Impact of the Nurse Visit on Observance of the Intake of Oral Carcinological Treatment in the Elderly

Nantes University Hospital61 enrolled

Overview

The increasingly used oral anticancer treatments allow the patient to reduce treatment and social constraints to reduce hospitalization costs. The counterpart is a decrease in the monitoring of the correct intake of drugs and the detection of side effects. These two risks are major in the elderly, due to comorbidities, poly-medication and decreased attention. The project objective to evaluate the impact of a bi-weekly nursing visit to the patients' homes for 3 months, compared to a conventional management without a nursing visit. It is a prospective, randomized, controlled, multicenter study to include 224 patients over 18 months. The impact will be assessed by counting the tablets not taken and by filling an observation booklet with the nurse at home.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

Conditions

Oncology, Gerontology

Interventions

Eligibility

Sex: ALLMin age: 70 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Patient aged 70 and over * Patient initiating an oral anticancer treatment (Chemotherapy, Targeted therapy, 2nd generation hormone therapy type Acetate abiraterone and Enzalutamide) * Patient who received an onco-geriatric assessment * Patient with informed consent signed Exclusion Criteria: * Patient in a medical institution * Patient under exclusive hormone therapy * Patient already eligible for nurse support * Patient not speaking French * Patient under tutelage and guardianship or under safeguard of justice * Patient already included in a research protocol * Patient sharing his or her home with a person receiving nursing care at home more than once a week and for a period longer than 1 month after the patient's inclusion.

Locations (6)

ICO Angers

Angers, France

CHD Vendée

La Roche-sur-Yon, France

CHU de Nantes

Nantes, France

Hôpital privé du Confluent

Nantes, France

ICO Nantes

Saint-Herblain, France

CH Saint Nazaire

Saint-Nazaire, France

Outcomes

Primary Outcomes

Comparison, at 3 months after the oncological treatments began, of the observance rate of the anticancer drugs (corresponding to the entire carcinological protocol) with or without passage of a nurse at the patient's home.

Time frame: 3 months

Secondary Outcomes

Comparison of the patient's perception of observance to anticancer therapy

Time frame: 3 months

Comparison of causes of possible premature and definitive cessation of cancer treatments 3 months after the start of treatment and changes in treatment (dose, rhythm of cycles)

Time frame: 3 months

Assessment of patients' satisfaction (of the arm with passage of the nurse) and the professionals

Time frame: 3 months

Determination of the percentage of patients able to be included in the study compared to the number of patients who received an oncogeriatric assessment

Time frame: 3 months