Development of a Care Complexity Score (CCS) - ESMO 2025
Development of a Care Complexity Score (CCS) to Identify Patients at High Risk of Severe Symptoms and Increased Operational Burden in Oncology Remote Patient Monitoring.
Dec 4, 2025
2 minutes
Authors
Maria Alice Franzoi (1), Capucine Baldini (2), Thomas Grellety (3), Rabia Boulahssass (4), Pierre Soubeyran (5), Etienne Brain (6), Loïc Mourey (7), Claire Dumas-Bonnetain (8), Florence Canouï‑Poitrine (9), Romain Rivoirard (10), Amine Diab (11), Ivan Panico (11), Élodie Nouhaud (11), Charles Ferté (11), Kaissa Ouali (2), Christophe Massard (2), , Mario Di Palma (1), Florian Scotté (12), Nicolas Bertrand (13), Ines Vaz Luis (1).
Affiliations
1-Gustave Roussy, Villejuif, France ; 2-DITEP, Gustave Roussy, Villejuif, France ; 3-Centre hospitalier de la Côte Basque, service d’oncologie médicale, Bayonne, France ; 4-Geriatric Coordination Unit for Geriatric Oncology (UCOG), CHU de NICE, France; 5-Department of Medical Oncology, Institut Bergonié, Bordeaux, France; 6-Institut Curie - Hôpital René Huguenin, Saint-Cloud, France; 7-Department of Medical Oncology, Institut Claudius Regaud, Institut Universitaire du Cancer Toulouse-Oncopole, Toulouse, France; 8-UNICANCER, Paris, France; 9-AP-HP, Henri-Mondor Hospital, Public Health Department & Clinical Research Unit (URC Mondor), Créteil, France; 10-Department of Medical Oncology, Lucien Neuwirth Cancer Institute, Saint Priest-en-Jarez, France; 11-Resilience, Paris; 12-Department of Supportive Care, DIOPP, Gustave Roussy, 94800 Villejuif, France ; 13-Department of Medical Oncology, Centre Eugene Marquis, Rennes, France.
Introduction
The clinical and organizational benefits of Remote Patient Monitoring (RPM) in oncology, demonstrated by several Phase III trials, have led to its reimbursement in France. However, the increasing complexity of care pathways requires enhanced coordination, particularly for patients with adverse clinical factors and Socio-Behavioral Determinants of Health (SBDOH). The determinants of this complexity remain poorly understood within the context of remote monitoring. This study aims to identify factors associated with an increased risk of severe symptoms and a higher operational burden for healthcare professionals, in order to prioritize interventions and optimize resource allocation.
