This study examines care pathways in 300 patients with anal squamous cell carcinoma to identify barriers and delays in diagnosis, assess the impact of screening and access to care, and improve awareness, screening practices, and early diagnosis.
This situational analysis will make it possible to identify barriers and delays in diagnosis, to assess waiting times for access to consultations, and to evaluate the existence of potential fast-track diagnostic pathways. It will analyze the proportion of cancers diagnosed through screening as well as the proportion of eligible patients who did not benefit from screening. Assessing patient reluctance, the impact of socio-economic conditions, and patients' knowledge of the link between HPV and anal cancer will help better target public information efforts. Ultimately, the aim of the study is to improve care pathways in order to enhance public and healthcare professional awareness and promote earlier diagnosis.
Study Type
OBSERVATIONAL
Enrollment
300
Completion of a self-administered questionnaire by the patient to collect information about their care journey, any difficulties or hesitations, as well as their knowledge of the link between papillomavirus and cancer.
First symptom(s) and the histological diagnosis
Time between the first symptom(s) and the histological diagnosis of anal squamous cell carcinoma.
Time frame: At the inclusion
Primary tumor, regional nodes, metastasis (TNM) ) stage comparison
Comparison of diagnostic stages and patient pathways according to whether or not they underwent scr
Time frame: At the inclusion
Assessment of Deprivation and Health Inequalities for Health Examination Centers, French
French public-health index used to assess an individual's level of social and material deprivation based on living conditions, financial situation, social support, and access to healthcare. It helps identify social health inequalities and adapt medical care accordingly. \[0 to 100\], The higher the score → the greater the level of deprivation.
Time frame: At the inclusion
Link between HPV and anal cancer
Proportion of patients aware of the link between HPV and anal cancer
Time frame: At the inclusion
Performing a rectal examination at the first consultation
Assess the proportion of patients who underwent a clinical examination with rectal examination at the first consultation
Time frame: At the inclusion
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