Oncology

Clinical Study

Earlier Onset and Poor Prognosis of Lung Cancer in Imprisoned Patients

Carbonnaux M.a, d · Fossard G.a, d · Amzallag E.b · Piegay C.c · Perot E.a, d · Chossegros P.b · Souquet P.J.a, d · Couraud S.a, d

Author affiliations

aDepartment of Pulmonary Medicine, bInterregional Secure Hospital Unit, and cDepartment of Medical Information, Hospices Civils de Lyon, Lyon Sud Hospital, Pierre Bénite, and dFaculty of Medicine Lyon Sud, Lyon 1 University, Oullins, France

Keywords: Lung cancerPrison inmatesTobaccoCannabisRisk factor

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Oncology 2013;85:370-377
https://doi.org/10.1159/000356877

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Article / Publication Details

First-Page Preview
Abstract of Clinical Study

Received: May 08, 2013
Accepted: October 23, 2013
Published online: December 10, 2013
Issue release date: December 2013

Number of Print Pages: 8
Number of Figures: 1
Number of Tables: 3

ISSN: 0030-2414 (Print)
eISSN: 1423-0232 (Online)

For additional information: https://www.karger.com/OCL

Abstract

Introduction: Prison inmates are known to be more exposed to various lung cancer risk factors, and some studies have shown that lung cancer is the most common cancer in prisoners. However, no study has particularly focused on lung cancer features in this population. Method: Charts of patients with lung cancer hospitalized in one of the French secured hospital units between 1997 and 2012 were reviewed. Data from this cohort were then compared to those of two large observational studies conducted in 2000 and 2010 (KBP studies). Results: Thirty-two cases were included. All were men. The mean age was 52.2 ± 11.5 years, which was significantly lower than in the KBP-2000 (64.4 years) and KBP-2010 (65.5 years; both p < 0.0001) studies. The percentage of current smokers was much higher in prisoners (87.1 vs. 52.2 and 49.2%, respectively; both p < 0.001). Ninety percent of prisoners presented with at least one comorbidity. Lung cancer clinical presentation did not differ between prisoners and the reference populations. The median overall survival was 5.8 months (range 0-15.1) for all stages and 4.7 months (range 2.8-6.6) for stage IIIB/IV. Conclusion: Although our study suffers from limitations, prisoners seem to develop lung cancer at a younger age and their prognosis is poor.

© 2013 S. Karger AG, Basel



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Article / Publication Details

First-Page Preview
Abstract of Clinical Study

Received: May 08, 2013
Accepted: October 23, 2013
Published online: December 10, 2013
Issue release date: December 2013

Number of Print Pages: 8
Number of Figures: 1
Number of Tables: 3

ISSN: 0030-2414 (Print)
eISSN: 1423-0232 (Online)

For additional information: https://www.karger.com/OCL

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2013, Vol.85, No. 6

December 2013

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Additional Information

M. Carbonnaux, G. Fossard, E. Amzallag and S. Couraud contributed equally to this work.

This work was presented at the 17th annual meeting of the French-Speaking Society of Pulmonology in January 2013, Lille, France.
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