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Master Thesis

Dépistage systématique des pathologies liées à l’usage du tabac : état des lieux des recommandations pour une pratique en soins de santé primaires

Abstract : Introduction: smoking is a public health problem. Pathologies linked to its use are a major source of morbidity and mortality. However, their screening seems only rarely mentioned in the guidelines. Materials and methods: step 1: systematic search of guidelines for screening of pathologies linked to tobacco use (French and European health societies). The inclusion criteria were : guidelines dealing with smoking, screening in the smoker population, pathologies for which smoking is a risk factor. Step 2: expanding the search to international guidelines for: lung cancer, bladder cancer, coronary artery disease and COPD. Results: step 1: Out of 3357 French and European guidelines, 28 were included. They were disparate, often imprecise, there was no consensus on monitoring a smoking patient. Step 2: 19 guidelines mentioned screening for lung cancer by low dose computed tomography. In France it is not recommended, in Europe and Canada, it is not organized but different companies are in favor of it, in the United States, it is in place. COPD: 17 guidelines touched upon the early search for cases by spirometry, screening is not recommended in asymptomatic patients. Coronary artery disease: 14 guidelines called additional tests for cardiovascular risk assessment. They are multiple and their indications are heterogeneous. Bladder cancer: 13 health societies mentioned its screening, but it is not recommended in the general population (no validated test exist), however it should be studied in a population at risk (smokers). Conclusion: significant work still needs to be done in order to provide comprehensive treatment for the smoking patients, but as for now a monitoring checklist of these patients can be proposed to the general practitioners.
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Master Thesis
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Submitted on : Wednesday, October 28, 2020 - 5:00:44 PM
Last modification on : Saturday, November 14, 2020 - 3:11:00 AM
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Élodie Bour, Marie Lataste. Dépistage systématique des pathologies liées à l’usage du tabac : état des lieux des recommandations pour une pratique en soins de santé primaires. Médecine humaine et pathologie. 2020. ⟨dumas-02982646⟩



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