title: [Epidemiologic of primary bronchial carcinoma management in the general French hospital centers].
abstract: 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.
authors.affiliation: Hôpital de Meaux, Paris. f-blanchon@ch-meaux.fr
authors.forename: F
authors.initials: F
authors.lastname: Blanchon
authors.forename: M
authors.initials: M
authors.lastname: Grivaux
authors.forename: T
authors.initials: T
authors.lastname: Collon
authors.forename: M
authors.initials: M
authors.lastname: Zureik
authors.forename: H
authors.initials: H
authors.lastname: Barbieux
authors.forename: M
authors.initials: M
authors.lastname: Bénichou-Flurin
authors.forename: J L
authors.initials: JL
authors.lastname: Breton
authors.forename: D
authors.initials: D
authors.lastname: Coëtmeur
authors.forename: B
authors.initials: B
authors.lastname: Delclaux
authors.forename: B
authors.initials: B
authors.lastname: Asselain
authors.forename: J
authors.initials: J
authors.lastname: Piquet
mesh_terms: 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