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Knowledge and use of prognostic scales by oncologists and palliative care physicians in adult patients with advanced cancer : a national survey (ONCOPRONO study)
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BACKGROUND: Prognostic scales exist to estimate patient survival in advanced cancer. However, there are no studies evaluating their use and practice. The objective of this study was to evaluate in a nationwide study the proportion of oncologists and palliative care physicians who had knowledge of these scales.
METHODS: A descriptive, national, cross-sectional study was conducted via an online questionnaire to oncologists and palliative care physicians across France.
RESULTS: Palliative care physicians had better knowledge of the scales than oncologists (42.3% (n = 74) vs. 27.8% (n = 33), p = 0.015). The Palliative Performance Status (PPS) and Pronopall Scale were the best-known (51.4% (n = 55) and 65.4% (n = 70), respectively) and the most widely used (35% (n = 28) and 60% (n = 48), respectively). Improved training in the use of these scales was requested by 85.4% (n = 251) of participants, while 72.8% (n = 214) reported that they did not use them at all. Limited training and lack of consensus on which scale to use were cited as the main obstacles to use.
CONCLUSION: This is the first national study on the use of prognostic scales in advanced cancer. Our findings highlight a need to improve training in these scales and to reach a consensus on scale selection.
https://onlinelibrary.wiley.com/doi/10.1002/cam4.4467
Voir la revue «Cancer medicine»
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