JLE

Bulletin du Cancer

MENU

Estimation of the incidence of eight malignant tumours in France, on the basis of health insurance’s statistics Volume 86, issue 2, Février 1999

Figures

See all figures

Authors
Direction du service médical de la région Auvergne, 48-50, boulevard Lafayette, 63037 Clermont-Ferrand Cedex.

This work has for aim to suggest coefficients of adjustment applicable to the statistics of malignant tumours refunded through the health insurance as long-term diseases. Those coefficients would allow to evaluate the morbidity rate of cancer in the general population in France. To reach this target, we compared the figures of health insurance to those of the registers of cancers in six french departments, after we made the necessary adjustments to make the comparison possible. We showed that, for each cancer, the coefficient of adjustment is equal to the median of the relative differences that we noticed between the figures of the registers and those of the health insurance. We calculated the adjustment coefficients for bladder cancers (1.07), colon-rectum cancers (1.36), womb cancers (1), kidney cancers (0.83), lung cancers (1.33), oesophagus cancers (1.56) and prostate cancers (1.37). The comparison between the incidences adjusted on the basis of the figures of the health insurance, the incidences estimated by the Inserm and those released in the literature allowed us to confirm the validity of the coefficient we propose, except for the kidney cancer and the lung cancer by women, for whom we can’t make any conclusions. Our work showes that the statistics of health insurance builds up a basis of information that can be used to study the morbidity rate of some malignant tumours in France.