[Epidemiologic of primary bronchial carcinoma management in the general French hospital centers].
BACKGROUND
The College of General Hospital Respiratory Physicians have conducted a study aimed at a better understanding of the details and modalities of management of patients suffering from bronchial carcinoma in general hospitals in France.


METHODS
A prospective epidemiological study was carried out on all the new cases of histologically proven bronchial carcinoma seen in general hospitals in the year 2000. The data were collected by a standardised questionnaire.


RESULTS
137 centres of investigation identified 5 667 patients, mean age 64.3 years, of whom 16% were women. 7.2% of patients were non smokers (with an incidence of 32.3% non-smokers among the women) and 40.3% were ex-smokers. Histologically 16.9% were small cell carcinomas, 40% squamous carcinomas (43.1% among the men, 23.4% among the women, p<0.0001), 30.1% adenocarcinomas (27.2% among the men, 45.3% among the women, p<0.0001). 77.1% of non small cell carcinomas were stages III and IV, and 66.8% of small cell carcinomas were disseminated, with no difference between the sexes.


CONCLUSIONS
Respiratory physicians in general hospitals manage more than a quarter of the cases of bronchial carcinoma seen annually in France. The number of women affected is high with a significant percentage of non-smokers and adenocarcinomas.
Blanchon
F
F
Hôpital de Meaux, Paris. f-blanchon@ch-meaux.fr
Grivaux
M
M
Collon
T
T
Zureik
M
M
Barbieux
H
H
Bénichou-Flurin
M
M
Breton
J L
JL
Coëtmeur
D
D
Delclaux
B
B
Asselain
B
B
Piquet
J
J
D000368:Aged; D002289:Carcinoma, Non-Small-Cell Lung / Q000628:therapy*; D018288:Carcinoma, Small Cell / Q000628:therapy*; D016021:Epidemiologic Studies; D005260:Female; D005602:France; D006764:Hospitals, Community / Q000706:statistics & numerical data*; D006801:Humans; D008175:Lung Neoplasms / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D011446:Prospective Studies; D015272:Pulmonary Medicine / Q000706:statistics & numerical data; D012737:Sex Factors; D012907:Smoking / Q000009:adverse effects