The prompt introduction of supportive care for patients with cancer leads to a better quality of life, potential survival benefits, and improvements in treatment safety. Considering that patients’ needs vary, descriptive assessments could serve as a compass for an efficient and prompt healthcare response. The aim of this study was to identify supportive care needs in newly diagnosed patients according to cancer type. A retrospective study was conducted by collecting data from the case consultation and medical records of a comprehensive cancer center in France. Patients’ needs were divided into twelve domains: nutrition, psychological support, psychiatric support, social care, physiotherapy, addictology, pain management, palliative care, pharmacology, complementary and alternative practice (CAM), sexual health, and speech therapy. Out of 6217 newly diagnosed patients of various cancer types who sought medical care at Gustave Roussy in 2021, 2541 (41%) required supportive cancer care (SCC), and of them, 1331 patients (52%) required two or more different SCC specialist interventions. The top five interventions were dietary (for 60% of patients), physiotherapy (33%), psychology (29%), social care (28%), and pain management (16%). Subgroup analysis according to cancer department highlighted additional specific needs: CAM for breast cancer patients (11%), speech specialist (27%) and addictologist (22%) interventions for ENT patients, psychiatry consultations for neurological patients (16%), and palliative care for dermatology patients (23%). The aforementioned data suggest that an early, multidisciplinary supportive care intervention should be required. Assembling human resources at the time of diagnosis within a dedicated day unit would be the next appropriate step in developing personalized care pathways related to the highlighted needs.
对癌症患者及时提供支持性护理，可改善其生活质量、带来潜在生存获益并提升治疗安全性。鉴于患者需求存在个体差异，描述性评估可作为高效、及时医疗响应的指导依据。本研究旨在根据癌症类型识别新确诊患者的支持性护理需求。通过收集法国一家综合癌症中心的病例会诊与医疗记录数据，我们开展了一项回顾性研究。将患者需求划分为十二个领域：营养支持、心理支持、精神支持、社会关怀、物理治疗、成瘾治疗、疼痛管理、姑息治疗、药理学支持、补充与替代疗法、性健康及言语治疗。在2021年于古斯塔夫·鲁西癌症中心就诊的6217名不同癌症类型新确诊患者中，2541名（41%）需要癌症支持性护理，其中1331名患者（52%）需要两种或以上不同专科的支持性护理干预。需求最高的前五项干预措施为：营养支持（60%患者）、物理治疗（33%）、心理支持（29%）、社会关怀（28%）及疼痛管理（16%）。按癌症科室进行的亚组分析揭示了特定需求：乳腺癌患者对补充与替代疗法的需求（11%），头颈癌患者对言语治疗（27%）和成瘾治疗（22%）的需求，神经系统肿瘤患者对精神科会诊的需求（16%），以及皮肤癌患者对姑息治疗的需求（23%）。上述数据表明，需要早期开展多学科支持性护理干预。在诊断阶段通过设立专项日间诊疗单元整合医疗资源，将是针对已识别需求制定个性化诊疗路径的合理发展方向。
肿瘤(癌症)患者之家