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Code for midico code#
Code for midico trial#

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Code for midico code#

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Code for midico trial#

Participation in a clinical trial that may alter the costs of care.Postal address is incomplete without Pincode.

In an institution or guardianship, a major protected by the law.

Who did not report a regular physician or pharmacy, or who reported ≥2 or more regular street pharmacies.

Management of oral anticancer treatment exclusively by the caregiver.

Treated with oral anticancer in a clinical trial or temporal use authorization.

Affiliate or beneficiary of a Social Security or similar.

signed a written informed consent to participate.in sufficient autonomy to manage his home treatment.without major psychiatric cognitive impairment that may interfere with the ONCORAL program.frailties and psychosocial conditions at risk (isolated patient, foreign, having limited autonomy).number of associated drugs including oral anticancer ≥5,.rhythm discontinuous intake of oral anticancer,.combination with an injectable chemotherapy,.Considered by the oncologist as at iatrogenic drug risk, or having 3 or more risk factors, to develop an iatrogenic drug issue among the following risk factors:.For whom an initiation or a change of oral anticancer is prescribed according to the AMM.Health locus of control of the patient.An analysis of the factors influencing the occurrence of perceived support disruption will be performed using a multivariate linear regression model. At each time, the percentage of patients with perceived support disruption will be calculated for each item and dimension, in each of the two groups, and these percentages will be compared. A break in perceived support will be considered if the response goes from 3 "a lot" to 0 "not at all", 1 "a little" or 2 "moderately". At each measurement, the response will be compared to that given during the previous visit.

Each dimension of each item will be analyzed independently. This criterion is in the form of 4-level Likert scales, concerning 3 items (support of the person with whom the patient lives in a couple, support of family members, support of friends and relatives), and for each two-dimensional item (psychological support and material support). Condition or diseaseīehavioral: ONCORAL therapeutic education Behavioral: Standard of care The results of this study will contribute to the national reflection on the path of care of patients treated by oral chemotherapy, on the assessment of needs and the evolution of the supply of care and its financing. This study will be the first evaluation of the effectiveness of a program for monitoring outpatient oral cancer patients versus usual care. The Investigators propose here to carry out a medico-economic study of high level of proof of the ONCORAL program. However, the effectiveness of these programs has not been evaluated and no studies have been conducted in France.

Securing oral chemotherapy and their good practice therefore represent a real economic challenge and lead health care professionals to develop town-hospital programs of ambulatory patient's follow-up under oral anticancer drug in response of third Cancer Plan.īenefice of such interventions are proved on observance, management of adverse events and drug interactions. The resultant care overconsumption and the high cost of new oral targeted therapies appear as a substantial financial charge to the Health related program. In real life situation, these drugs still remain linked to significant drug iatrogenic effects: prevalent adverse events and potentially serious ones, drugs interactions for one other patient, considered as major in 15-20% cases, and non-observance for 30-50% patients. Oral anticancer drugs allow the ambulatory turn in oncologic treatments, avoid hospitalizations dues to injectable chemotherapies and improve patient autonomy. Why Should I Register and Submit Results?Įconomic impact of cancer treatments is increasing for years: increase of number of patients (385 000 new occurrences in 2015), increase of life expectancies, chronicization of diseases and increase of therapeutic innovation costs.