Last updated on May 2018

Economic and Social Disparities and Breast Cancer

Brief description of study

Precariousness is a multifactorial concept that can be broken down in the form of economic insecurity, and / or social insecurity and / or territorial insecurity. Precariousness has an impact on health that is difficult to assess precisely because it also impacts on other factors that may themselves influence health. Therefore, the understanding of the impact of precariousness on health involves studying individuals in their context.

Our study is designed to assess the impact of precariousness on the history of breast cancer, on care pathways, on treatment and rehabilitation in a multidisciplinary contextual analysis. Indeed, the socio -economic and geographical inequalities affect the history of breast cancer, treatment and its delay and post- treatment rehabilitation.

The main objective of this project is to compare the stage of disease at diagnosis (according to the TNM classification) in deprived and non deprived patients. The secondary objectives are to compare in the two groups - the socio-economic and geographical inequalities - the direct and indirect costs related to the management, the out-of pocket costs and to describe, based on individual inequalities identified, the pathway of care of the patient.

These objectives will be pursued in the framework of an observational cohort study, prospective, multicenter (Ile de France) comparative exposed / unexposed category. Each precarious patient will be matched to a non- precarious patient in the same age group, regardless of the center. The study will include any patient resident in Ile de France seeking treatment for breast cancer, regardless of the stage.

Detailed Study Description

All patients seeking treatment for breast cancer, regardless of the stage, can be included in the study. Three scores of precariousness will be applied to all patients (EPICES score, Pascal score and the European Deprivation Index). Patients identified as precarious by at least one of those three scales will be in the exposed group. The others will be in the non-exposed group.

Baseline assessment T0:

Are required only the clinical examination and radiological evaluation with the tumor size and node involvement according to TNM classification. A questionnaire will be distributed including EPICES score, Pascal score and European Deprivation Index. The baseline questionnaire will also assess the socio-economic characteristics of patients and the care trajectory before arriving in the center (see appendix).

Follow-up visits:

The following questionnaire will be distributed during a consultation that is scheduled in the routine care. There will be no additional consultation imposed on the patient.

  • T1: questionnaire at 3 months after inclusion
  • T2: questionnaire at 6 months after inclusion
  • T3: questionnaire at 12 months after inclusion

Questionnaires will be focused on direct-costs and out-of-pocket costs, socio-economical characteristics, rehabilitation, return to work.

Clinical Study Identifier: NCT02948478

Contact Investigators or Research Sites near you

Start Over


Institut de Canc rologie Hartmann
Levallois-Perret, France
  Connect »


H pital Lariboisi re
Paris, France
  Connect »

Caroline CUVIER

H pital Saint-Louis
Paris, France
  Connect »


Centre Hospitalier Delafontaine
Saint-Denis, France
  Connect »

Charlotte NGO, MD

Centre Hopitalier Victor Dupouy Argenteuil
Argenteuil, France
  Connect »

Séverine ALRAN

Institut Curie H pital de Paris
Paris, France
  Connect »


Institut Curie H pital Ren -Huguenin site Saint-Cloud
Saint-Cloud, France
  Connect »


H pital Priv des Peupliers
Paris, France
  Connect »


H pital Tenon
Paris, France
  Connect »

Stephanie TRAGER

Clinique de l'Estr e
Stains, France
  Connect »


H pital Bic tre
Le Kremlin-Bicêtre, France
  Connect »

Catherine BOAZIZ

Clinique Claude Bernard
Ermont, France
  Connect »

Catherine BOAZIZ

Institut de canc rologie Paris Nord
Sarcelles, France
  Connect »


Centre Hospitalier de Versailles
Versailles, France
  Connect »

Recruitment Status: Open

Brief Description Eligibility Contact Research Team

Receive Emails About New Clinical Trials!

Sign up for our FREE service to receive email notifications when clinical trials are posted in the medical category of interest to you.