This team of medical staff was born at the Institut Curie. French Institut Curie gathers a cutting-edge research center in cancerology and hospital group in three sites (Paris, Orsay, Saint Cloud). Caregivers, surgeons, surgical pathologists, radiologists and oncologists are work together to build KDOG. How?
Elaborating a protocol
* To compare dogs’ sensitivity and sensibility to mammography, radiologists’ knowledges are appreciated. The radiologists committed to the project bring high quality information about mammography’s developments and cancer screening to the KDOG team.
* Oncologists feed the team with research elements about breast cancer and cancerology.* Surgeons and nurses work day to day with patients and identify the difficulties women with breast cancer and/or malignant wounds encounter. KDOG process is built up from patients’ concrete needs and problems to better prevent severe medical situations. Caregivers are also aware of the type of protocol that would be too heavy or constraining for voluntary patients and thus hinder their participation.
The research work requires the participation of voluntary patients to develop the method. Patients should be informed of the possibility of participating. On the three different sites of the Institut Curie hospital group (Paris, Orsay, Saint Cloud), medical professionals invite women recently diagnosed with breast cancer to participate to the KDOG study.
The referring doctor speaks about the KDOG study to the patient during an oral interview.
After a period of reflection and an oral consent, the patient retrieves the KDOG kit at the hospital with the necessary equipment to realize the test. The doctor also orally explains the process to the patient.
Surgeons are mobilized when a sample of breast tumor tissue is needed during biopsy.
Surgical pathologists study the types of tumor. These studies are necessary to classify which types of tumor dogs can detect.
After sending the sampling to the KDOG team, referring doctors can stay in contact with the voluntary patient in case of question. However, participation does not mean that the patient will receive any news from the dogs’ diagnosis afterwards. Participation to the study is anonymized. The aim is to improve the research work and not to produce a medical diagnosis.
Setting the clinical study
After the training of the dogs, a collective time of reflection is needed between all the healthcare professionals. Nurses, anesthetists, surgeons, oncologists and radiologists brainstorm about:
The relevance of the KDOG participant pathway and how to improve it
The efficiency of the KDOG method based on dogs’ progression
The perpetuation of the device at a wider scale
During the clinical study – that will be multicenter and recruiting more patients than the preliminary study – the method is collectively discussed and every professional takes its place in the process.