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Theses

Impact d’un réseau national sur la prise en charge des tumeurs rares du péritoine

Abstract : Rare peritoneal malignancies (RPM) are extremely rare with annual incidence of 1 to 2 case/1,000,000 of the population per year depending types. Diagnostic and therapeutic management are complex and need specialized clinical skills associated to specific technical platforms. As part of the French cancer plan the national network for the treatment of rare peritoneal malignancies (RENAPE) has been organized including expert centres and cross-disciplinary healthcare issues to allow the patients to access to clinical expertise. After literature review of epidemiological data, the aim of this work is to evaluate the impact of the RENAPE healthcare organization on the clinical pathways of patients and to support the development of clinical practices in the management of RPM. A first study demonstrated the benefit of the RENAPE network to reduce the therapeutic management delays in cohort of peritoneal mesothelioma (PM). Then a second work reports the RENAPE initiative to standardize and homogenize the surgical procedures and therapeutic approach. A next study describes the epidemiological characteristic of the population from the RENAPE registry. Finally a fourth study analyzes the geographical distribution of RENAPE cohort and to evaluate the impact of the socioeconomic factors on the PM incidence. Based on the network approach, the RENAPE organization succeeded to structure a healthcare system with multidisciplinary integrated approach
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Submitted on : Tuesday, April 17, 2018 - 1:39:40 PM
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Laurent Villeneuve. Impact d’un réseau national sur la prise en charge des tumeurs rares du péritoine. Cancer. Université de Lyon, 2017. Français. ⟨NNT : 2017LYSE1205⟩. ⟨tel-01768657⟩

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