Supportive Care in Cancer (2024) 32 (Suppl 2):S537

https://doi.org/10.1007/s00520-024-08726-6

ABSTRACTS

Late-Breaking Abstracts for MASCC/AFSOS/ISOO Annual Meeting 2024

Published online: 23 July 2024

© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024

DIGIT-LB-01 the impact of HIS within the nursing processes and patient outcomes
across all specialty cancer fields.
ONCOLOGY NURSES’ EXPERIENCES OF USING HIS IN THE
DELIVERY OF CANCER CARE IN A RANGE OF CARE SET- EXERC-LB-01
TINGS: A SYSTEMATIC INTEGRATIVE REVIEW
INTEGRATION OF A SUPPORT CARE HOUSE INTO THE
Delilah Shelley1, Deborah ­Davis2, Kasia ­Bail2, Rebecca ­Heland3, Cath- PATIENT JOURNEY OF CANCER PATIENTS IN A FRENCH
erine ­Paterson4 GENERAL HOSPITAL
1
University of Canberra, Australia, 2University of Canberra, 3Digital David Billard, Karine Legeay, Jaafar Bennouna, Noémie Studer
Health Record, ACT Health Directorate, 4University of Adelaide HOPITAL FOCH

Introduction Introduction
Health services are increasingly moving to digital systems for better
care delivery. Nursing care is framed by the nursing process, however, The Institut “Line Renaud - Maison de soins de support” provides
little is known about how cancer nurses use HIS within the nursing the necessary supportive care to patients and their families, including
process and its impact on person-centred care (PCC). This systematic medical consultations, coordination nurses, dietitian, physiotherapist,
review aimed to identify oncology nurses’ experiences of using HIS in psychologist, sexologist, auriculotherapy, acupuncture, hypnosis, fer-
the delivery of cancer care. tility preservation, speech therapist, occupational therapist, adapted
physical activity, sophrology, socio-aesthetician, professional coaching,
Methods yoga, reflexology, art therapy, music therapy, massages.

The electronic databases searched included: CINAHL, MEDLINE Following the announcement or evaluation consultation by the oncolo-
(EBSCO host), SCOPUS, Web of Science Core Collection, Google gist, the Coordination Nurse proposes an evaluation of the need for
scholar, OVID, ProQuest Central (using advanced search strategy) supportive care via a self-questionnaire. A day hospital is carried out to
and hand searching of reference lists of the included articles and rel- develop a personalized care plan, in coordination of the patient’s treat-
evant systematic reviews. Studies published in English language were ments and evaluations. The care is provided weekly with day hospital
examined. evaluations every 4 to 6 weeks to adjust the plan for 6 months renew-
able once, followed by a handover to city professionals.
Results
Methods
26 studies were included. Three themes emerged: 1) the transparency
and application of the nursing process within HIS, 2) HIS enhancing Retrospective analysis of the journey of each patient included in the
and facilitating communication between nurses and patients, 3) the facility.
impact of HIS on the elements of person-centred care (PCC). Nurses’
experiences with HIS were overall positive. However, digital systems Results
do not fully capture all elements of the nursing processes, and this has
been confirmed in this review. Most studies report that HIS is used for From 28/11/2022 to 31/11/2023, 324 patients were included, 1262
symptom reporting and monitoring within non-inpatient settings, are day hospitals, 1782 medical consultations, 3678 paramedical consul-
largely bio-medically focused and lack insight into person-centredness tations, 1164 individual sessions and 277 group sessions were carried
and holistic care. out. Median of 3 [1-11] day hospitals and 5 [0-87] sessions per patient.
Median age 65 [27-89] years. Women 62%, men 38%. Bronchopulmo-
Conclusions nary cancer 33%, digestive 32%, breast 12%, urological 12%, gyneco-
logical 7%, VADS 3%, hematological 1%. Metastatic 50%, adjuvant
Health information systems can improve health related quality of life, 50%. Time of inclusion: announcement 21%, ongoing treatment 65%,
symptom burden including self-reporting of symptoms among patients. post-cancer 14%. Outcome at analysis: continuation of the program
However, there is a need for ongoing high-quality research and clearer 66%, stop 34%. Reason for stopping: no adherence 51%, end of estab-
reporting than is evident in the current 26 studies, to fully understand lished course 27%, mobile palliative care team 19%, death 3%.

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Conclusions Conclusions

The number of patients followed and the number of sessions carried Premedication with steroides and antihistamines had no significant
out demonstrate good patient adherence. Different types of courses are impact on the severity of IRs.
set up: toxicity monitoring, post-cancer rehabilitation, sequela manage-
ment, return to work. A clinical study begins with the objectives of QUALI-LB-01
studying the quality of life and the medical-economic impact (number
of sick leaves, number of unplanned care). GAPS AND CHALLENGES OF CANCER CARE IN A MULTI-
ETHNIC POPULATION IN SARAWAK, BORNEO
OTHER-LB-01
Melissa Siaw Han Lim1, Pei Jye V ­ oon2, Adibah A
­ li3, Fitri Suraya
INFUSION REACTIONS TO SYSTEMIC CHEMOTHERAPY: ­Mohamad4, Lin Lin J­ ong5, Lee Ping C
­ hew6, Mohamad Adam B ­ ujang7,
DO WE KNOW EVERYTHING? 8
Yolanda Sydney ­Augustin , Yuong Kang ­Cheng 5
1
Universiti Malaysia Sarawak (UNIMAS), Department of Paraclini-
Kristi ­B eshiri 1, Anamaria M­ ihele 2, Adrien R
­ ousseau 1, Julieta cal Sciences, Kota Samarahan, Malaysia, 2Sarawak General Hospital,
­Rodriguez1, Kaissa ­Ouali1, Alina ­Fuerea1, Celine ­Boutros3, Bianca Department of Radiotherapy, Oncology and Palliative Care, Kuching,
­Cheaib4, Cristina Smolenschi1 Malaysia, 3Sarawak General Hospital, Department of General Sur-
1
Gustave Roussy, 2gustave roussy, 3MD, 4GUSTAVE ROUSSY gery, Kuching, Malaysia, 4Universiti Malaysia Sarawak (UNIMAS),
Faculty of Cognitive Sciences and Human Development, Kota Samara-
Introduction han, Malaysia, 5Society for Cancer Advocacy and Awareness, Kuch-
ing, Malaysia, 6Sarawak General Hospital, Department of Medical,
Despite today’s advances, chemotherapy remains a backbone in a Hematology Unit, Kuching, Malaysia, 7Sarawak General Hospital,
majority of oncological settings. Infusion reactions to systemic chemo- Clinical Research Centre, Kuching, Malaysia, 8St George’s University
therapy (IRs) have emerged as a serious complication and could have of London, London, UK
a negative impact in patient outcome.The majority of guidlines are
recommending the use of steroids and antihistamines with low level of Introduction
evidence .We aimed to describe a cohort of patients (pts) with IRs as a
result to systemic chemotherapy treated in our institution The state of Sarawak on the island of Borneo, East Malaysia, in work-
ing towards developing and strengthening cancer services must focus
Methods on the comprehensive needs of cancer patients by taking into account
the psycho-social, cultural and spiritual aspects of Sarawak’s multi-
We reviewed electronic files of pts treated between 2011-2021 ethnic, multi-cultural population.
in our Day Unit presenting an IRs secondary to Carboplatin or
Paclitaxel administration.Variables related to IRs as the grade Methods
,clinical manifestations,type of premedication, histamine and
tryptase dosage, Body Mass Index (BMI) and cancer type were A 39-item survey questionnaire was developed and validated with 393
collected. patients. The perceived importance of information provided and level
of patient satisfaction were assessed with a 5-point Likert scale in 10
Primary objective was to describe the severity of IRs , the relation domains (Diagnosis, Surgery, Radiotherapy, Systemic therapy, Clinical
between premedication and cumulative dose. The secondary endpoint trials, Pain management, Treatment monitoring, Psychosocial support,
was to asses the relation between other the variables and IRs. Sexual care and fertility issues, and Financial support). A Pearson’s
correlation test was applied to determine the correlation between
Results response in both item and domain for importance and satisfaction.

A total of 163 pts with IRs were included: 119 with paclitaxel and 44 Results
with carboplatin. 90% were female, median age 58 (IQR: 56-60, range
26-87), 67% were metastatic. The most common cancer type were Overall, patients were more satisfied with information related to treat-
breast (n=57,35%) and ovarian (n=49,30%). Most common clinical ment, surgery and diagnosis but less satisfied with information pertain-
manifestations: skin (n=106,65%) and respiratory (n=70,47%). Pre- ing to sexual aspects of care and family planning, psycho-social sup-
medication with steroids was given in 90%(n= 145)and antihistamines port and financial support. The majority of patients were satisfied with
in 52%(n=85). Grade 1-2 IRs were the most frequent (n=118,72.5%), the level of treatment-related information received but preferred the
only 4pts (n=3%) had grade 4.For the majority(n=153,83%) the reso- information to be delivered in more comprehendible formats. Sexual
lution of IRs was within 5 minutes.No relation between premedica- aspects of care and family planning, psychosocial support and treat-
tion with steroids /antihistamines and IRs(p=0.2 and 0.09)was seen. ment monitoring post-discharge were perceived as important but sel-
In multivariate analysis, grade 3-4 IRs was associated with a median dom addressed by health care professionals due to lack of professional
dose of paclitaxel ≤150miligrammes and with first and second counselors, social workers and clinical nurse specialists. Many patients
administration(p=0,01), while for carboplatin no relation was seen face financial toxicity following a cancer diagnosis, particularly when
(p=0.2).The severity of IRs was not associated with age(p=0.3), diagnosed with advanced cancer requiring complex multi-modality
BMI(p=0.2), cancer type(p=0.4). treatment.

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Conclusions contributions of the oncologists, pharmacists and nurses, is highlighted.

Multidisciplinary city-hospital follow-up is beneficial for cancer
Cancer patients in Sarawak have various unmet information needs. patients but is time-consuming and requires human resources, to be
Written information and educational videos in local indigenous lan- assessed in future studies
guages may be more suitable for them. Sexual aspects of care and
family planning is an essential topic to discuss, in particular due to the SURVI-LB-01
high prevalence rates of breast and cervical cancer amongst the young
women. Financial assessment and support services offered by govern- ENHANCING HEALTH PROMOTION THROUGH NURSING
ment and non-government organizations should be provided to patients. SUPPORT FOR FEMALE BREAST CANCER SURVIVORS

QUALI-LB-02 Pegah Torabi, Maud-Christine Chouinard, Karine Bilodeau

University of Montreal, Faculty of Nursing, Montreal, Canada
IMPACT OF THE REAL-LIFE MULTIDISCIPLINARY CITY-
HOSPITAL ONCORAL PROGRAM Introduction

Florence Ranchon1, Claire L ­ attard1, Chloe H

­ erledan1, Anne gaelle Female breast cancer survivors (BCS) frequently encounter vulnerabil-
­Caffin2, Marie-anne ­Cerfon2, Catherine ­Rioufol2 ity post-cancer treatment, experiencing insecurity due to a perceived
1
Hospices Civils de lyon, 2Hospices Civils de Lyon lack of support from healthcare providers. The survivorship phase is
crucial for female BCSs to redefine goals, initiate positive changes, and
Introduction adopt a healthier lifestyle. Recognizing that nurses possess essential
knowledge and skills in health education, counselling, and guidance,
Cancer patients treated by oral anticancer therapies (OAT) are faced they are well-positioned to contribute to the health improvement of
with Drug-Related Problems (DRP), drug-drug interactions (DDI), or BCSs. However, tailored health promotion interventions for female
even non adherence in a remote ambulatory setting. The real-life mul- BCSs are limited due to nurses’ unfamiliarity with these interventions
tidisciplinary city-hospital ONCORAL program was created to ensure in cancer survivorship care. To address this gap, we conducted a scop-
safety of ambulatory patients. ONCORAL is one of the pilot pathways ing review mapping health-promoting nursing interventions for female
assessed in the French government program Article 51 OncoLink. The BCSs in the available studies. The e-Poster Presentation will share the
present study aims to assess the impact of Oncoral during the first cycle results of this scoping review, describing the approaches and charac-
of oral therapy teristics of these interventions.

Methods Methods

Ambulatory patients starting OAT and benefiting from the Oncoral The review was conducted following the most recent Joanna Briggs
city-hospital follow-up at Lyon Sud Hospital (Hospices Civils de Lyon, Institute methodological framework. We systematically searched five
Lyon, France) were enrolled from October 1, 2021 to October 1, 2022. electronic databases (Embase, PsycINFO, PubMed, CINAHL, and
Web of Science) to find eligible studies. Two reviewers independently
Oncoral is based on face-to-face and phone interviews with a hospi- screened the abstract, title, and full text of identified evidence for inclu-
tal pharmacist and a nurse in addition to interviews with the hospi- sion in the review and extracted the data using a predetermined extrac-
tal oncologist, and a city-hospital link to manage DRP. The program tion table.
include a comprehensive medication reconciliation and pharmaceutical
greenlights. Results

Results Twenty-two articles were included in the review. The results indicate
that a significant number of studies were conducted in specialized care
209 patients were included in the analysis, 52% of them with hemato- centers. Nurses predominantly utilize educational approaches, employ-
logic malignancy. Mean age was 69 ± 14 years. ing diverse digital health tools to deliver health education, assess survi-
vors’ needs, and assist them in monitoring their behaviors.
In addition to scheduled interviews to educate each individual patient,
562 Nurse-Pharmacist Interventions (NPI) were performed, concerning Conclusions
mostly patients (87.1%), with a mean number of 3.1 ± 2.2 NPI /patient.
The review emphasizes that nurses can employ various approaches
346 NPI were related to drugs, among them pharmaceutical green- and interventions with different characteristics to enhance the health
lights (24,7%), DDI (13%) between OAT, concomitant drugs and and of BCSs. The review also highlights gaps in research regarding health
phytotherapy, and problems (6,9%) related to adherence. In addition, promotion programs for survivors in primary care settings. Further-
138 (24,6%) interventions were related to symptoms or adverse effects more, it suggests that future research should prioritize investigating
reported by patients and 78 (13,9%) to the coordination of the patient’s psychosocial determinants of health and addressing the holistic well-
care pathway. being of BCSs.

Conclusions
Publisher’s note Springer Nature remains neutral with regard to
jurisdictional claims in published maps and institutional affiliations.
The large proportion of patients requiring NPI and the mean number of
NPIs per patient show how useful this follow-up is. The complementary

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