization of 4 items per patient from a list of 8 expectations regarding the objectives of their treatment: treatment efficacy, life expectancy, autonomy, daily activities, social activities, heaviness of treatment, toxicity, economics.
For the primary endpoint assessment, this self-administered patient questionnaire will used an opinion scale (Not at all, A little, Moderately, Enough, Many) to explore the eight domains. Next to the completion of the expectations questionnaire, patients will have to order 4 of the different 8 items that they prioritized in regard of the first line treatment that has just been prescribed by their physician. Secondary endpoint will focus on those 8 proposed expectations of patients at different periods of time since treatment initiation. Patients' priorities will be compared to physician's priorities (using the same prioritization grid) before medical treatment and after 3 months of treatment and to younger patients' priorities (18-69 years). Associations between elderly patients' characteristics (social, medical…) and their priorities will be search.
Study Type
OBSERVATIONAL
Enrollment
346
Consultation, evaluation questionnaire
Geriatric consultation, evaluation questionnaire
Institut Bergonié
Bordeaux, France
Priorities of Patients Receiving First Medical Treatment for Cancer at Treatment Initiation
Prioritization among of the 4 items selected from a list of 8 expectations regarding the objectives of their treatment : treatment efficacy, life expectancy, autonomy, daily tasks, social activities, burden of treatment, toxicity and economic burden. For each expectation, the number and rate of priorization are reported.
Time frame: Day 0 initiation of treatment
Priorities of Patients Receiving First Medical Treatment for Cancer 3 Months After Initiation of Treatment
Prioritization among of the 4 items selected from a list of 8 expectations regarding the objectives of their treatment : treatment efficacy, life expectancy, autonomy, daily tasks, social activities, burden of treatment, toxicity and economic burden. For each expectation, the number and rate of priorization are reported.
Time frame: 3 months after initiation of treatment
Expectations of Patients at Initiation of Treatment
Patients had to rate on a 5-point Likert scale (not at all / a little / moderately / quite / a lot) their expectations for treatment efficacy, life expectancy, autonomy, daily tasks, social activities, burden of treatment, toxicity and economic burden
Time frame: Day 0 initiation of treatment
Expectations of Patients 3 Months After Initiation of Treatment
Patients had to rate on a 5-point Likert scale (not at all / a little / moderately / quite / a lot) their expectations for treatment efficacy, life expectancy, autonomy, daily tasks, social activities, burden of treatment, toxicity and economic burden
Time frame: 3 months after initiation of treatment
Stability of Patients in Their Priorities at 3 Months
For each expectation, stability is defined as the prioritization of the expectation at treatment initiation and 3 months after treatment initiation
Time frame: 3 months after initiation of treatment
1-year Overall Survival
Overall survival is defined as the time between the date of inclusion and the date of death, whatever the cause. The rate of overall survival is reported at 1 year
Time frame: From inclusion to the end of study
Agreement Rate for Prioritization of Expectations Between Patients and Physicians
For each expectation, the agreement rate is defined by the same prioritization or non-prioritization by the patient-physician pairs.
Time frame: Day 0 initiation of treatment
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