Follow-up of Elderly Patients in Ambulatory Surgery (PAPA)

Assistance Publique - Hôpitaux de Paris

Status: Unknown

Conditions: Breast Cancer; Ambulatory; Surgery; Skin Cancer

Treatments: Other: Health care process with Nurse Navigator

Study type: Observational

Funder types: Other

Identifiers

NCT03604666

K170702J

Details and patient eligibility

About

The number of surgical procedures performed in ambulatory hospitalization for cancers of the skin or breast is increasing for medical and economic reasons. But the protocols of care and the clinical pathways are poorly adapted for elderly patients with physical or cognitive impairment.

The goal of this study is to test the impact of an oncology ambulatory surgical care in patients aged 75 years or older, with breast or skin cancer and treated in Henri Mondor hospital on the increase in the proportion of patients operated on an outpatient basis

Enrollment: 320 estimated patients

Sex: All

Ages: 75+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patient ≥ 75 years old with breast cancer or skin cancer and requiring surgical excision: partial mastectomy, lumpectomy, axillary dissection, cutaneous excision, etc.
• With an indication of ambulatory care
• Patient (legal representative or trusted person or member of the family) having been informed and having given his non-oral objection to his participation in the study
• Possessing a health insurance

Exclusion criteria

• Patients reserved for breast reconstruction to the operative gesture of tumor resection.
• Patients do not consent to care because of deficient mental state.
• Formal surgical contraindication due to a pathology medical device does not allow anesthesia. - Participation in another interventional research or be in the exclusion period after a previous search, if applicable

Trial design

320 participants in 2 patient groups

Health care process with Nurse Navigator

Description:

A Nurse Navigator will: * Be present at the announcement consultation * Give information on the outpatient circuit * Offer assistance for patients over 75 years * Complete onco-geriatric orientation questionnaires * Take care of patients on the ambulatory circuit

Treatment:

Other: Health care process with Nurse Navigator

Health care process

Description:

Health care process