Publications

@article{Moutel2017,

title = {Anticipating the role of the intensive care unit in healthcare and life trajectories},

author = {Grégoire Moutel },

doi = { 10.21037/atm.2017.12.03},

year  = {2017},

date = {2017-12-02},

urldate = {2017-12-02},

journal = {Annals of Translational Medicine},

volume = {5},

number = {(Suppl 4):S37},

abstract = {Many people think that the intensive care unit is reserved for patients with extreme and life-threatening disease, and as such, it remains hypothetical in the collective conscience, and not something that can be predicted or anticipated. Yet, intensive care can be required in a number of situations, and raises many questions depending on whether the illness is chronic, or of sudden onset. It is essential, in this context, to ask whether, and how potential patients are informed, and prepared for the eventuality of intensive care unit (ICU) care. In this view, anticipating ICU admission is a key, yet new issue, and it raises questions about the place of the ICU physician and ICU teams in the healthcare pathway, and in life trajectories overall.},

keywords = {Fin de vie},

pubstate = {published},

tppubtype = {article}

}

@article{Pimpec2017,

title = {Fecal immunological blood test is more appealing than the guaiac-based test for colorectal cancer screening},

author = {Fanny Le Pimpec and Grégoire Moutel and Christine Piette and Astrid Lièvre and Jean-François Bretagne},

doi = {https://doi.org/10.1016/j.dld.2017.08.018},

year  = {2017},

date = {2017-11-01},

urldate = {2017-11-01},

journal = {Digestive and Liver Disease},

volume = {49},

number = {11},

pages = {1267-1272},

abstract = {Background

The reasons for participation in fecal immunological testing (FIT) of subjects who were previously non-respondents to guaiac fecal occult blood testing (g-FOBT) have not been assessed.



Population and methods

We aimed to determine the reasons for current compliance with FIT among non-responders to g-FOBT, termed “converts‿, in a French district. A questionnaire was returned by 170 converts aged from 55 to 75 years (response rate 75.2% after exclusions).



Results

The major barriers to participation in screening with g-FOBT were test-related: the test was perceived as complicated (24%) and it required three consecutive stools (28%). Among the test-related major determinants of FIT compliance was the perception that the test was less complicated than previous test (30%) and that a unique stool sample was required (29%). Among the non-test related major determinants of FIT compliance were the perception that the general practitioner was more convincing (31%) and the feeling to be more concerned because of age (21%). The reasons for compliance among converts did not differ according to age, sex, and rural or urban residence.



Conclusions

Our study demonstrated that the simplicity of FIT and the endorsement of practitioners were both major motivations for FIT compliance among non-respondents in at least two previous consecutive campaigns.},

keywords = {Dépistage des cancers},

pubstate = {published},

tppubtype = {article}

}

@article{Papin-Lefebvre2017,

title = {General practitioners' preferences with regard to colorectal cancer screening organisation Colon cancer screening medico-legal aspects},

author = {Frédérique Papin-Lefebvre and Elodie Guillaume and Grégoire Moutel and Guy Launoy and Célia Berchi},

doi = {https://doi.org/10.1016/j.healthpol.2017.08.013},

year  = {2017},

date = {2017-09-06},

urldate = {2017-09-06},

journal = {Health Policy},

volume = {121},

number = {10},

pages = {1079-1084},

abstract = {Objective

French health authorities put general practitioners at the heart of the colorectal cancer screening. This position raises organisational issues and poses medico-legal problems for the professionals and institutions involved in these campaigns, related to the key concepts of medical decisions and suitability of standards. The objective of our study is to reveal the preferences of general practitioners related to colorectal cancer screening organisation with regard to the medico-legal risk



Methods

A discrete choice questionnaire presenting hypothetical screening scenarios was mailed to 2114 physicians from 20 French different areas. The preferences of 358 general practitioners were analysed using logistic regression models.



Results

The factors that have significant impact on the preferences of general practitioners are the capacity of the primary care professional in the procedure, the manner in which pre-screening information is given to patients, the manner in which screening results are given to patients, the number of reminders sent to patients who test positive and who do not undergo a colonoscopy and the remuneration of the attending physician.



Conclusions

Our results reveals that current colorectal cancer screening organisation is not adapted to general practitioners preferences. This work offers the public authorities avenues for reflection on possible developments in order to optimize the involvement of general practitioners in the promotion of cancer screening programme.},

keywords = {Dépistage des cancers},

pubstate = {published},

tppubtype = {article}

}

@article{Moutel2017b,

title = {Addressing low participant in colorectal cancer screening: Respect for individual freedom versus the community good},

author = {Grégoire Moutel and Nathalie Duchange and Astrid Lièvre and Sylviane Darquy},

doi = {10.1016/j.dld.2017.05.023},

year  = {2017},

date = {2017-09-01},

journal = {Digestive and Liver Disease},

volume = {49},

number = {9},

pages = {1064-1065},

keywords = {Dépistage des cancers},

pubstate = {published},

tppubtype = {article}

}

@article{Moutel2017c,

title = {Industriels du médicament : quelle évolution des pratiques sur le plan déontologique et éthique ?},

author = {Grégoire Moutel },

year  = {2017},

date = {2017-06-01},

journal = {La Revue du Praticien},

volume = {67},

number = {6},

pages = {605-608},

keywords = {Médicament},

pubstate = {published},

tppubtype = {article}

}

@article{Housset2017,

title = {Les paradoxes du sentiment dans la finitude de l’action},

author = {Emmanuel Housset },

url = {https://hal-normandie-univ.archives-ouvertes.fr/hal-02147464},

doi = {https://doi.org/10.1016/j.etiqe.2016.09.005},

year  = {2017},

date = {2017-01-19},

urldate = {2017-01-19},

journal = {Ethique & Santé},

volume = {14},

number = {2},

pages = {112-117},

abstract = {Le sentiment est nécessaire à l’action morale et à l’action médicale. Sans lui l’action n’est pas une relation de personne à personne. Il est important de déterminer quelle est alors la place exacte du sentiment dans l’accomplissement de son devoir. Le sentiment donne le sens de l’obligation, mais la raison pratique détermine ce qu’il faut faire dans la contingence de l’action.},

keywords = {Philosophie},

pubstate = {published},

tppubtype = {article}

}

@article{Grandazzi2016,

title = {Familles et communautés face aux “grappes localisées” de suicides de jeunes : deux exemples en populations québécoise et autochtone},

author = {Guillaume Grandazzi},

url = {https://hal-normandie-univ.archives-ouvertes.fr/hal-02130332},

year  = {2016},

date = {2016-08-15},

urldate = {2016-08-15},

journal = {Enfances Familles Générations},

number = {24},

pages = {163-178},

abstract = {À partir d’entretiens réalisés dans deux localités au Québec, dont une en milieu autochtone, touchées par des grappes localisées de suicide de jeunes, les représentations et les répercussions de ces évènements sont interrogées. L’objectivation d’une série de suicides dans un temps et un lieu donnés ne suffit pas à qualifier le phénomène, qui renvoie à une réalité à la fois physique et sociale, et qui fait l’objet d’un processus de construction sociale. Celui-ci va contribuer ou non à transformer plusieurs tragédies individuelles et familiales en enjeu collectif qui concerne et interpelle l’ensemble de la collectivité affectée. Au-delà de la proximité temporelle et géographique des cas de suicides, c’est le fait que le phénomène atteigne des adolescents et des jeunes adultes, dans des proportions parfois importantes, qui interpelle profondément les communautés concernées et qui oblige les adultes à se questionner sur les raisons pour lesquelles une partie de la jeunesse manifeste, au travers de l’acte suicidaire, une grande vulnérabilité qui ébranle les fondements de la vie sociale et de la transmission intergénérationnelle.},

keywords = {Aidants, Fin de vie, Suicide},

pubstate = {published},

tppubtype = {article}

}

@article{Rigaud2016,

title = {How patient families are provided with information during intensive care: A survey of practices},

author = {Jean-Philippe Rigaud and Grégoire Moutel and Corinne Quesnel and Jean-Pierre Eraldi and François Bougerol and Arnaud Pavon and Jean-Pierre Quenot},

doi = {https://doi.org/10.1016/j.accpm.2016.03.002},

year  = {2016},

date = {2016-06-01},

urldate = {2016-06-01},

journal = {Anaesthesia Critical Care & Pain Medicine},

volume = {35},

number = {3},

pages = {185-189},

abstract = {Background

Many critically ill patients are incapable of receiving information or expressing their own opinion on treatment decisions due to the severity of their disease, or because they are under sedation. French legislation requires that when a physician proposes further tests or treatment for a patient, this proposal should be accompanied by clear and honest information that is appropriate in view of the circumstances and the patient's state of health, and the physician must obtain the patient's consent before proceeding. However, this is often impossible in critical care. We evaluated whether provisions for surrogates are adequate in meeting information needs of patients and families in critical care.



Methods

Survey of intensive care physicians by electronic questionnaire in December 2010 and January 2011 to evaluate actual practices. The questionnaire comprised 6 domains covering various aspects relating to the information of patients’ relatives as regards diagnostic testing in critical care, when the patient was unable to be appropriately informed. We recorded responders’ socio-demographic data (age, how long in practice, where they practised).



Results

Among 1279 physicians contacted, 139 (10.8%) from 98 critical care departments (France, Belgium, Switzerland) responded. A total of 66.2% said they believed it is possible to perform diagnostic tests without informing the patient's relatives. Invasive or high-risk tests, time available to provide information, and quality of prior relations with the patient's family were factors likely to prompt the physician to inform the family, while potentially serious implications for the relatives, and degree of relation of the family member to the patient were reported to make the physician more reluctant to inform relatives. Less than 6% considered routine procedures to require provision of information to relatives.



Conclusion

Our results suggest that modalities for providing information to families and relatives, as defined by current French legislation, are not suitable to the context of critical care.},

keywords = {Information},

pubstate = {published},

tppubtype = {article}

}

@article{Eustache-Vallée2016,

title = {Le sentiment d’identité au stade sévère de la maladie d’Alzheimer : une observation clinique},

author = {Marie-Loup Eustache-Vallée and Mickael Laisney and Aurelija Juskenaite and Odile Letortue and Hervé Platel and Francis Eustache and Béatrice Desgranges},

doi = {https://doi.org/10.1016/j.amp.2016.03.012},

year  = {2016},

date = {2016-05-12},

urldate = {2016-05-12},

journal = {Annales Médico-psychologiques, revue psychiatrique},

volume = {175},

number = {9},

pages = {756-762},

abstract = {Objectifs

Mémoire et identité sont liées intrinsèquement. Dans la maladie d’Alzheimer où la mémoire est très altérée, les patients perdent-ils toute représentation cohérente d’eux-mêmes ?



Patients et méthodes

Une étude de groupe, utilisant une méthodologie originale, suggérait que le sentiment d’identité était globalement préservé chez des patients se situant aux stades modérés à sévères de la maladie. Nous rapportons l’observation détaillée d’une patiente au stade sévère de l’évolution (MMSE : 5).



Résultats

Cette patiente conserve un sentiment d’identité globalement préservé avec une stabilité et une cohérence des réponses dans le temps (les deux évaluations étant réalisées à 15 jours d’intervalle).



Conclusion

Cette observation clinique apporte des éléments originaux et de nouvelles perspectives de recherche concernant l’étude du sentiment d’identité chez des patients présentant des troubles cognitifs sévères.},

keywords = {Gérontologie},

pubstate = {published},

tppubtype = {article}

}