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Anticipative approach to improve safety: An innovative Daily Hospital Organisation

Date

09 Sep 2017

Session

Supportive and palliative care

Presenters

Florian Scotté

Citation

Annals of Oncology (2017) 28 (suppl_5): v543-v567. 10.1093/annonc/mdx388

Authors

F. Scotté1, R.T. Elaidi2, H. Haboudagga3, C. Thibault2, J. Stevens4, B. Bonan5, S. Oudard2

Author affiliations

  • 1 Medical Oncology And Supportive Care Unit, Foch Hospital, 92 - Suresnes/FR
  • 2 Medical Oncology, Georges Pompidou European Hospital, 75015 - Paris/FR
  • 3 Pharmacy, Georges Pompidou European Hospital, 75015 - Paris/FR
  • 4 Medical Oncology, Direct Medica, 92 - Boulogne/FR
  • 5 Pharmacy Department, Foch Hospital, 92 - Suresnes/FR
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Resources

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Abstract 2693

Background

The PROCHE [Programme for optimisation of the chemotherapy network] initiative is an innovative oncology-monitoring program designed to reduce patient waiting time and chemotherapy wastage, ultimately improving patient care. A nurse calls patients 48 hours before anticancer treatment at the daily hospital to anticipate chemotherapy preparation.

Methods

Primary objective was to evaluate the incidence of different symptoms reported by grade (NCI-CTC AE: from 0 to 4) prospectively collected from 2008 to 2016. Secondary objective compared the 2009-2016 patients to the control cohort (2008 period) quantified using Mantel-Haenszel khi2 and exact p-values.

Results

From January 2009 to December 2016, 3012 patients were enrolled in the program, representing 36 803 questionnaires completed over the whole period. Main adverse events (AE) were collected and compared to the control cohorts (2008, n = 513), resulting in a significant decrease in majority of topics. Global incidence comparison is presented in table 1, with the p-value according to khi2 test. Details of severity levels scores using NCI CTC-AE V4.0, will be reported at ESMO meeting. For some of the toxicities, severe or life threatening toxicities (grades 3-4) were higher in the PROCHE cohort, while global incidence decreased.rnTable:

1542PD

rnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrnrn
Adverse Event2008 (%)2009-2016 (%)p-value
Fatigue82.462.01

Conclusions

The PROCHE initiative resulted in adverse events decrease and improved patient quality of care and improved hospital as well as pharmacy efficacy.

Clinical trial identification

Legal entity responsible for the study

Florian Scotté

Funding

None

Disclosure

F. Scotté: Roche, Vifor, MSD, Teva, Norgine, Prostrakan, Leo pharma, Janssen, Hospira, Boehringer, Sanofi, Amgen, Pierre Fabre Oncologie, Tesaro. C. Thibault: Roche. All other authors have declared no conflicts of interest.

Resources from the same session

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