This is a multicenter, national, interventional, cluster-randomized study, "stepped wedge" design. This study includes patients with metastatic or locally advanced digestive, gynecological, ENT, or sarcoma cancer, currently undergoing systemic palliative treatment and hospitalized on an unscheduled basis. The study will aim to evaluate the impact of early palliative care implementation for patients with metastatic or advanced cancer identified during an unplanned hospitalization.
Subjects aged 18 years and older;
Diagnosed with metastatic or locally advanced digestive, gynecological, ENT, or sarcoma cancer;
Currently undergoing systemic palliative treatment (no prospect of cure);
Hospitalized on an unscheduled basis (i.e., unplanned hospitalization for scheduled oncology treatments);
PS (WHO) = 4;
Patient receiving end-of-life care;
Patient opposed to the use of medical data for research purposes;
Person deprived of liberty or under guardianship;