Cancer screening and follow-up in general practice: A French nationwide cross-sectional study.

Autor:	Lamort-Bouché M; Université de Lyon, Lyon, France.; Université de Lyon, Université Claude Bernard Lyon 1, Unité mixte de recherche Epidémiologique et de Surveillance Transport Travail Environnement, Lyon, France., Chardon M; Université de Lyon, Lyon, France., Kellou N; Université de Lyon, Lyon, France., Ray-Coquard I; Département d'Oncologie Médicale, Centre Léon Bérard, Lyon, France.; Université de Lyon, Université Claude Bernard, Lyon, France., Colin C; Unité d'Evaluation Médico-Economique, Pôle Information Médicale Evaluation Recherche, Lyon, France.; Université de Lyon, Université Claude Bernard, Lyon, France., Letrilliart L; Université de Lyon, Lyon, France.; Université de Lyon, Université Claude Bernard, Lyon, France.
Jazyk:	angličtina
Zdroj:	The European journal of general practice [Eur J Gen Pract] 2020 Dec; Vol. 26 (1), pp. 95-101.
DOI:	10.1080/13814788.2020.1784875
Abstrakt:	Background: The overall activity of general practitioners (GPs) related to cancer screening and follow-up is poorly documented. Objectives: To describe cancer screening and follow-up activities carried out in general practice and analyse them according to the socio-economic characteristics of patients. Methods: We used data from a French nationwide, multicentre, cross-sectional study that described the distribution of health problems managed in general practice and the associated processes of care. Analyses were adjusted on age and gender when appropriate, using a multivariate, hierarchical, linear mixed-effects model. Results: Among 20,613 consultations recorded, 580 involved cancer screening (2.8%) and 475 cancer follow-ups (2.3%). The most frequent cancer screening procedures concerned colorectal cancer (38.6% of screening procedures), breast cancer (32.6%), cervical cancer (17.0%), and prostate cancer (9.3%). In consultations with female patients, the most frequent types of cancer followed up were breast (44.9%) and colorectal cancer (10.5%), and with male patients, the most frequent were prostate (37.3%) and skin cancer (10.3%). After adjustment on age and gender, consultations with cancer follow-up included a mean 1.9 health problems managed in addition to cancer. Consultations with cancer screening or follow-up issue less often involved a patient on low income than other consultations (2.4% vs. 4.2%, and 1.1% vs. 4.2%, respectively). Conclusion: Around 5% of French general practice consultations include cancer screening or follow-up. Socio-economical inequalities demand further research.
Databáze:	MEDLINE
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