[Implementation of pharmaceutical consultations in digestive oncology in a teaching hospital: one-year outcomes].

Bull Cancer

Pharmacie, CHU de Nantes, Nantes université, 1, place Alexis-Ricordeau, 44000 Nantes, France. Electronic address:

Published: April 2024

AI Article Synopsis

  • A new initiative in France introduced pharmaceutical consultations for patients diagnosed with digestive cancer receiving intravenous chemotherapy, aimed at enhancing patient management and support during treatment.
  • Forty-seven consultations were conducted, averaging 39.3 minutes each, scheduled shortly after diagnosis and before the start of chemotherapy, with high patient satisfaction reported through a survey.
  • These consultations provided valuable information on treatment and side effects, helping patients improve their self-care skills and understand their therapy better.

Article Abstract

Introduction: The announcement of a cancer diagnosis is traumatic for the patient. In France, an announcement system has been in place, providing medical time for announcement and treatment proposal, nursing time for support, without including the pharmacist. In order to improve management of patients treated with intravenous anticancer drugs, we set up introductory pharmaceutical consultations in digestive oncology. The aims were to assess the situation one year after the introduction of these consultations, and to assess their contribution.

Methods: When a patient was diagnosed with digestive cancer and receiving intravenous treatment, a pharmaceutical initiation consultation was scheduled. Indicators of activity (number of consultations, average duration, average preparation time and various delays) and results (number and type of pharmaceutical interventions, patient satisfaction) were collected in order to assess activity.

Results: Forty-seven pharmaceutical initiation consultations were carried out. The average duration of the consultations was 39.3minutes. Consultations were carried out on average 12.1 days after the medical consultation and 9.6 days before the first chemotherapy treatment. Twenty-nine patients responded to the satisfaction questionnaire. All were satisfied, and the majority of patients said they had improved their knowledge of cancer treatment.

Discussion: This activity enables us to review with patients essential aspects of their care, such as implanting an implantable chamber catheter, anti-cancer treatment and managing potential side effects and improve their self-care skills.

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Source
http://dx.doi.org/10.1016/j.bulcan.2024.01.003DOI Listing

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