A5066163898- Health, Medicine and Society
- Palliative Care and End-of-Life Issues
- Healthcare Systems and Practices
- Aging, Elder Care, and Social Issues
- Death, Funerary Practices, and Mourning
- Grief, Bereavement, and Mental Health
- Childhood Cancer Survivors' Quality of Life
- Patient Dignity and Privacy
- Ethics in medical practice
- Social Policies and Family
- French Urban and Social Studies
- Geriatric Care and Nursing Homes
- Nutrition and Health in Aging
- Healthcare Decision-Making and Restraints
- Advanced Software Engineering Methodologies
- Psychoanalysis and Psychopathology Research
- Frailty in Older Adults
- Clinical Nutrition and Gastroenterology
- Patient-Provider Communication in Healthcare
- Traumatic Brain Injury Research
- Cancer survivorship and care
- EEG and Brain-Computer Interfaces
- Clinical practice guidelines implementation
- Migration, Identity, and Health
- Ethics and Legal Issues in Pediatric Healthcare
Centre Hospitalier Universitaire de Besançon
2016-2025
Centre National des Soins Palliatifs et de la Fin de Vie
2013-2024
Université de franche-comté
2015-2023
Inserm
2014-2023
Centre d'Investigation Clinique de Besançon
2016-2023
Laboratoire de recherches Intégratives en Neurosciences et psychologie Cognitive
2016-2022
Laboratoire de Neurosciences Cognitives
2021-2022
Université Bourgogne Franche-Comté
2016-2021
British Geriatrics Society
2021
Université de Bourgogne
2017-2020
Where people die can influence a number of indicators the quality dying. We aimed to describe place death with cancer and its associations clinical, socio-demographic healthcare supply characteristics in 14 countries. Cross-sectional study using certificate data for all deaths from (ICD-10 codes C00-C97) 2008 Belgium, Canada, Czech Republic, England, France, Hungary, Italy, Mexico, Netherlands, New Zealand, South Korea, Spain (2010), USA (2007) Wales (N=1 355 910). Multivariable logistic...
To explore the relationship between pre-pregnancy obesity and risk for cesarean delivery.The population studied included 20,130 women with live births after 20 weeks' gestation in central New York state June 1, 1994, May 31, 1995. Women who were obese before pregnancy compared nonobese regard to mode of delivery. Obesity was defined as body mass index (BMI) greater than 29. Separate analyses conducted on entire sample a subset singleton pregnancies no prior deliveries, an estimate primary...
Background: To implement the appropriate services and develop adequate interventions, detailed estimates of needs for palliative care in population are needed. Aim: estimate proportion decedents potentially need across 12 European non-European countries. Design: This is a cross-sectional study using death certificate data. Setting/participants: All adults (⩾18 years) who died 2008 Belgium, Czech Republic, France, Hungary, Italy, Spain (Andalusia, 2010), Sweden, Canada, United States (2007),...
Malnutrition worsens health-related quality of life (HRQoL) and the prognosis patients with advanced cancer. This study aimed to assess clinical benefits parenteral nutrition (PN) over oral feeding (OF) for cancer cachexia without intestinal impairment.
To assess whether treatment with metronidazole during pregnancy is associated preterm birth, low birth weight, or major congenital anomalies, we conducted chart reviews and an analysis of electronic data from a cohort women delivering at urban New York State hospital. Of 2,829 singleton/mother pairs, 922 (32.6%) mothers were treated for clinical indications, 348 (12.3%) the first trimester 553 (19.5%) in second third trimester. There 333 (11.8%) births, 262 (9.3%) infants 52 (1.8%)...
The "Patients' Rights and End of Life Care" Act came into force in France 2005. It allows withholding/withdrawal life-support treatment, intensified use medications that may hasten death through a double effect, as long hastening is not the purpose decision. also specifies requirements decision-making process. This study assesses situation by examining frequency end-of-life decisions patients' physicians' characteristics, describes processes. We conducted nationwide retrospective random...
To investigate patterns of care during the last months life hospitalised patients who died from different haematological malignancies.Nationwide register-based study, including all adults ≥20 years malignancies in France 2010-2013. Outcomes included use invasive cancer treatments and referral to palliative care. Percentages are adjusted for sex age using direct standardisation.Of 46 629 inpatients with malignancies, 24.5% received chemotherapy month before death, 48.5% blood transfusion,...
Background: Integrated palliative care is correlated with earlier end-of-life discussion and improved quality of life. Patients haematological malignancies are far less likely to receive from specialist or hospice services compared other cancers. Aim: The main goal this study was determine hematologists’ barriers discussions when potentially fatal hematological recur. Design: Qualitative grounded theory using individual interviews. Setting/participants: Hematologists ( n = 10) four...
discussing end-of-life issues with nursing home residents and their relatives is needed to ensure patient-centred care near the end of life.this study aimed estimate frequency physicians investigate how was associated outcomes in last month life.post-mortem cohort a nationwide, representative sample 78 facilities France. Residents who died from non-sudden causes between 1 October 2013 31 May 2014 these were included (n = 674).end-of-life discussed at most 21.7% during period. In one-third...
En France, près de la moitié des décès (48 % en 2010) a été précédée d’une décision médicale ayant pu hâter mort du patient. Mais médicaments ont donnés pour mettre délibérément fin à vie dans seulement moins 1 cas. Les décisions prises s’appuient leur grande majorité sur les dispositions loi Leonetti qui permet sous certaines conditions limiter ou d’arrêter un traitement, d’administrer afin soulager souffrances patient, peuvent avoir effet d’avancer survenue mort. Toutefois, prescriptions...
Despite recent advances in palliative medicine, sedating a terminally ill patient is regarded as an indispensable treatment to manage unbearable suffering. With the prospect of widespread use sedation, feelings and representations health care providers staff (carers) regarding sedation must be carefully explored if we are gain better understanding its impact potential pitfalls. The objective study was provide comprehensive description opinions carers about practices units (PCU), which have...
Some patients in palliative care units request euthanasia regardless of legislation. Although studies have explored the reasons for these requests, little is known about subjective, relational, and contextual repercussions patient.The aim this study to understand purpose requests from patient's viewpoint their personal practical impact.We conducted in-depth interviews with requesting euthanasia, family members, health providers 11 French units. A thematic analysis data was performed.In...
Successful adoption and sustained use of smart home technology can support the aging in place older adults with frailty. However, expansion this has been limited, particularly by a lack ethical considerations surrounding its application. This ultimately prevent members their ecosystems from benefiting technology. paper 2 aims effort to facilitate use: assert that proactive ongoing analysis management concerns are crucial successful development, evaluation, implementation homes for frailty...
Cet article décrit les lieux de vie et trajectoires résidentielles des personnes durant le dernier mois leur existence, à partir l’enquête Fin en France réalisée 2010. L’enquête repose sur un échantillon représentatif décès survenus décembre 2009. Les médecins ayant certifié ont été interrogés circonstances la fin vie. Si 3 5 meurent l’hôpital, seules moitié étaient hospitalisées avant décès. Dans ce laps temps, l’hospitalisation du domicile est changement plus fréquemment observé. prises...
Little is known about what at stake a subjective level for the oncologists and advanced cancer patients when they face question whether to continue, limit or stop specific therapies. We studied (1) frequency of such questioning, (2) determinants decision-making process from physicians' patients' perspectives.(1) All hospitalized were screened during 1 week in oncology and/or hematology units five institutions. included those with whom questioning pursuit, limitation withholding therapies...
Objectives To compare the aggressiveness of end‐of‐life care in hospitalized individuals with cancer and without dementia France. Design Nationwide register‐based matched‐cohort study. Setting Hospital facilities Participants All aged 65 older a diagnosis who died between January 1, 2010 December 31, 2013, matched one‐to‐one (n = 26,782 pairs). Results Older were less likely to receive aggressive treatment their last month life than those not diagnosed dementia. Dementia was associated...
Although the aggressiveness of end‐of‐life cancer care has come under great scrutiny over past two decades, little is known about intensity and treatments in last months life patients with metastatic melanoma. To measure prevalence aggressive use, to assess frequency palliative referral course 3 hospitalized who died from A nationwide register‐based study France was carried out, including all adults aged ≥ 20 years melanoma metropolitan between 2010 2013. Of 3889 melanoma, 51·9% received...