AMA (Assistance des malades ambulatoires) : une procédure de télémédecine appliquée à la prise en charge des lymphomes agressifs

摘要

The prognosis of diffuse large B-cell lymphoma (DLBL) has improved with the development of new therapeutic regimes such as R-CHOP and related chemotherapy. However, these treatments are associated with adverse effects that arise at home and which can affect quality of life, patient safety and compliance with therapy. We have used a system of monitoring the patient in the home based on regular telephone calls from a specialist nurse. This method, which we call Outpatient Support (OPS) has been assessed in a cohort of 135 DLBL patients treated with RCHOP or similar chemotherapy (4 287 calls over a period of 42 months). OPS is feasible, productive (25% of calls result in an intervention) and effective in sorting information and saving medical time. OPS seems also to improve compliance with therapy.