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Viewpoints on the Social Representations and Rationale Concerning the Choices of Patients, Doctors and Caregivers With Regard to the Management of Patients With Non-resectable Metastatic Cancer of the Colon, Stomach, Bile Ducts, Rectum, Pancreas or Lung,


2017-12-19


2020-12-09


2020-12-19


36

Study Overview

Viewpoints on the Social Representations and Rationale Concerning the Choices of Patients, Doctors and Caregivers With Regard to the Management of Patients With Non-resectable Metastatic Cancer of the Colon, Stomach, Bile Ducts, Rectum, Pancreas or Lung, or Gastrointestinal Neuroendocrine Tumours

Reflexion on the therapeutic strategies to implement in patients at the end of life is advancing rapidly in France. However, beyond the choices presented to patients, sometimes even the decision to carry on, to limit or to stop treatments is also questioned. This decision is subjective; it is influenced by the patient's representation system (emotions, beliefs, values, practices, etc). In addition, even though he or she is the focus of the decision, the patient is not alone; other actors, accompanying the patient, play an important role in the final decision making. These actors, namely the doctors and close relatives, are also influenced in their decision making. This coexistence of representation systems may interfere with objective indicators that help in decision making (functional, clinical and biological) or with the knowledge acquired by doctors in their training and may complicate the decision-making process.

N/A

  • Non-resectable Metastatic Cancer of the Lung
  • Non-resectable Metastatic Cancer of the Colon
  • Non-resectable Metastatic Cancer of the Rectosigmoid Junction
  • Non-resectable Metastatic Cancer of the Stomach
  • Non-resectable Metastatic Cancer of the Bile Duct
  • Non-resectable Metastatic Cancer of the Rectum
  • Non-resectable Metastatic Cancer of Gastrointestinal Neuroendocrine Tumour
  • Non-resecable Metastatic Cancer of the Pancreas
  • OTHER: Interviews
  • OTHER: Questionnaires
  • LEJEUNE FdF 2016

Study Record Dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Registration Dates Results Reporting Dates Study Record Updates

2017-10-04  

N/A  

2022-04-14  

2017-10-27  

N/A  

2022-04-21  

2017-11-01  

N/A  

2022-04  

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

Design Details

Primary Purpose:
N/A


Allocation:
N/A


Interventional Model:
N/A


Masking:
N/A


Arms and Interventions

Participant Group/ArmIntervention/Treatment
: Stable patients, early responders to treatment and caregivers

OTHER: Interviews

  • Semi-directed interviews, recorded and transcribed for analysis

OTHER: Questionnaires

  • economic and psycho-social questionnaires
: Stable patients and intermediate responders and c

Stable patients and intermediate responders to treatments and caregivers

OTHER: Interviews

  • Semi-directed interviews, recorded and transcribed for analysis

OTHER: Questionnaires

  • economic and psycho-social questionnaires
: Doctors

OTHER: Interviews

  • Semi-directed interviews, recorded and transcribed for analysis

OTHER: Questionnaires

  • economic and psycho-social questionnaires
: Patients in therapeutic escape and their caregivers

OTHER: Interviews

  • Semi-directed interviews, recorded and transcribed for analysis

OTHER: Questionnaires

  • economic and psycho-social questionnaires
Primary Outcome MeasuresMeasure DescriptionTime Frame
Number of determinants which are privileged by the patients to choose a treatmentthrough study completion, an average of 18 months
Type of determinants which are privileged by the patients to choose a treatmentthrough study completion, an average of 18 months
Secondary Outcome MeasuresMeasure DescriptionTime Frame

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person’s general health condition or prior treatments.

Ages Eligible for Study:
ALL

Sexes Eligible for Study:

Accepts Healthy Volunteers:
1

    Inclusion Criteria:
    I- PATIENTS

  • men or women
  • who have been informed about the study
  • and who have provided verbal consent to take part in the study
  • able to understand written and spoken French
  • with non-resectable metastatic cancer of: the colon, or the rectosigmoid junction or the stomach or bile ducts or rectum or gastrointestinal neuroendocrine tumor or lung (not small-cell cancer) or pancreas
  • with a caregiver designated as the principal caregiver (family, friend, neighbour)
  • who has consented to the principal caregiver taking part in a qualitative interview
  • able to take part in an interview lasting roughly one hour

  • II- CAREGIVERS

  • men or women
  • who have been informed about the study
  • who have provided verbal consent to take part in the study
  • able to understand written and spoken French
  • able to follow an interview lasting roughly one hour

  • III-DOCTORS

  • men or women
  • who have been informed about the study
  • who have provided verbal consent to take part in the study
  • specialised in specific organ or oncologist prescriber

  • Exclusion Criteria:
    I- PATIENTS

  • under guardianship or ward of court
  • with a severe handicap (neurological disease: Parkinson, Alzheimer, other dementia, multiple sclerosis, severe mental retardation etc.)

  • II- CAREGIVERS

  • under guardianship or ward of court,
  • with a severe handicap (neurological disease: Parkinson, Alzheimer, other dementia, multiple sclerosis…),
  • with severe mental retardation impairing ability to understand.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Publications

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

No publications available