{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T01:50:54Z","timestamp":1774662654774,"version":"3.50.1"},"reference-count":27,"publisher":"CAIRN.INFO","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,5,26]]},"abstract":"<jats:p>Introduction : Les apparent\u00e9s au premier degr\u00e9 de patients atteints de cancer colorectal (CCR) ou d\u2019ad\u00e9nome avanc\u00e9 avant l\u2019\u00e2ge de 65 ans (patients index) pr\u00e9sentent un risque accru de CCR, mais les lignes directrices relatives au d\u00e9pistage familial des apparent\u00e9s par coloscopie sont peu suivies. Cette \u00e9tude a pour objectif de d\u00e9crire, d\u2019un point de vue linguistique et sociologique, l\u2019implication de sp\u00e9cialistes en m\u00e9decine g\u00e9n\u00e9rale aupr\u00e8s des patients (apparent\u00e9s \u00e0 risque \u00e9lev\u00e9 de cancer colorectal ou patients index) et leur posture communicationnelle dans le cadre du d\u00e9pistage familial aupr\u00e8s des diff\u00e9rents protagonistes (autres m\u00e9decins, patients index, apparent\u00e9s). M\u00e9thode : Elle s\u2019appuie sur 29 entretiens semi-directifs avec des sp\u00e9cialistes en m\u00e9decine g\u00e9n\u00e9rale fran\u00e7ais de patients index et\/ou de leurs apparent\u00e9s r\u00e9alis\u00e9s par t\u00e9l\u00e9phone. Le corpus enti\u00e8rement transcrit des entretiens a fait l\u2019objet d\u2019une analyse linguistique \u00e0 l\u2019aide d\u2019un outil lexicom\u00e9trique qui permet de d\u00e9terminer les objets de discours et d\u2019une analyse sociologique th\u00e9matique. R\u00e9sultats : Les analyses ont montr\u00e9 que le d\u00e9pistage familial est conditionn\u00e9 par la communication entre les sp\u00e9cialistes en m\u00e9decine g\u00e9n\u00e9rale et les patients index qu\u2019ils incitent \u00e0 transmettre les recommandations \u00e0 leurs apparent\u00e9s et par les \u00e9changes avec les m\u00e9decins des autres sp\u00e9cialit\u00e9s qui leur envoient des informations pr\u00e9cises sur le diagnostic. Les apparent\u00e9s \u00e0 risque font l\u2019objet d\u2019une relation plus \u00ab classique \u00bb avec leur m\u00e9decin sp\u00e9cialiste en m\u00e9decine g\u00e9n\u00e9rale qui, par un interrogatoire, recherche les ant\u00e9c\u00e9dents pour les orienter vers le d\u00e9pistage appropri\u00e9. La posture du sp\u00e9cialiste en m\u00e9decine g\u00e9n\u00e9rale semble donc alterner en fonction de l\u2019interlocuteur (patients index vs apparent\u00e9), entre supervision et r\u00e9flexion, consultation et interrogation, justification et h\u00e9sitation.<\/jats:p>","DOI":"10.3917\/spub.252.0101","type":"journal-article","created":{"date-parts":[[2025,5,26]],"date-time":"2025-05-26T10:39:18Z","timestamp":1748255958000},"page":"101-113","source":"Crossref","is-referenced-by-count":0,"title":["Postures communicationnelles des sp\u00e9cialistes en m\u00e9decine g\u00e9n\u00e9rale dans le d\u00e9pistage familial du cancer colorectal"],"prefix":"10.3917","volume":"vol. 37","author":[{"given":"Fabienne","family":"Moreau","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Griselda","family":"Drouet","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicolas","family":"Palierne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pierre","family":"Ingrand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aline","family":"Delsart","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabeth","family":"Richard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Ingrand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2273","reference":[{"key":"rb1","unstructured":"1. Institut National du Cancer. Les chiffres du cancer en France. \u00c9pid\u00e9miologie des cancers [En ligne]. 2024 [Cit\u00e9 le 05 juin 2024]. Disponible sur : https:\/\/www.e-cancer.fr\/Professionnels-de-sante\/Les-chiffres-du-cancer-en-France\/Epidemiologie-des-cancers\/Les-cancers-les-plus-frequents\/Cancer-colorectal"},{"key":"rb2","doi-asserted-by":"publisher","DOI":"10.1186\/s12957-021-02207-4"},{"key":"rb3","unstructured":"3. Haute Autorit\u00e9 de Sant\u00e9 (HAS). Cancer colorectal : modalit\u00e9s de d\u00e9pistage et de pr\u00e9vention chez les sujets \u00e0 risque \u00e9lev\u00e9 et tr\u00e8s \u00e9lev\u00e9 [En ligne]. 2017 [Cit\u00e9 le 13 janvier 2022]. Disponible sur : https:\/\/www.has-sante.fr\/upload\/docs\/application\/pdf\/2017-06\/dir71\/fiche_memo_ccr.pdf"},{"key":"rb4","unstructured":"4. Ingrand I, Gaussot L, Richard E. L\u2019approche personnalis\u00e9e du d\u00e9pistage familial du cancer colorectal. Une recherche interdisciplinaire : sciences m\u00e9dicales, sociales et humaines. Limoges (France) : Presses universitaires de Limoges ; 2018. 223 p."},{"key":"rb5","unstructured":"5. Registre des cancers Poitou-Charentes [En ligne]. [Cit\u00e9 le 13 janvier 2022]. Disponible sur : https:\/\/www.registre-cancers-poitou-charentes.fr\/les-chiffres_723.html"},{"key":"rb6","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30080"},{"key":"rb7","unstructured":"7. Soci\u00e9t\u00e9 Fran\u00e7aise de Sant\u00e9 Publique (SFSP). Des missions de sant\u00e9 publique pour les m\u00e9decins g\u00e9n\u00e9ralistes [En ligne]. 2008 [Cit\u00e9 le 5 juin 2024]. Disponible sur : https:\/\/www.sfsp.fr\/content-page\/item\/941-des-missions-de-sante-publique-pour-les-medecins-generalistes"},{"key":"rb8","doi-asserted-by":"publisher","DOI":"10.1016\/j.bulcan.2018.11.015"},{"key":"rb9","unstructured":"9. Bloy G, Adh\u00e9ra N, Rigal L. Quand les m\u00e9decins lib\u00e9raux participent \u00e0 une politique publique sans toujours s\u2019y impliquer : les g\u00e9n\u00e9ralistes et le d\u00e9pistage organis\u00e9 des cancers. In : Meidani A, Legrand E, Jacques B, editors. La sant\u00e9 : du public \u00e0 l\u2019intime. Rennes (France) : Presses de l\u2019EHESP ; 2015:123-39."},{"key":"rb10","doi-asserted-by":"publisher","DOI":"10.3917\/spub.197.0091"},{"key":"rb11","doi-asserted-by":"publisher","DOI":"10.31557\/APJCP.2020.21.7.2099"},{"key":"rb12","doi-asserted-by":"publisher","DOI":"10.1186\/s12875-024-02394-5"},{"key":"rb13","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.54381"},{"key":"rb14","unstructured":"14. Ratinaud P. IRAMUTEQ : Interface de R pour les Analyses Multidimensionnelles de Texte et de Questionnaires [En ligne]. 2009 [Cit\u00e9 le 5 juin 2024]. Disponible sur : http:\/\/www.iramuteq.org\/front-page\/presentation_view"},{"key":"rb15","unstructured":"15. Loub\u00e8re L, Ratinaud P. Documentation IRaMuTeQ 0.6 alpha 3 version 0.1. 2014."},{"key":"rb16","unstructured":"16. Reinert A. Une m\u00e9thode de classification descendante hi\u00e9rarchique : application \u00e0 l\u2019analyse lexicale par contexte. Les cahiers de l\u2019analyse des donn\u00e9es. 1983;8(2):187-98."},{"key":"rb17","unstructured":"17. Reinert M. Approche statistique et probl\u00e8me du sens dans une enqu\u00eate ouverte. 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