Publications by authors named "Meoin Hagege"
Background: The longitudinal hospital care experiences of older adults with cancer, from the treatment decision-making process until their end of life, remain unexplored. We examined the hospital care trajectories of these patients and identified associated clinical determinants.
Materials And Methods: We linked the ELCAPA multicenter cohort study (patients aged ≥70 with a solid tumor and having been referred for a geriatric assessment between 2012 and 2019) and the Greater Paris University Hospitals' clinical data warehouse.
Article Synopsis
- - The study evaluates the Hospital Frailty Risk Score (HFRS) and its effectiveness in predicting outcomes like care consumption, frailty issues, and mortality among older cancer patients, compared to the Geriatric 8 (G8) screening tool.
- - Data was collected from 587 patients aged 70 and older with solid tumors in a hospital setting, focusing on various health aspects including cognitive function, nutrition, and mobility, using regression analyses to draw associations between HFRS, G8, and various health outcomes.
- - Results indicated that while HFRS was linked to several health impairments and short-term care metrics, it failed to effectively identify issues related to polypharmacy, nutrition, and mood, showcasing
Article Synopsis
- Many new cancer cases happen in older people, who often suffer from various problems that can make their treatment harder.
- The study looked at how different types of suffering, like physical pain and emotional stress, affect cancer treatment and how long older patients might live.
- Results showed that physical suffering impacts how well cancer can be treated and how long patients survive, and that emotional and family issues also play a role in their health and care needs.
Article Synopsis
- The study examines the entire pathway of older adults’ participation in cancer clinical trials, identifying rates of non-invitation and refusal.
- It highlights sociocultural factors, such as social isolation and family dynamics, as major reasons for lower participation rates among older patients.
- The findings indicate that improving inclusion in clinical trials should focus on the interaction between healthcare professionals and patients, rather than solely on the patients themselves.
The island of Mayotte is part of the French territory and one of the European Union's Outermost Regions but there is a significant lack of data and research on health and cancers in Mayotte. This article reviews the literature on health, disease and cancer in Mayotte, from the perspectives of social science and epidemiology. It starts by shedding light on the specificities of Mahoran demography and society, and shows the healthcare infrastructure is insufficient to meet the population's needs.
View Article and Find Full Text PDFThe major social, cultural, economic and demographic changes in Reunion Island in the last 70 years have had effects on its population and the evolution of its public health issues. The demographic transition and changes in lifestyle have led to a rapidly aging population with increased needs for care for dependency and chronic illness such as cancers. The aim of this paper is to offer a review of the literature and ongoing research on health and cancer in Reunion Island.
View Article and Find Full Text PDFBackground: The under-representation of older patients in cancer trials remains an important obstacle to the generation of data on efficacy and safety in this growing patient population. In France, geriatric oncology coordination units (UCOGs) have been created to help oncologists and geriatricians work together on research, best practice, and continuing medical education. Taking these units as a case study, this paper sheds light on the collaboration between geriatricians and oncologists in the inclusion process of older patients in cancer trials.
View Article and Find Full Text PDFObjective: To assess levels of knowledge about patients' rights, surrogate decision-makers, and advance directives among healthcare professionals at three hospitals in France.
Methods: A multicenter, cross-sectional study in three geriatric hospitals in the Paris area (France) in 2015. The participants' level of knowledge was assessed via an 18-item self-questionnaire on surrogate decision-makers, advance directives, and end-of-life decision-making.
Background: The primary objective was to evaluate the rates of older patients with colorectal cancer (CRC) who were eligible for a clinical trial, invited to participate, and, ultimately, included. The secondary objective was to assess the reasons for ineligibility, noninvitation, and noninclusion and factors associated.
Materials And Methods: The Sujets AGés dans les Essais Cliniques (SAGE; Older Subjects in Clinical Trials) multicenter prospective cohort was established in seven centers (10 departments of medical oncology, digestive oncology, and digestive surgery) between 2012 and 2016.
Prison inmates constitute a vulnerable population, in which socially excluded, poor and marginalized individuals are overrepresented and infectious diseases are more prevalent than in the general population. The poor health of inmates and recently released inmates is a rarely studied public health problem. The health trajectories of inmates living with the hepatitis C virus is an interesting case study to discuss public health interventions in prison.
View Article and Find Full Text PDFAccess to screening for and treatment of hepatitis C is still insufficient in prisons.The health care of prisoners is nowthe responsibility of the ministry of health with the setting up of consultation and outpatient care units, or healthcare units, attached to a specialist hospital.
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