title: [Supportive care for urological metastatic patients].
abstract: Supportive cancer care is defined as "all the care and support necessary for the patient throughout the illness together with specific oncological treatment". This includes side effect treatments, advice to facilitate access to all therapeutic approaches (i. e. home care) and to keep the patient in the social community. Acute pain centers and palliative care units are at the core of this new approach. In urology, the example of patients with bone metastasis demonstrates the usefulness of this concept. In fact it participates in: antalgic treatment, prevention of bone events (bisphosphonates), adaptation of daily life with a handicap, access to physiotherapy, psychological help. It also includes financial allowances. In France, supportive care centers are being set up in most hospital to facilitate the coordination of all the multidisciplinary teams.
authors.affiliation: Service d'Urologie, Hôpital Foch, Faculté de médecine Paris-Ile-de-France-Ouest, UVSQ, France. t.lebret@hopital-foch.org
authors.forename: T
authors.initials: T
authors.lastname: Lebret
authors.forename: M
authors.initials: M
authors.lastname: Di Palma
authors.forename: J
authors.initials: J
authors.lastname: Ripoll
authors.forename: A
authors.initials: A
authors.lastname: Méjean
mesh_terms: D018575:Home Care Services, Hospital-Based; D006801:Humans; D009362:Neoplasm Metastasis / Q000628:therapy; D014571:Urologic Neoplasms / Q000473:pathology* / Q000628:therapy*