[Supportive day care at a cancer center: A comparative study of 2008 versus 2016 activity].

Fiche publication


Date publication

janvier 2020

Journal

Bulletin du cancer

Auteurs

Membres identifiés du Cancéropôle Est :
Dr THIERY Alicia


Tous les auteurs :
Bimboes A, Frasie V, Thiery A

Résumé

The Paul Strauss Center day-care accompaniment department ("SSAJ") is an oncologic supportive day-care, also an alternative to conventional hospitalization. In order to follow the SSAJ department's activity, in the "ambulatory turnover" context, we compared the 2008 and 2016 four first months activity. In 2016, there was an average of 4.96 patients per day versus 5.62 in 2008 (P<0.001); average day incoming of 653€ per stay in 2016 versus 775€ in 2008 (P<0.001). In 2016, there was an average 63.9 % of imagery done versus 27.7 % in 2008 (P<0.001). The 2016 average patient following period was of 84.7 days versus 67.6 days in 2008 (P=0.019). Average time between first day-care visit and death was 161.7 days in 2016 versus 133.5 days in 2008 (P=0.0033). Average day activity is lower in 2016 than 2008, nonetheless number of total stays and inpatients has increased on the four months period. The SSAJ intervenes more precociously in 2016 than 2008. Hospital technical platform is better used, but average per-stay incoming has statistically lowered. The SSAJ limits and prepares complete hospitalizations. Inpatient close reevaluation after a "shorter-willing" stay, home issues anticipation and identification with the home-care team, and worsening prevention gives this activity all its meaning.

Mots clés

Day care, Hôpital de jour, Hôpital de jour de soins de support, Hôpital de jour de soins palliatifs oncologiques, Oncological palliative care, Oncological supportive care, Oncological supportive day care, Soins de support oncologiques, Soins palliatifs oncologiques, Supportive care, Supportive day care

Référence

Bull Cancer. 2020 Jan 28;: