Abstract | INTRODUCTION: Overseas France represents 18 % of French territory and is home to 4 % of its population for whom there is unequal treatment in the field of rare/complex cancer. AIM: To report our experience of intercontinental multidisciplinary videoconferencing between the French mainland and Pacific territories. METHODS: Every other friday, three centers located in Papeete, Nouméa and Paris-Villejuif connected between 6:30 AM and 8:00 AM GMT to discuss cases of rare/complex cancers. RESULTS: Between November 2019 and December 2020, 323 presentations implicating 233 patients involved sarcoma (n=93), digestive pathology (n=60), neuroendocrine tumors (n=35), urology (n=24), gynecology (n=24), neurology (n=16), thyroid pathology (n=14), dermatology (n=14), senology (n=11), hematology (n=11), ENT pathology (n=10), pathology thoracic (n=10) and pediatrics (n=1). Of the 233 patients, 134 (57.5 %) living in New Caledonia and 99 (42.5 %) in French Polynesia, 117 (50.5 %) had metastatic disease. 39 patients (16.7 %) were transferred to French mainland (EVASAN), for surgery (n=25), vectorized radiotherapy (n=7), biopsy (n=5), chemotherapy (n=1) or inclusion in a clinical trial (n=1). 195 patients (83.7 %) were treated at home, 15 (6.4 %) are still awaiting a decision and 4 (1.7 %) lost to follow-up. CONCLUSION: The use of videoconferencing to discuss rare/complex cancer cases was effective in guaranteeing French overseas population access to innovative therapies and clinical trials, limiting the need for intercontinental transfer to 16.7 %.
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Authors | Charles Honoré, Gianmaria Drovetti, Arthur Geraud, Nicolas Epaillard, Gabriel C T E Garcia, Emeline Colomba, Margarida Matias, Michael Majer, Samy Ammari, Mohamed Khettab, Robert Hervé, Olivier Mir, Michel Ducreux, Pierre Gustin |
Journal | Bulletin du cancer
(Bull Cancer)
Vol. 108
Issue 12
Pg. 1077-1084
(Dec 2021)
ISSN: 1769-6917 [Electronic] France |
Vernacular Title | RCP Pacifique : bilan après un an et 323 cancers rares et/ou complexes discutés. |
PMID | 34802717
(Publication Type: Journal Article, Multicenter Study)
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Copyright | Copyright © 2021 Société Française du Cancer. Published by Elsevier Masson SAS. All rights reserved. |
Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Child
- Female
- France
(epidemiology)
- Health Services Accessibility
- Humans
- Male
- Middle Aged
- Neoplasms
(epidemiology, therapy)
- New Caledonia
(epidemiology)
- Polynesia
(epidemiology)
- Rare Diseases
(epidemiology, therapy)
- Transportation of Patients
(statistics & numerical data)
- Videoconferencing
(organization & administration)
- Young Adult
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