1373P - Patients' vs oncologists' perception of supportive care in cancer: Results of the French national PANACH survey

Date 28 September 2014
Event ESMO 2014
Session Poster Display session
Topics Supportive Care
Presenter Jean-Marc Phelip
Citation Annals of Oncology (2014) 25 (suppl_4): iv481-iv485. 10.1093/annonc/mdu352
Authors J. Phelip1, L. Vanlemmens2, M.S. Dilhuydy3, P. Artru4, T. Bouillet5, C. Audigier-Valette6, F. Caroli-Bosc7, H. Curé8, G.M. Ganem9, L. Greillier10, P. Laplaige11, A. Marre12, P. Quittet13, P. Rouby14, F. Scotte15
  • 1Gastro-entérologie Et Hépatologie, CHU de Saint Etienne, 42055 - Saint Etienne/FR
  • 2Sénologie, Centre Oscar Lambret, 59020 - Lille/FR
  • 3Hématologie, Groupe Hospitalier Sud Hôpital Haut-Lévêque, Bordeaux/FR
  • 4Service D'hépato-gastroentérologie Et D'oncologie Digestive, Hopital Privé Jean Mermoz, Lyon/FR
  • 5Oncologie, Hôpital Avicenne, Bobigny/FR
  • 6Pulmonology Department, Centre Hospitalier de Toulon, Toulon/FR
  • 7Gastroenterology, Angers Hospital, Angers/FR
  • 8Recherche Clinique, Institut Jean Godinot, 51726 - REIMS Cedex/FR
  • 9Oncology, Centre Jean Bernard, FR-72000 - Le Mans/FR
  • 10Multidisciplinary Oncology & Therapeutic Innovations, Aix-Marseille Univ, Assistance Publique-Hôpitaux de Marseille, Marseille/FR
  • 11Oncologie, Polyclinique de Blois, Blois/FR
  • 12Oncology, CH Rodez, Rodez/FR
  • 13Hematology, CHRU Montpellier, Montpellier/FR
  • 14Oncopsychology, Institut Gustave Roussy, Villejuif/FR
  • 15Medical Oncology And Supportive Care Unit, Hopital European George Pompidou, 75015 - Paris/FR

Abstract

Aim

Though supportive care forms part of the overall management of cancer patients, little or no data compare how such care is perceived by patients and oncologists. Our objective was to understand patients' vs oncologists' perception of supportive care, fatigue, depression and other disorders associated with cancer and its treatments.

Methods

A 43-item self-completion questionnaire was developed by a scientific panel of experts and sent by postal mail to 2,632 French oncologists. Simultaneously, a 29-item ‘mirror’ questionnaire was sent to patients undergoing cancer treatment

Results

414 oncologists (16%) and 118 patients completed the questionnaire from September to December 2013. While 47% of the patients think that adverse effects of treatments are unavoidable, and even demonstrate their efficacy (18% of respondents), 50% think that they can be reduced by supportive treatments. 84% of the oncologists give equal importance to supportive care and cancer treatment, and 58% state that they dedicate more time to supportive care than to the actual antitumor treatment. Oncologists reckon that cancer-related disorders are frequent in patients (fatigue: 73%, anxiety/depression: 39% and affective disorders and/or marital/relationship issues: 55%). However, not all symptoms are investigated by physicians on a regular basis. Patients' perception of cancer-related disorders is close to the physicians' estimation (fatigue: 86%, anxiety/depression: 37%, sleep disturbances: 81%). However, few patients spontaneously mention their symptom(s) to their physician.

% of physicians investigating symptom on a regular basis (very often, during each consultation) % of patients who mention their symptom to their oncologist
Fatigue 79% 87%
Sleep disturbances 40% 37%
Anxiety/depression 41% 51%
Affective disorders and/or marital/relationship issues 7% 38%

Conclusions

Though some symptoms (such as fatigue) are rather well managed with supportive care, other symptoms (such as sleep disturbances, depression, affective disorders or marital-relationship issues) should be further investigated by oncologists to enable their patients to speak out and ask for the management of such symptoms.

Disclosure

J. Phelip: Pierre Fabre; L. Vanlemmens: Pierre Fabre; M.S. Dilhuydy: Pierre Fabre; P. Artru: Pierre Fabre Merck Amgen Sanofi; T. Bouillet: Pierre Fabre; C. Audigier-Valette: Pierre Fabre; F. Caroli-Bosc: Pierre Fabre; H. Curé: Pierre Fabre; G.M. Ganem: Pierre Fabre; L. Greillier: Pierre Fabre; P. Laplaige: Pierre Fabre; A. Marre: Pierre Fabre; P. Quittet: Pierre Fabre; P. Rouby: Pierre Fabre; F. Scotte: Pierre Fabre.