Bulletin du cancer
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Multicenter Study Observational Study
How did we take care of our older cancer patients during the first COVID-19 wave? The French experience.
The management of older cancer patients has been highly challenging for clinicians in a health-care system operating at maximum capacity during the COVID-19 pandemic. ⋯ Our study is the first to assess modification of patient care in elderly cancer outpatients during an epidemic. With this unprecedented crisis, our objective is to protect our patients from infection via protective barrier measures and social distancing, but also to guarantee the continuity of cancer care without overexposing this fragile population. Physicians were able to adapt their practice and used new forms of management, like telemedicine.
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Review
[Use of telehealth services in the oncology setting: Daily routine and during sanitary crisis].
Telemedicine is booming with different sub-domains, including telehealth consultation. Pathology chronicity as well as the increased use of health services are two characteristics that underline the importance of telehealth consultation for patient's needs and health professionals. ⋯ To date, numerous tools are available to accelerate the digital transformation in clinical practice. In this review of the literature, we detail the historical and legal set up of telemedicine, focusing especially on teleconsultation and teleoncology.
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Review Historical Article
[Withholding or withdrawing life-sustaining treatments in acute oncology situations: History and regulatory aspects in France].
The management of oncology patients, especially hospitalized patients, can lead to almost daily discussions regarding therapeutic limitations. Here, we review the history and propose a summary of the texts framing the notion of "withholding and withdrawing life-sustaining treatment" in oncology practice in France. ⋯ The decision to withhold or withdraw life-sustaining treatments is the subject of discussion between the patient, his physicians and his family and may take place at any time during his management. The work of intensive-care physicians provides many useful recommendations for acute oncology situations, however articles specific for oncology practice are scarce; this is a topic that oncologists must take up.