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Master Thesis

Amélioration des modalités d’administration du 5-fluorouracile, en perfusion continue, chez les patients atteints de cancer colorectal et pris en charge sur le groupe hospitalier sud du CHU de Bordeaux

Abstract : At the teaching hospital of Bordeaux, care management of patients with colorectal cancer (PWCC) is performed as an outpatient. These patients are commonly treated by 5-fluorouracil, administered continuously over 46 hours. At the ’Groupe Hospitalier Sud’, a consortium of several hospitals belonging to Bordeaux health community, administration of this kind of chemotherapy is done by an infusion pump. This health equipment is provided by home healthcare suppliers (HHCS). We performed an assessment of PWCC’s care pathway. We found several problems linked to both fluorouracil administration system and communication problem with HHCS. Furthermore, many claims of the French health insurance (on behalf of ‘Caisse Primaire d’Assurance Maladie’) about invoices issued by HHCS have been observed. In addition, it is expected a restructuring of the gastroenterology center in July 2016, by merging two main gastrointestinal oncology! sites. These two sites have different habits concerning PWCC’s care management. Consequently, it seemed essential for us to harmonize this circuit for the purpose of secure and make it fully efficient. Different potential sources of improvement were identified and proposed i) the exact description of the equipment necessary for the administration of chemotherapy, ii) the drafting and compliance of an prescription for the provision of the equipment by the PSAD, iii) development of tests to choose a single model Infusion Pump continues for the administration of fluorouracil and iv) writing specifications on this health benefit. This work, which was initiated more than 10 months should be continued in order to optimize the use of these tools and the impact of the implementation should be assessed.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01169871
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Tuesday, June 30, 2015 - 1:48:15 PM
Last modification on : Wednesday, August 23, 2017 - 4:32:12 PM
Long-term archiving on: : Wednesday, September 16, 2015 - 6:33:28 AM

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Soizic Leymond. Amélioration des modalités d’administration du 5-fluorouracile, en perfusion continue, chez les patients atteints de cancer colorectal et pris en charge sur le groupe hospitalier sud du CHU de Bordeaux. Sciences pharmaceutiques. 2015. ⟨dumas-01169871⟩

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