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[Reporting of resected colonic carcinomas. Assessment of practices in 8 French counties in 1995]
F Papin1, J Maurel, P Grosclaude
1Registre des Tumeurs Digestives du Calvados, CJF INSERM, Faculté de Médecine, Caen.
Objectives:
The objective of this work was to study the reporting of resected colonic carcinomas and to compare them with Consensus Guidelines published in January 1998.
Methods:
The study included 535 colonic carcinomas collected in 8 French registries in 1995, and chosen by drawing lots. For each report, the presence of the information requested by the Guidelines was looked for. Three synthetic variables were built: 2 scores and one qualitative at 2 classes. The influence of patients, tumour and health care system's characteristics was analysed on the 3 dependent variables.
Results:
Some important variations were observed for information's percents in reporting. In monovariate analysis, scores were significantly influenced by cancer's sub-location, area of patient's residence, surgical center, type of laboratories and pathologist case volume. In multivariate analysis, significant heterogeneity in practices remained between geographical areas. Types of laboratories and pathologist case volume affected differently dependent variables.
Conclusion:
This study shows the necessity to assess the practices before consensus because of the impact of pathological forms in therapeutic decisions and variations observed.