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Christine Lhomel



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    P2.15 - Treatment in the Real World - Support, Survivorship, Systems Research (Not CME Accredited Session) (ID 964)

    • Event: WCLC 2018
    • Type: Poster Viewing in the Exhibit Hall
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 9/25/2018, 16:45 - 18:00, Exhibit Hall
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      P2.15-17 - Patient Care in Advanced Lung Cancer: Unmet Needs (ID 13223)

      16:45 - 18:00  |  Author(s): Christine Lhomel

      • Abstract
      • Slides

      Background

      Comprehensive cancer care uses complementary approaches alongside specific anticancer therapy. Using a dedicated questionnaire, the Calista2 survey sought to assess the importance of supportive care and activities among lung cancer (LC) patients, how often these services are made available and offered, the utilization rate, and the frequency of unmet needs.

      a9ded1e5ce5d75814730bb4caaf49419 Method

      The 25 physicians who accepted to take part in the survey recruited 198 patients of whom 143 answered the patient-reported questionnaire. Patients meeting the inclusion criteria were adults already on specific therapy for advanced LC. The patient-reported questionnaires covered drug management of pain, fatigue, adverse effects of treatments (AE), and sleep disorders, social and psychological support, physical activities, and complementary and alternative medicines. Items were rated on a 0 – 10 scale. Questionnaires were collected between September 2016 and October 2017.

      4c3880bb027f159e801041b1021e88e8 Result

      After exclusion of non-valid patient questionnaires, 134 were analyzed. The mean age of these patients was 64.3 years (SD:8.5). There were 62% men and 37% women. Patients perceived the management of pain, AE and fatigue as the three most important items (7.5, 7.2, 6.0) while counselling with regards to employment (1.7), spiritual support (2.6), art therapy (2.6), and support groups for patients’ children (2.6) were the least important. Although most of the facilities were available at the point of care, complementary medicines, art therapy, and professional counselling were accessible for 29%, 33%, and 21%, respectively. Physicians frequently suggested pain and AE management (78%, and 75%, respectively), and diet counselling (51%). In contrast, fatigue management, sleep disorders, and sexual issues were less frequently addressed (35%, 44%, and 6%, respectively). Paradoxically, the four main unmet needs were management of fatigue, complementary medicines, psychological support for the patient’s family and friends and relaxation techniques (32%, 25%, 20%, and 20%, respectively).

      8eea62084ca7e541d918e823422bd82e Conclusion

      These key findings highlight the fact that support for pain and for the AE of cancer treatment are available, suggested and used. In contrast, unmet needs expressed by the patients were either available but not used (fatigue management and psychological support for the patient’s family and friends) or rarely available (complementary medicines and relaxation techniques).

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