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Master Thesis

État des lieux national des connaissances et de l’utilisation des échelles pronostiques par les médecins exerçant en oncologie et en soins palliatifs, chez des patients adultes atteints d’un cancer en phase palliative avancée

Abstract : CONTEXT: Because of a need to improve practices and decrease aggressivity in patients with advanced cancer, prognostic scales have been created to estimate patient’s survival. There are no studies evaluating their use and practical utility. METHOD: French oncologist and palliative care physicians were proposed to answer a national survey, to analyze the current state of knowledge and use of prognostic scales. RESULTS: With 12.2% of participation rate, the study shows a weak knowledge of these scales, with 63.6% (n=187) of respondents who don’t know it or just a bit, and a weak use with 27.2% (n=80) of users. The Palliative Performance Status (PPS) and the Pronopall Scale are the best-known and most used. The lack of formation and consensus about the scale to use are the principal brakes for using. CONCLUSION: There is a difference in attempt and use of these scales between oncologist and palliative care physician. Prognostic tools in advanced cancer patients seem useful, not as decision tool, but as thinking and discussion tool, to interact with the medical team and the patient about the care plan. Further studies could precise their using framework, their temporality, their ongoing adequacy and make a consensus about the scale to use in clinical practice.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03371274
Contributor : Jean-Hugues Morneau Connect in order to contact the contributor
Submitted on : Tuesday, November 2, 2021 - 4:19:25 PM
Last modification on : Thursday, November 4, 2021 - 3:42:47 AM

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  • HAL Id : dumas-03371274, version 1

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Raphaëlle Habert-Dantigny. État des lieux national des connaissances et de l’utilisation des échelles pronostiques par les médecins exerçant en oncologie et en soins palliatifs, chez des patients adultes atteints d’un cancer en phase palliative avancée. Médecine humaine et pathologie. 2020. ⟨dumas-03371274⟩

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