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Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care

3694 - The experience of Onco-Palliative care Multidisciplinary Meetings in Hotel Dieu de France University Hospital, an ESMO Designated Center of Integrated Oncology and Palliative Care

Date

22 Oct 2018

Session

Poster display session: Breast cancer - early stage, locally advanced & metastatic, CNS tumours, Developmental therapeutics, Genitourinary tumours - prostate & non-prostate, Palliative care, Psycho-oncology, Public health policy, Sarcoma, Supportive care

Topics

End-of-life Care

Tumour Site

Presenters

Anastasia Houchan

Citation

Annals of Oncology (2018) 29 (suppl_8): viii548-viii556. 10.1093/annonc/mdy295

Authors

A. Houchan1, T.S. Assi2, Z. Bakouny1, E. El Rassy1, A. Tohme3, M.C. Mouhawej3, J.G. Kattan1

Author affiliations

  • 1 Hematology-oncology, Saint Joseph University - Faculty of Medicine, 1104 2020 - Beirut/LB
  • 2 Medical Oncology, Gustave Roussy Institut de Cancérologie, 94805 - Villejuif/FR
  • 3 Palliative Care, Saint Joseph University - Faculty of Medicine, 1104 2020 - Beirut/LB
More

Resources

Abstract 3694

Background

Current management strategies of cancer patients are adopting multidisciplinary meetings (MDM) and including the earliest palliative care intervention to improve the quality of life and survival. We have established, since 2015, a monthly onco-palliative care MDM for the management of our cancer patients. This study reports on the role of onco-palliative MDM in Hotel Dieu de France University Hospital, an ESMO Designated Center of Integrated Oncology and Palliative Care.

Methods

All cancer patients referred to the mobile palliative care unit and/or transferred to the palliative care unit, are presented and discussed during the onco-palliative care MDMs held between May 2015 and November 2017. Demographic, clinical and long-term characteristics were obtained from the electronic medical records and retrospectively nalysed. Demographic and survival data were compared between 2015 and 2017.

Results

245 patients were presented during 20 MDMs. Median age was 68 years (range 59-77) and 58% of patients were male. The most common motive for palliative care consultation was social support (40%). Over the study period, no significant effect on the place of death was retained. However, patients had significant improvement in the symptomatic management of their disease between 2015 and 2017 (41.6% vs 7% in 2015) and better social support (60.7% vs 32.4% in 2015) (p < 0.0001). The median survival of patients after the onco-palliative care MDMS was 23 days (19.3- 26.7). No significant difference in survival was noted over the 3 year course (p = 0.315). Using the univariate cox regression model, in comparison to 2015, the hazard ratio is 0.780 (0.556 – 1.094, p = 0.149) for 2016, and 0.924 (0.3652 – 1.309, p = 0.656) for 2017.

Conclusions

The onco-palliative care MDMs is an innovative approach in Lebanon, a small conservative Middle Eastern society. These MDMs were shown to improve the quality of life of cancer patients with better symptomatic and social support. However, no significant impact on survival was demonstrated so far.

Clinical trial identification

Legal entity responsible for the study

Saint Joseph University.

Funding

Has not received any funding.

Editorial Acknowledgement

Disclosure

All authors have declared no conflicts of interest.

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