title: [Role of general practitioners in cancer screening: A survey in the French armed forces].
abstract: BACKGROUND
  The French Military Health Service organizes medical survey of 340,000 military men. The aim of the present study was to evaluate the practices of solid cancer screening of general practitioners in military medical units and to compare the results with the recommendations of the French National Institute of Cancer.
  
  
  METHODS
  We conducted a prospective, observational study among general practitioners in Army Medical Unit by sending them a self-assessment questionnaire. Physicians should report on their practices for screening cancers with official screening recommendations. Compliance rates with the recommendations were reviewed. Screening practices for other cancers (prostate cancer, melanoma, thyroid cancer, lung cancer, testicular cancer) were assessed.
  
  
  RESULTS
  A total of 133 questionnaires were analyzed. Despite a strong involvement of army general health practitioners, guidelines adherence rates (examination frequency, ages of screening beginning and ending) were of 4% for cervical cancer, 7% for breast cancer, and 37% for colorectal cancer. Those rates are comparable to those reported with civilian general practitioners. For cancers without screening recommendation, practitioners felt highly concerned, especially for the most common cancers among the military population. One third of physicians stated that they had diagnosed a testicular cancer through routine screening.
  
  
  CONCLUSIONS
  Military general health practitioners feel themselves concerned by solid cancer screening, and more particularly for cancers that are the most prevalent in young adults. However, current guidelines are neither known nor applied in routine.
authors.affiliation: Hôpital d'instruction des armées du Val-de-Grâce, service d'oncologie et de radiothérapie, boulevard du Port-Royal, 75013 Paris, France.
authors.forename: Thibault
authors.initials: T
authors.lastname: Bellier
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Alexis
authors.initials: A
authors.lastname: Vallard
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Sophie
authors.initials: S
authors.lastname: Espenel
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Julien
authors.initials: J
authors.lastname: Langrand-Escure
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Majed
authors.initials: M
authors.lastname: Ben Mrad
authors.affiliation: Hôpital d'instruction des armées du Val-de-Grâce, service d'oncologie et de radiothérapie, boulevard du Port-Royal, 75013 Paris, France.
authors.forename: Lionel
authors.initials: L
authors.lastname: Védrine
authors.affiliation: Institut de cancérologie Lucien-Neuwirth, département de radiothérapie, 108 bis, avenue Albert-Raimond, BP 60008, 42271 Saint-Priest-en-Jarez cedex, France.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Magné
authors.affiliation: Hôpital d'instruction des armées du Val-de-Grâce, service d'oncologie et de radiothérapie, boulevard du Port-Royal, 75013 Paris, France. Electronic address: chargari-vdg@hotmail.fr.
authors.forename: Cyrus
authors.initials: C
authors.lastname: Chargari
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000175:diagnosis; D015179:Colorectal Neoplasms / Q000175:diagnosis; D055088:Early Detection of Cancer / Q000379:methods / Q000706:statistics & numerical data; D005260:Female; D005602:France; D058006:General Practice / Q000379:methods / Q000706:statistics & numerical data*; D058005:General Practitioners; D019983:Guideline Adherence; D006801:Humans; D008175:Lung Neoplasms / Q000175:diagnosis; D008297:Male; D008545:Melanoma / Q000175:diagnosis; D008875:Middle Aged; D008887:Military Medicine / Q000379:methods / Q000706:statistics & numerical data*; D009369:Neoplasms / Q000175:diagnosis*; D010819:Physician's Role; D017410:Practice Guidelines as Topic; D011446:Prospective Studies; D011471:Prostatic Neoplasms / Q000175:diagnosis; D011795:Surveys and Questionnaires; D013736:Testicular Neoplasms / Q000175:diagnosis; D013964:Thyroid Neoplasms / Q000175:diagnosis; D014594:Uterine Neoplasms / Q000175:diagnosis; D055815:Young Adult
keywords: Cancer; Cancer screening; Dépistage; General practitioner; Guideline adherence; Military medicine; Médecin généraliste; Médecine militaire; Recommandations