Determinants of access to inpatient palliative and supportive care for elderly cancer patients

The increase in cancer among the elderly is leading to a growing need for supportive oncology care and hospital-based palliative care in this population. The determinants of access to this care remain poorly described. The aim of the DASPPAC project is to quantify the effect of somatic, psycho-existential and socio-familial dimensions on the use of such care, based on data from the ELCAPA cohort of elderly people with cancer in Île-de-France. A preliminary selection of the variables needed to estimate these dimensions in these patients is required. For this preliminary work, an interdisciplinary group (epidemiologist, physician, psychologist) with expertise in oncology, geriatrics and palliative care will be set up. It will select factors based on health concepts, literature, expert opinion and ELCAPA data. This selection will be statistically validated. The results will be published to support the DASPPAC project, for which funding applications will then be submitted.

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