title: [Which organization for the management of thoracic cancer? Results from a French survey in Rhône-Alpes region].
abstract: This survey, conducted in Rhône-Alpes region (France), aims to better understand the actual conditions of practice in thoracic oncology. A questionnaire was distributed to all oncologists, pulmonologists, radiotherapy physicians and thoracic surgeons in the region. Of 401 questionnaires, the response rate was 56%. Among the responders 46% reported exercising the Thoracic Oncology (TO). Most physicians practicing TO are pulmonologists (62%). The majority (45%) are engaged in secondary hospital or university hospital (27%). However, practitioners with the most important activity exerts in university hospitals and cancer centre (71% of physicians practicing in secondary hospitals and 75% of those in private practice reported to manage fewer than 80 new NSCLC cases per year in structure). Furthermore, 91% are regularly involved in a multidisciplinary team. Radiation oncologist, pulmonologists and thoracic surgeons are assiduous to these meeting; however radiologists and, to a lesser extent, pathologists are less attentive. Moreover, 92% of practitioners belong to cancer networks. Similarly, over one third of working together in a cooperative clinical research institution and nearly half are involved in clinical trials (with nearly half in secondary hospital). These results highlight the reality of practice in Rhône-Alpes and will serve as the basis for coordinating authorities to correct dysfunctions or monitor certain activities of interest (clinical trials).
authors.affiliation: Service de pneumologie et d'oncologie thoracique, centre hospitalier Lyon Sud, hospices civils de Lyon, Pierre-Bénite, France. sebastien.couraud@chu-lyon.fr
authors.forename: S
authors.initials: S
authors.lastname: Couraud
authors.forename: P
authors.initials: P
authors.lastname: Fournel
authors.forename: D
authors.initials: D
authors.lastname: Moro-Sibilot
authors.forename: M
authors.initials: M
authors.lastname: Pérol
authors.forename: P-J
authors.initials: PJ
authors.lastname: Souquet
mesh_terms: D019468:Disease Management; D005602:France; D006306:Health Surveys; D006801:Humans; D008495:Medical Oncology / Q000458:organization & administration*; D009938:Organizations; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data*; D018787:Radiation Oncology; D011795:Surveys and Questionnaires; D013899:Thoracic Neoplasms / Q000628:therapy*