{"id":73,"date":"2015-08-05T18:16:34","date_gmt":"2015-08-05T16:16:34","guid":{"rendered":"http:\/\/registre-tumeurs-29.fr\/?page_id=73"},"modified":"2025-09-29T14:21:34","modified_gmt":"2025-09-29T12:21:34","slug":"methodologie","status":"publish","type":"page","link":"https:\/\/registre-tumeurs-29.fr\/Accueil\/methodologie\/","title":{"rendered":"M\u00e9thodologie"},"content":{"rendered":"\n<!doctype html>\n<html lang=\"fr\">\n<head>\n  <meta charset=\"utf-8\" \/>\n  <meta name=\"viewport\" content=\"width=device-width, initial-scale=1\" \/>\n  <title>M\u00e9thodologie du registre \u2014 version simplifi\u00e9e<\/title>\n  <style>\n    :root{\n      --ink:#111827; --muted:#475569; --line:#e7eaee;\n      --brand:#2563eb; --card:#ffffff; --bg:#f7f9fc;\n    }\n    body{background:var(--bg);margin:0;font-family:sans-serif;color:var(--ink);}\n    .meth-wrap{max-width:1100px;margin:0 auto;padding:8px 8px 28px;}\n    .meth-card{\n      background:var(--card);border:1px solid var(--line);border-radius:14px;\n      padding:16px 18px;box-shadow:0 6px 16px rgba(2,8,23,.05);margin:14px 0;\n    }\n    \/* Titres type \"Identit\u00e9\" *\/\n    .meth-card h2 {\n      position: relative;\n      margin: 0 0 12px;\n      padding-left: 14px;\n      font-size: 1.3rem;\n      font-weight: 700;\n      color: var(--ink);\n    }\n    .meth-card h2::before {\n      content: \"\";\n      position: absolute;\n      left: 0; top: 4px; bottom: 4px;\n      width: 6px;\n      border-radius: 4px;\n      background: linear-gradient(180deg, #60a5fa, #2563eb);\n    }\n    .meth-card p{color:var(--ink);line-height:1.7;margin:.4rem 0}\n    .muted{color:var(--muted)}\n    .meth-list{margin:.2rem 0 .6rem 1.1rem}\n    .meth-list li{margin:.25rem 0}\n  <\/style>\n<\/head>\n<body>\n\n<div class=\"meth-wrap\">\n\n  <!-- Pr\u00e9sentation -->\n  <section id=\"presentation\" class=\"meth-card\">\n    <h2>Pr\u00e9sentation<\/h2>\n    <p>\n      Le Registre des Tumeurs Digestives du Finist\u00e8re recense tous les cas de cancers digestifs du d\u00e9partement,\n      quel que soit le lieu de diagnostic ou de traitement. Le recensement est permanent, avec donn\u00e9es pleinement fiables\n      apr\u00e8s environ 24&nbsp;mois.\n    <\/p>\n  <\/section>\n\n  <!-- Sources -->\n  <section id=\"sources\" class=\"meth-card\">\n    <h2>Sources de donn\u00e9es<\/h2>\n    <p class=\"muted\">Croisement des sources pour garantir l\u2019exhaustivit\u00e9.<\/p>\n    <ul class=\"meth-list\">\n      <li>Laboratoires d\u2019anatomie et de cytologie<\/li>\n      <li>Services PMSI des \u00e9tablissements de soins<\/li>\n      <li>M\u00e9decins g\u00e9n\u00e9ralistes et sp\u00e9cialistes<\/li>\n      <li>Praticiens des \u00e9tablissements publics et priv\u00e9s<\/li>\n      <li>Caisses d\u2019Assurance Maladie (ALD)<\/li>\n      <li>CRCDC Bretagne, r\u00e9seaux r\u00e9gionaux et territoriaux<\/li>\n    <\/ul>\n  <\/section>\n\n  <!-- Donn\u00e9es recueillies -->\n  <section id=\"donnees\" class=\"meth-card\">\n    <h2>Donn\u00e9es recueillies<\/h2>\n    <p>Deux volets :<\/p>\n    <ul class=\"meth-list\">\n      <li>Obligatoires : identification, date\/commune de naissance, adresse au diagnostic, date d\u2019incidence, base de diagnostic, topographie, morphologie, comportement, sources d\u2019information<\/li>\n      <li>Recommand\u00e9es : \u00e9tat aux derni\u00e8res nouvelles, stade, grade\/diff\u00e9renciation, traitement initial, mode de d\u00e9couverte<\/li>\n    <\/ul>\n    <p>Codifications : CIRC, ENCR, CIM-O&nbsp;3, classification TNM.<\/p>\n  <\/section>\n\n  <!-- S\u00e9curit\u00e9 & d\u00e9lais -->\n  <section id=\"securite\" class=\"meth-card\">\n    <h2>S\u00e9curit\u00e9 &#038; d\u00e9lais<\/h2>\n    <ul class=\"meth-list\">\n      <li>Deux formulaires distincts : identit\u00e9\/adresse et donn\u00e9es m\u00e9dicales<\/li>\n      <li>Saisie s\u00e9curis\u00e9e, recommandations CNIL<\/li>\n      <li>Pour une ann\u00e9e donn\u00e9e, le processus complet s\u2019\u00e9tale jusqu\u2019\u00e0 N&nbsp;+&nbsp;2<\/li>\n    <\/ul>\n  <\/section>\n\n  <!-- Contr\u00f4les de qualit\u00e9 -->\n  <section id=\"controles\" class=\"meth-card\">\n    <h2>Contr\u00f4les de qualit\u00e9<\/h2>\n    <ul class=\"meth-list\">\n      <li>D\u00e9tection des doublons et contr\u00f4les de coh\u00e9rence (IARC CHECK et syst\u00e8me interne)<\/li>\n      <li>Indicateurs d\u2019exhaustivit\u00e9 suivis chaque ann\u00e9e :<\/li>\n      <\/ul><ul class=\"meth-list\">\n        <li>Pourcentage de v\u00e9rifications histologiques<\/li>\n        <li>Nombre moyen de sources par cas (objectif \u2265 3)<\/li>\n        <li>Comparaison mortalit\u00e9 vs incidence<\/li>\n        <li>\u00c9volution et comparaisons nationales<\/li>\n      <\/ul>\n  <\/section>\n\n  <!-- Proc\u00e9dure -->\n  <section id=\"procedure\" class=\"meth-card\">\n    <h2>Proc\u00e9dure<\/h2>\n    <p>\n      Les donn\u00e9es anatomopathologiques arrivent en premier (d\u00e9lai 3 \u00e0 12 mois), puis sont crois\u00e9es avec les autres\n      sources avant validation finale.\n    <\/p>\n  <\/section>\n\n  <!-- Analyse -->\n  <section id=\"analyse\" class=\"meth-card\">\n    <h2>Analyse des donn\u00e9es<\/h2>\n    <ul class=\"meth-list\">\n      <li>Nombre de cas incidents<\/li>\n      <li>Taux d\u2019incidence, mortalit\u00e9, survie<\/li>\n      <li>Pr\u00e9valence<\/li>\n      <li>Ratios standardis\u00e9s (SIR), comparaisons r\u00e9gionales et nationales<\/li>\n    <\/ul>\n  <\/section>\n\n  <!-- Aspects m\u00e9thodologiques -->\n  <section id=\"aspects\" class=\"meth-card\">\n    <h2>Aspects m\u00e9thodologiques<\/h2>\n    <ul class=\"meth-list\">\n      <li>G\u00e9or\u00e9f\u00e9rencement via codes INSEE<\/li>\n      <li>Nomenclatures : CIM-9, CIM-10<\/li>\n      <li>R\u00e9f\u00e9rentiels : FRANCIM, ENCR<\/li>\n      <li>Contr\u00f4le qualit\u00e9 permanent et corrections syst\u00e9matiques<\/li>\n      <li>Mise \u00e0 jour continue des donn\u00e9es<\/li>\n    <\/ul>\n  <\/section>\n\n<\/div>\n<\/body>\n<\/html>\n\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>M\u00e9thodologie du registre \u2014 version simplifi\u00e9e Pr\u00e9sentation Le Registre des Tumeurs Digestives du Finist\u00e8re recense tous les cas de cancers digestifs du d\u00e9partement, quel que soit le lieu de diagnostic ou de traitement. Le recensement est permanent, avec donn\u00e9es pleinement fiables apr\u00e8s environ 24&nbsp;mois. Sources de donn\u00e9es Croisement des sources pour garantir l\u2019exhaustivit\u00e9. Laboratoires d\u2019anatomie [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":12,"comment_status":"closed","ping_status":"closed","template":"","meta":{"rop_custom_images_group":[],"rop_custom_messages_group":[],"rop_publish_now":"initial","rop_publish_now_accounts":[],"rop_publish_now_history":[],"rop_publish_now_status":"pending","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"class_list":["post-73","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.8 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>M\u00e9thodologie - REGISTRE DES TUMEURS DIGESTIVES DU FINISTERE<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/registre-tumeurs-29.fr\/Accueil\/methodologie\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"M\u00e9thodologie - REGISTRE DES TUMEURS DIGESTIVES DU FINISTERE\" \/>\n<meta property=\"og:description\" content=\"M\u00e9thodologie du registre \u2014 version simplifi\u00e9e Pr\u00e9sentation Le Registre des Tumeurs Digestives du Finist\u00e8re recense tous les cas de cancers digestifs du d\u00e9partement, quel que soit le lieu de diagnostic ou de traitement. 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