Status:
UNKNOWN
Do Patients Want to Engage in Discussions Dedicated to Anticipating (DDA) Their Preferences of Care in the Event of Worsening Health Status?
Lead Sponsor:
Assistance Publique - Hôpitaux de Paris
Conditions:
Neoplasm Metastasis
Locoregional Neoplasm
Eligibility:
All Genders
18+ years
Brief Summary
Context: In people concerned by serious illness, how to anticipate the aggravation of the disease according to the patient's preferences is a challenging clinical question and an ethical key-issue to ...
Detailed Description
In the United States, the respect of patient's autonomy was early considered in 1990 by the Patient Self Determination Act, which stated that all persons entering a publicly funded health care facilit...
Eligibility Criteria
Inclusion
- Patients 18 years of age or older
- Followed by oncologists from the medical oncology and pulmonology departments of Cochin Hospital,
- with advanced stage cancer (solid neoplasm, any location) (locoregional or metastatic),
- whose objective of care is not curative (in the sense of healing)
- whose life expectancy is less than 1 year, estimated by the investigating physician, by the standard question, commonly used in the literature, "would you be surprised if this patient died within the next year?"
Exclusion
- Severe psychopathology (generalized anxiety disorder, panic disorder, schizophrenia spectrum disorders, bipolar and related disorders, and major depressive disorders), mentioned in the patient medical record
- Persistent cognitive disorders, with type of dementia or confusion, mentioned in the patient medical record
- Patient not fluent in French
- Eastern Cooperative Oncology Group (ECOG) Performance status = 4
- A refusal of the patient after proposal and information about the study
- Patient not affiliated to a social security system
Key Trial Info
Start Date :
June 3 2020
Trial Type :
OBSERVATIONAL
Allocation :
ESTIMATED
End Date :
June 1 2022
Estimated Enrollment :
240 Patients enrolled
Trial Details
Trial ID
NCT04308356
Start Date
June 3 2020
End Date
June 1 2022
Last Update
October 4 2021
Active Locations (1)
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1
Unité Fonctionnelle de Médecine palliative, Hôpitaux Universitaire Paris Centre - CHU Cochin
Paris, France, 75014