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Bull Cancer. 2019 Jun 4. pii: S0007-4551(19)30197-3. doi: 10.1016/j.bulcan.2019.04.006. [Epub ahead of print]

[Early palliative care in oncology].

[Article in French]

Author information

1
Institut Curie, département de soins de support, 26, rue d'Ulm, 75248 Paris cedex 05, France. Electronic address: carole.bouleuc@curie.fr.
2
Institut Curie, département de soins de support, 26, rue d'Ulm, 75248 Paris cedex 05, France.
3
Institut Curie, département de soins de support, 35, rue Dailly, 92210 Saint-Cloud, France.
4
Institut Curie, département d'oncologie médicale, 35, rue Dailly, 92210 Saint-Cloud, France.
5
SSR de la clinique du Pont de Sèvres, 76, rue de Silly, 92100 Boulogne-Billancourt, France.
6
Centre hospitalier Diaconesses, service de soins palliatifs, 125, rue d'Avron, 75020 Paris, France.
7
Centre Leon-Berard, département de soins de support, 28, rue Laennec, 69008 Lyon, France.
8
Centre Paul-Strauss, département de soins de support, 3, rue de la Porte de l'Hôpital, 67065 Strasbourg cedex, France.
9
Centre Lacassagne, service de soins palliatifs, 227, avenue de la Lanterne, 06000 Nice, France.
10
CHU de Cochin, services de soins palliatifs, 27, rue du Faubourg Saint-Jacques, 75014 Paris, France.

Abstract

Early palliative care is now recommended in international guidelines. A meta-analyze combining seven randomized studies has been published in 2007. It confirms that early palliative care improves patient's quality of life and reduces symptom burden. There is also a trend for the reduction of depressive disorder and the increase of overall survival. Other studies show that early palliative care improves quality of life of patient's relatives and reduces end of life care aggressiveness. Most of the time, early palliative care is introduced as soon as the diagnosis of advanced cancer is made, and the precise referral criteria need to be addressed. Other studies have assessed the palliative care consultation; patient-centered care, focusing on symptom management, filling information and education needs about illness and prognosis, helping psychologic adaptation and coping.

KEYWORDS:

Agressivité des soins en fin de vie; End-of-line aggressiveness; Palliative care; Quality of life; Qualité de vie; Soins palliatifs

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