Serviceeinschränkungen vom 12.-22.02.2026 - weitere Infos auf der UB-Homepage

Treffer: [Non-programmed hospitalization of elderly patients with cancer: Which care pathway?]

Title:
[Non-programmed hospitalization of elderly patients with cancer: Which care pathway?]
Transliterated Title:
Hospitalisation non programmée des patients âgés atteints de cancer : quel parcours de soins ?
Authors:
Valero S; CHU La Milétrie, pôle de gériatrie, 2, rue de La Milétrie, 86021 Poitiers cedex, France. Electronic address: simon.valero@chu-poitiers.fr., Simet G; CHU La Milétrie, pôle de gériatrie, 2, rue de La Milétrie, 86021 Poitiers cedex, France., Fauchier T; CHU La Milétrie, pôle biologie pharmacie santé publique, 2, rue de La Milétrie, 86021 Poitiers cedex, France., Jamet A; CHU La Milétrie, pôle de gériatrie, 2, rue de La Milétrie, 86021 Poitiers cedex, France., Bouchaert P; CHU La Milétrie, pôle régional de cancérologie, 2, rue de La Milétrie, 86021 Poitiers cedex, France., Migeot V; CHU La Milétrie, pôle biologie pharmacie santé publique, 2, rue de La Milétrie, 86021 Poitiers cedex, France., Tourani JM; CHU La Milétrie, pôle régional de cancérologie, 2, rue de La Milétrie, 86021 Poitiers cedex, France., Paccalin M; CHU La Milétrie, pôle de gériatrie, 2, rue de La Milétrie, 86021 Poitiers cedex, France., Liuu E; CHU La Milétrie, pôle de gériatrie, 2, rue de La Milétrie, 86021 Poitiers cedex, France.
Source:
Bulletin du cancer [Bull Cancer] 2019 Apr; Vol. 106 (4), pp. 293-303. Date of Electronic Publication: 2019 Mar 01.
Publication Type:
Journal Article; Observational Study
Language:
French
Journal Info:
Publisher: Elsevier Country of Publication: France NLM ID: 0072416 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1769-6917 (Electronic) Linking ISSN: 00074551 NLM ISO Abbreviation: Bull Cancer Subsets: MEDLINE
Imprint Name(s):
Publication: Jan. 2015- : Paris : Elsevier
Original Publication: Paris : Masson
MeSH Terms:
Neoplasms*/drug therapy , Neoplasms*/pathology, Critical Pathways/*statistics & numerical data , Geriatrics/*statistics & numerical data , Hospitalization/*statistics & numerical data , Medical Oncology/*statistics & numerical data, Aftercare ; Age Factors ; Aged ; Aged, 80 and over ; Comorbidity ; Cross-Sectional Studies ; Female ; Humans ; Male ; Multivariate Analysis ; Neoplasm Metastasis ; Retrospective Studies
Contributed Indexing:
Keywords: Cancer; Care course; Elderly; Hospitalisation non programmée; Neoplasm; Parcours de soins; Sujet âgé; Unprogrammed hospitalization
Entry Date(s):
Date Created: 20190305 Date Completed: 20190418 Latest Revision: 20190418
Update Code:
20250114
DOI:
10.1016/j.bulcan.2018.12.012
PMID:
30827485
Database:
MEDLINE

Weitere Informationen

Introduction: Management of elderly patients with cancer is challenging worldwide. Improvement of their care pathway should focus on unplanned hospitalizations. This study aimed to compare the geriatric and oncologic profiles of elderly patients with cancer, hospitalized for an acute pathology either in medical oncology or acute geriatric medicine units.
Methods: Epidemiological, analytical, monocentric, transversal study performed in the geriatric and oncological short-stay units of the university hospital of Poitiers (France) from 07/01/2014 to 06/30/2015. Only patients with diagnosed cancer prior to hospitalization were included. The geriatric, oncological and hospitalization data were collected and analyzed.
Results: In total, 230 patients were included (156 in geriatrics, 74 in oncology). Alteration of the general condition was the most frequent reason for admission. In multivariate age-adjusted analyses, factors associated with admission to a geriatric unit were co-morbidities (OR=0.18 [95% CI: 0.07-0.46], P<0.01) and dependence (OR=0.07 [95% CI: 0.01-0.36], P<0.01). Ongoing antineoplastic treatment (OR=2.60 [95%CI: 1.14-5.89], P=0.02) and metastatic cancer (OR=2.63 [95%CI: 1.18-5.86], P=0.02) influenced hospitalization in the oncology unit. During the hospital stay there was more frequent psychological support in oncology (OR=45.59 [95%CI: 9.79-212.23], P<0.01) and social support in Geriatrics (OR=0.13 [95% CI: 0.04-0.40], P<0.01).
Conclusion: This first comparative study showed a significant difference in profiles of elderly patients with cancer hospitalized for an acute problem, depending on the hospital unit. This finding paves the way of improvement of care pathway by formalizing links between these two departments to optimize care and referrals to the most appropriate care unit, according to patients condition, in case of unscheduled hospitalization.
(Copyright © 2019 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved.)