Publications by authors named "Jerome Viguier"
Article Synopsis
- There have been significant increases in sargassum seaweed strandings along Caribbean coastlines since 2011, prompting a study on health impacts from its decomposition.
- The study analyzed 154 patients from 2018 who reported health issues linked to decomposing sargassum, with common symptoms including neurological (80%), digestive (77%), and respiratory (69%) disorders, highlighting the geographical correlation with sargassum strandings.
- Findings suggest that toxic exposure from sargassum is similar to hydrogen sulfide exposure, with affected areas potentially experiencing ambient hydrogen sulfide levels exceeding 5 ppm for about 50 days a year.
Background: Controversy persists concerning screening programs (SPs), related to a potential risk of overdiagnosis or the impact on survival. One of the main questions to be addressed concerns the aggressiveness of the related treatments.
Methods: Using the "Cancer Cohort," a national-based cohort (medico-administrative database), all women between the ages of 50 and 74 years and treated in 2014 for incident breast cancer were compared, according to whether their diagnosis was made following a mammogram performed within the framework of the SP (SP group) or outside it (NSP group).
Background: In the context of the national Cancer Plans of France that have changed the healthcare landscape, it has become necessary to better document and assess the related actions, and to promote research and understanding. The national cancer cohort, an exhaustive population-based cohort, was set up on the basis of the National Health Data System (SNDS) by the French National Cancer Institute.
Objectives: The aim is to describe the French national cancer cohort.
Background: Lung cancer (LC) screening (LCS) with annual low-dose computed tomography scans has been seen to reduce the specific and overall mortality in selected populations. However, participation is key to successful screening programs. The EDIFICE (etude sur le dépistage des cancers et ses facteurs de compliance [survey on cancer screening and compliance factors]) nationwide observational surveys are used to assess behavior related to cancer screening programs in France.
View Article and Find Full Text PDFAlthough e-cigarette use is increasing dramatically, numerous concerns persist regarding toxicity and their role in smoking cessation. We assessed beliefs and behavior regarding e-cigarettes in an adult French population. The 4th French nationwide observational survey, EDIFICE 4, was conducted among representative samples of 1602 laypersons (age, 40-75 years) from 12 June-10 July 2014, using the quota method.
View Article and Find Full Text PDFBackground: The aim of EDIFICE surveys is to improve insight into the behavior of the French population with regard to cancer prevention and participation in screening programs. Via the colorectal cancer screening program, all average-risk individuals in the 50-74-year age group are invited every 2 years to do a guaiac-based or, since April 2015, an immunochemical fecal occult blood test.
Methods: The fifth edition of the nationwide observational survey was conducted by phone interviews using the quota method.
Background: Primary prevention of cancer relies on awareness of and consequent identification of risk factors. We investigated knowledge of breast cancer risk factors not only among laywomen but also among female physicians.
Methods: The EDIFICE 4 nationwide observational survey was conducted by phone interviews of a representative female population (737 laywomen and 105 female physicians) aged 40-75 years, using the quota method.
Background: The EDIFICE surveys have assessed cancer screening behavior in the French population since 2005.
Methods: The 2016 edition was conducted among a representative sample of 1501 individuals (age, 50-75 years). The current analysis focuses on breast, colorectal, prostate, lung, and cervical cancer screening.
Article Synopsis
- Most individuals in the study (96%) recognized that smoking is a major risk factor for lung cancer, but misconceptions persist, with 34% believing that smoking 10 or fewer cigarettes per day poses no risk.
- Half of the current smokers did not see themselves as at higher risk for lung cancer, although smokers with nicotine dependence did have a heightened awareness of their risk compared to non-dependent smokers.
- The study suggests that awareness campaigns should focus on correcting beliefs about light smoking and specifically address the concerns of heavy smokers and those with a long history of smoking.
Article Synopsis
- We conducted a study on cancer screening and social vulnerability by surveying individuals aged 50-75 with no cancer history.
- Our findings showed that while social vulnerability initially had no impact on screening participation in 2011, by 2014 it was linked to decreased uptake of colorectal and prostate screenings, as well as reduced compliance with recommended intervals for breast and cervical screenings.
- By 2016, these negative trends for vulnerable populations persisted and even spread to additional cancer screenings, highlighting the need for ongoing monitoring and targeted awareness campaigns.
Care organization in oncology. The health care organization for cancer patients has been built with the passing and current cancer plans, and the coordination of all the actions against cancer by the French national cancer institute. The authors describe the several phases of a patient pathway during and after cancer treatment, underline the importance of supporting good practice guidelines for health professionals, certification criteria and cancer authorization decrees for health care institutions, as well as coordination structures, and describe the specific organizations for children and elderly patients with cancer and for patients with rare cancers.
View Article and Find Full Text PDFAccessibility to cancer screening in France has been facilitated by the implementation of organised programs (breast cancer and colorectal cancer) and by national recommendations (cervical cancer). Personal motivation may also trigger participation in prostate cancer screening. This paper proposes an overview of attitudes toward cancer screening among the general population over a period of more than 10 years and the perception of this behaviour by general practitioners.
View Article and Find Full Text PDFThe past 20 years have seen major advances in screening for different cancer types. Screening is however destined to evolve, in terms of target populations, procedures used and the overall positioning of screening in the fight against the different forms of cancer. At the same time, screening is expected progressively to become more closely tailored to the level of risk; the type of tests and the frequency with which they are used will be adjusted in a more personalized approach.
View Article and Find Full Text PDFOne of the current goals of the French national cancer plan is to reduce healthcare inequalities. This study investigated the potential links between vulnerable social status, exposure to lung cancer risk factors and access to healthcare to highlight ways to improve lung cancer control in this population. The nationwide observational study EDIFICE 3 was carried out through phone interviews of a representative sample of 1603 individuals (age 40-75 years).
View Article and Find Full Text PDFThis analysis aimed to assess the extent to which exposure to cancer risk factors and attendance of screening programmes are influenced by social characteristics. The validated Evaluation of deprivation and health inequalities in public health centres (EPICES) index was used to measure social deprivation. A sample of the general population (N=1603) was assessed to search for potential correlations between screening attendance, risk factors and any components of the EPICES score.
View Article and Find Full Text PDFThe Cochrane analysis exploring the risk/benefit ratio of breast cancer screening resulted in a controversy worldwide spread by the mass media. Our survey sought to assess the impact of this controversy in terms of breast cancer screening awareness and attendance. A nationwide observational study, recorded in the EDIFICE iterative surveys, with a representative sample of 451 women aged 40-75 years, living in France, was carried out in the 3 months after the start of the controversy in January 2013.
View Article and Find Full Text PDFThe EDIFICE programme began in 2005 and set out to provide a clearer insight over time into the participation of the French population in cancer screening. EDIFICE 3 was conducted in 2011 by phone interviews among a representative sample of 1603 individuals aged between 40 and 75 years using the quota method. The analysis focused on the target populations (50-74 years) of the national screening programmes for breast and colorectal cancer.
View Article and Find Full Text PDFIntroduction: French national cancer plans were rolled out oncogeriatric coordination units in France in particular to enable all elderly people with cancer in each region to benefit from a specific care management.
Methods: The national hospital discharge database was analyzed in order to analyze hospitalizations related to cancer care in ≥75 years patients for year 2012.
Results: A total of 358,721 patients with 1,492,935 hospitalizations were recorded, respectively with chemotherapy (32.
Background: Available data in the field of oncology in France are scattered due to the large number of available indicators and their sources. In order to facilitate identification and analysis of these indicators, the French National Cancer Institute (INCa) has mapped the main indicators available in oncology.
Methods: Mapping was based on the needs of various categories of potential users.
Background: Breast cancer is a major public health challenge. Organized mammography screening (OS) is considered one way to reduce breast cancer mortality. EU recommendations prone mass deployment of OS, and back in 2004, France introduced a national OS programme for women aged 50-74 years.
View Article and Find Full Text PDFUnlabelled: Measuring waiting times is a good indicator of quality of cancer care and could reveal inequalities in cancer care access.
Aims: To determine the most representative waiting times in breast, lung, colon and prostate cancer care in several regions of France. To analyze the influence of individual, medical or health care system factors on those waiting times.
Background: The French national screening programme for colorectal cancer (CRC) was rolled out nationwide from 2008. It targets men and women aged 50-74 who are invited every 2 years to perform a guaiac faecal occult blood test, followed, if positive, by a colonoscopy. This paper presents the evaluation of the programme for the 46 French districts that conducted a comprehensive screening campaign during 2008-2009, targeting 9.
View Article and Find Full Text PDFBackground: Immunochemical faecal occult blood tests have greater sensitivity for colorectal cancer screening than guaiac-based tests; however the number of positive tests required is still under discussion.
Methods: A direct comparison of Hemoccult II with two immunochemical quantitative tests (OC-Sensor and FOB-Gold) using a 2-sample strategy was performed in over 30,000 patients undergoing colorectal cancer screening in France.
Results: Positivity ratio between immunochemical tests and Hemoccult II varied between 2.