{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T11:07:25Z","timestamp":1778843245089,"version":"3.51.4"},"reference-count":26,"publisher":"CAIRN.INFO","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,15]]},"abstract":"<jats:p>Introduction\u00a0: Le cancer du sein, premier cancer f\u00e9minin, touche aussi les femmes jeunes. Les directives anticip\u00e9es permettent \u00e0 un sujet d\u2019exprimer ses volont\u00e9s concernant sa fin de vie. Seuls 21 % des Fran\u00e7ais de plus de 75\u00a0ans les ont r\u00e9dig\u00e9es. Ceci s\u2019explique notamment par le fait que les Fran\u00e7ais ne se sentent pas forc\u00e9ment concern\u00e9s par les directives anticip\u00e9es. Les m\u00e9decins g\u00e9n\u00e9ralistes \u00e9voquent de vraies difficult\u00e9s \u00e0 parler de fin de vie avec leurs patients. M\u00e9thode\u00a0: Nous proposons ici un mod\u00e8le de directives anticip\u00e9es adapt\u00e9 aux femmes atteintes de cancer du sein, issu d\u2019un consensus d\u2019experts. Ce consensus a \u00e9t\u00e9 obtenu en trois rondes Delphi gr\u00e2ce \u00e0 l\u2019\u00e9valuation des 21 experts. R\u00e9sultats\u00a0: Le r\u00e9sultat est un document qui se veut \u00eatre un t\u00e9moignage fid\u00e8le de la personne qui le r\u00e9digera, abordant \u00e0 la fois ses valeurs morales, ses volont\u00e9s concernant les soins m\u00e9dicaux et ses souhaits d\u2019accompagnement Discussion\u00a0: Ce mod\u00e8le permet d\u2019ouvrir un \u00e9change entre le m\u00e9decin et sa patiente et se veut un t\u00e9moignage fid\u00e8le de ses souhaits. Il sera tr\u00e8s int\u00e9ressant de proposer le mod\u00e8le de DA cr\u00e9\u00e9 aux patientes afin de recueillir leur opinion et de le r\u00e9adapter en fonction de leurs remarques.<\/jats:p>","DOI":"10.3917\/spub.262.0203","type":"journal-article","created":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T10:12:32Z","timestamp":1778839952000},"page":"203-215","source":"Crossref","is-referenced-by-count":0,"title":["R\u00e9daction d\u2019un mod\u00e8le de directives anticip\u00e9es appropri\u00e9 pour les femmes atteintes d\u2019un cancer du sein\u00a0: m\u00e9thode Delphi"],"prefix":"10.3917","volume":"vol. 38","author":[{"given":"Bernard","family":"Fr\u00e8che","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Axelle","family":"Martinet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaritza","family":"Carneiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marc","family":"Besnier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00c9lodie","family":"Poupin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","doi-asserted-by":"crossref","unstructured":"1. Breton D, Belliot N, Barbieri M, Chaput J, D\u2019Albis H. L\u2019\u00e9volution d\u00e9mographique r\u00e9cente de la France : une position singuli\u00e8re dans l\u2019Union europ\u00e9enne. Population. 2024 ; 79(4) : 427\u2013505.","DOI":"10.3917\/popu.2404.0427"},{"key":"rb2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bulcan.2018.11.016"},{"key":"rb3","doi-asserted-by":"publisher","DOI":"10.1016\/j.medpal.2013.11.004"},{"key":"rb4","doi-asserted-by":"publisher","DOI":"10.1016\/j.medpal.2012.04.001"},{"key":"rb5","doi-asserted-by":"publisher","DOI":"10.3917\/dsso.081.0066"},{"key":"rb6","unstructured":"6. Goaran J. Le regard des Fran\u00e7ais sur la loi du 2 f\u00e9vrier 2016 : 5 ans apr\u00e8s \u2013 Sondage BVA pour le Centre National des Soins Palliatifs et de la Fin de Vie. 2021 ; Paris."},{"key":"rb7","doi-asserted-by":"publisher","DOI":"10.2307\/3527683"},{"key":"rb8","unstructured":"8. Hirsch G. Illness progression, advance directives, support person: how and when to communicate with the patient? Rev Prat. 2017 ; 67(10) : 1134\u20131138."},{"key":"rb9","doi-asserted-by":"publisher","DOI":"10.4143\/crt.2020.735"},{"key":"rb10","doi-asserted-by":"publisher","DOI":"10.1016\/j.bulcan.2015.01.009"},{"key":"rb11","doi-asserted-by":"publisher","DOI":"10.3109\/02813432.2013.854590"},{"key":"rb12","doi-asserted-by":"publisher","DOI":"10.1186\/1472-684X-11-9"},{"key":"rb13","doi-asserted-by":"publisher","DOI":"10.1016\/j.revmed.2013.10.331"},{"key":"rb14","doi-asserted-by":"publisher","DOI":"10.21037\/cco.2018.06.03"},{"key":"rb15","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0000000000000297"},{"key":"rb16","doi-asserted-by":"publisher","DOI":"10.1136\/ebnurs-2020-103303"},{"key":"rb17","doi-asserted-by":"publisher","DOI":"10.1016\/j.medpal.2020.07.004"},{"key":"rb18","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525-1497.2000.07228.x"},{"key":"rb19","doi-asserted-by":"publisher","DOI":"10.3949\/ccjm.76a.07002"},{"key":"rb20","doi-asserted-by":"publisher","DOI":"10.1177\/1049909118760303"},{"key":"rb21","doi-asserted-by":"publisher","DOI":"10.53738\/REVMED.2017.13.548.0310"},{"key":"rb22","doi-asserted-by":"publisher","DOI":"10.1191\/0269216302pm573oa"},{"key":"rb23","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp11X567081"},{"key":"rb24","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2354.1996.tb00242.x"},{"key":"rb25","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-020-01295-7"},{"key":"rb26","doi-asserted-by":"publisher","DOI":"10.1016\/j.revmed.2013.10.331"}],"container-title":["Sant\u00e9 Publique"],"original-title":[],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T10:12:36Z","timestamp":1778839956000},"score":1,"resource":{"primary":{"URL":"http:\/\/v4.reseaucairn.info\/~cairn\/front-office\/main\/revue-sante-publique-2026-2-page-203?domain=stm&lang=fr&ref=doi"}},"subtitle":[""],"short-title":[],"issued":{"date-parts":[[2026,5,15]]},"references-count":26,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,5,15]]}},"URL":"https:\/\/doi.org\/10.3917\/spub.262.0203","relation":{},"ISSN":["0995-3914"],"issn-type":[{"value":"0995-3914","type":"print"}],"subject":[],"published":{"date-parts":[[2026,5,15]]}}}