1607P - Family physicians (FP) are rarely involved in managing acute onset symptoms during cancer treatment

Date 01 October 2012
Event ESMO Congress 2012
Session Poster presentation III
Topics Supportive Care
Presenter Kenza Yacoubene
Authors K. Yacoubene1, A.T. Alibay2, M. Merad2, M. di Palma2, A. Sami2
  • 1gustave Roussy Institute, 94805 - Villejuif/FR
  • 2Ambulatory Care, Gustave Roussy Institute, 94805 - Villejuif/FR

Abstract

Objectives

The emergency oncology department (EOD) manages the acute onset symptoms (AOS) of cancer patients being treated at our institute. About 80% of them visited the EOD without referring to their FP. The aim of our study is to analyse if these specialised consultations are justified.

Methods

This is a prospective study. Cancer patients (n = 112) who visited the EOD for AOS were questioned about the reasons for not referring to their GP. The second part is to evaluate if the AOS require a specialised advice. This assessment has been conducted by a junior FP (JFP) and a senior physician (SP) specialised in supportive care. Patients who couldn't answer the questions were excluded.

Results

Prior to admission to the EOD, 37.5% had a consultation with their FP and 57% of them visited the EOD despite their FPs advice. The GP was judged not qualified to manage AOS by 35% of the patients. Colorectal, breast, lung, and prostate cancer were identified in 16%, 14%, 12%, 12%, of visits. The main complaints were fever (21%), pain (16%), dyspnoea (14%), gastrointestinal issues (13%) and fatigue (13%). These AOS required an urgent assessment in 75% for JFP and 71% of the cases for SP. This assessment had to be conducted by a trained physician in supportive care in 73% of the cases for JFP and 85% for SP.

Conclusions

Our study shows that an assessment was required by a well trained physician in supportive care for more than ¾ of the acute onset symptoms

Disclosure

All authors have declared no conflicts of interest.