État des lieux des pratiques de prise en charge des cancers des voies biliaires en France: résultats de l'enquête nationale ACABi

Matthieu Delaye, Eric Assenat, Emmanuel Boleslawski, Marine Camus, Julien Edeline, Julie Henriques, Astrid Herrero, Astrid Lièvre, David Malka, Anthony Turpin, Dewi Vernerey, Cindy Neuzillet

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2 Scopus citations


Overview of biliary tract cancer management practices in France: results of the ACABi national survey Introduction: Biliary tract cancers (BTC) are rare. Their management has evolved in recent years. ACABi conducted a survey on the management practices of CVB in France. Methods: A questionnaire was developed by a multidisciplinary team and distributed (June-July 2021) by the French digestive oncology societies. The data were analyzed according to the type of practice center (group A: university hospital or cancer comprehensive center, group B: general hospital or private hospital) Results: 172 physicians (hepato-gastroenterologists: 58.0%, oncologists: 19.5% and surgeons: 18.3%), representing all French regions, responded. Access to echo-endoscopy and endoscopic retrograde cholangio-pancreatography was identical between the groups (> 80%), unlike cholangioscopy (group A: 82.9%, group B: 63.6%). In the adjuvant setting, capecitabine was proposed in the majority (> 65%). For non-operable tumors, the most commonly used first-line chemotherapy was cisplatin/gemcitabine (CISGEM, 66.3%). In 38.5% of cases, it was not performed in the day hospital and only 13.6% proposed a break after a fixed number of courses. The most commonly used second-line treatment was 5FU/oxaliplatin (FOLFOX, 52.3%). Molecular profiling was performed in more than half of the patients for 41.1% of respondents in group A and 18.8% in group B. Discussion: This survey shows the application of therapeutic standards but also certain practices diverging from the recommendations as well as disparities between centers.

Original languageFrench
Pages (from-to)11S3-11S10
JournalBulletin du Cancer
Issue number11
StatePublished - Nov 2022
Externally publishedYes

Bibliographical note

Publisher Copyright:
© 2022 Société Française du Cancer. Publié par Elsevier Masson SAS. Tous droits réservés


  • Biliary tract cancers
  • Molecular profiling
  • Practice assessment

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