%0 Journal Article
%T The incidence of lung cancer in metropolitan France between 1997 and 2002: data from the general scheme of the French national health fund
%A Chinaud F
%A Weill A
%A Vallier N
%A Ricordeau P
%J Revue M¨¦dicale de l'Assurance Maladie
%D 2004
%I 
%X Aims: The aim of this survey was to determine the change in the medico-social incidence of lung cancer between 1997 and 2002 according to age groups and sex and to see if any geographic disparities were present. Method: The incidences were calculated from the new cases of lung cancer among affiliates of the general scheme who received first-time approval for their long-term disorder (ALD). Results: Between, 1997 and the end of 2002, the general scheme recorded more than 105,000 new cases of lung cancer. Over the six-year period, the standardized incidence in the world-wide population decreased from 41.3 to 40.1 per 100,000 in males while it increased from 7.3 to 9.6 per 100,000 in females, or a 5.6% increase. The increase was especially noticeable in women aged 40 to 59 years (+9.6% per year). In women, the increase in rate was highest in the Ile-de-France region (10.5 per 100,000). In men, the increase was highest in the North and Eastern part of France: Champagne- Ardenne (55.1), Lorraine (51.1), Nord - Pas-de- Calais (50.6) all showed an augmentation in morbidity. The male-female sex-ratio varied from 9.1 in the Nord - Pas-de-Calais to 3.7 in the Ile-de-France (and was even 3.0 in Paris). Conclusion: The data for long-term disorders cover the entire French territory and allow us to measure the changes in the frequency of lung cancer over time and according to each region. The integration of models containing additional sources of information (long-term disorders, DRGsˇ­.) will certainly improve the performance of our cancer surveillance system.
%K epidemiology
%K bronchus
%K cancer
%K lung
%K trachea
%K France
%K incidence
%U http://www.ameli.fr/fileadmin/user_upload/documents/Cancer_du_poumon.pdf