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Bull Cancer ; 105(9): 763-770, 2018 Sep.
Article in French | MEDLINE | ID: mdl-30097280

ABSTRACT

Advances in early detection and treatment have pushed in a few decades the management of cancers from a management model of the end of life to the management of a chronic disease. This evolution has accelerated the development of supportive care in two directions, firstly towards the best possible support to the end of life in advanced cancer patients (palliative care) and secondly to the limitation of treatment toxicities, the prevention of relapse and the return to life as "normal" as possible (care for after cancer). If palliative care now has a legitimacy and a solid regulatory base, this is not yet the case of supportive care in France. The content and organization differ depending on the institution, the choice of clinicians and patient preferences. Social networks and media convey messages that blur evidence-based practices. This article aims to review the facilitators and obstacles of this perspective.


Subject(s)
Cancer Survivors , Neoplasms/therapy , Palliative Care/organization & administration , Terminal Care/organization & administration , Chronic Disease , Clinical Trials as Topic , Early Detection of Cancer , Evidence-Based Practice , Humans , Medical Oncology/economics , Medical Oncology/legislation & jurisprudence , Medical Oncology/organization & administration , Meta-Analysis as Topic , Neoplasm Recurrence, Local/prevention & control , Neoplasms/diagnosis , Neoplasms/prevention & control , Organizational Objectives , Palliative Care/legislation & jurisprudence , Patient Preference , Practice Guidelines as Topic , Research Support as Topic , Social Support , Socioeconomic Factors , Terminal Care/legislation & jurisprudence
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