title: [Assessment of screening in women cancers and in 75 years older in Loire department].
abstract: In France, there is an important interregional disparity concerning participation to cancer screening programs. The aim of this study was to assess oncologic screening practices in Loire, a French rural department, in women and in the elderly (over age 74 years). For this, two surveys were conducted. The first one was regarding screening for breast, cervical and colorectal cancer in women over age 18 years living in Loire. The second survey was regarding onco-geriatric screening through two questionnaires : one for the elderly and the other for general practitioner (GP) of the department, evaluating screening for breast, colorectal, prostate, cervical and lung cancer. One hundred sixty six women were included in the first investigation mean age of 47.6 years. Ninety three point six per cent were screening for breast cancer, 19% received Human Papilloma virus vaccine, 83.1% were screening by Papanicolau smear for cervical cancer and finally, 51.7% were screening for colorectal cancer, among the one entering screening program criteria. In the second survey, 44 patients and 28 GP were included. Thirty-eight point six per cent of patients over 74 years continue screening. Only 11.4% were reluctant to screening and in 80% because of anxiety du to the results. Among GP, 50 % continued screening on two major criteria : life expectancy and performans status. The present study shows heterogeneity of screening in this department both rural and working class and gives us a societo-medical photography.
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département d'oncologie médicale, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Aurélie
authors.initials: A
authors.lastname: Swalduz
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département de radiothérapie, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Cyril
authors.initials: C
authors.lastname: Guibert
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département de radiothérapie, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Jane-Chloé
authors.initials: JC
authors.lastname: Trone
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département de radiothérapie, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Jean-Baptiste
authors.initials: JB
authors.lastname: Guichard
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département d'oncologie médicale, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Romain
authors.initials: R
authors.lastname: Rivoirard
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département d'oncologie médicale, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Cécile
authors.initials: C
authors.lastname: Pacaut
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département d'oncologie médicale, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Benoîte
authors.initials: B
authors.lastname: Méry
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département de radiothérapie, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Jean-Baptiste
authors.initials: JB
authors.lastname: Guy
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département de radiothérapie, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Houda
authors.initials: H
authors.lastname: Eddekkaoui
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département d'oncologie médicale, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Pierre
authors.initials: P
authors.lastname: Fournel
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département de radiothérapie, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Guy
authors.initials: G
authors.lastname: de Laroche
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département d'oncologie médicale, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Yacine
authors.initials: Y
authors.lastname: Merrouche
authors.affiliation: Institut de Cancérologie Lucien Neuwirth, département de radiothérapie, 108 bis avenue Albert Raimond, BP60008, 42271 Saint Priest en Jarez cedex, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Magné
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D003110:Colonic Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D005260:Female; D005602:France / Q000453:epidemiology; D019538:Health Care Surveys; D006306:Health Surveys; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D008297:Male; D008403:Mass Screening / Q000706:statistics & numerical data*; D008875:Middle Aged; D011471:Prostatic Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D002583:Uterine Cervical Neoplasms / Q000175:diagnosis* / Q000453:epidemiology; D014626:Vaginal Smears / Q000706:statistics & numerical data; D055815:Young Adult
keywords: cancer; individual screening; mass screening; oncogeriatrics; rural department