Chatterjee Sharmila, Chattopadhyay Amit, Senapati Surendra Nath, Samanta Dipti Rani, Elliott Leslie, Loomis Dana, Mery Lesly, Panigrahi Pinaki
Center for Global Health and Development, University of Nebraska Medical Center College of Public Health, Omaha, NE, USA E-mail :
Asian Pac J Cancer Prev. 2016;17(8):3687-96.
Cancer registration, an important component of cancer surveillance, is essential to a uni ed, scienti c and public health approach to cancer prevention and control. India has one of the highest cancer incidence and mortality rates in the world. A good surveillance system in the form of cancer registries is important for planning and evaluating cancer-control activities. Cancer registration in India was initiated in 1964 and expanded since 1982, through initiation of the National Cancer Registry Program (NCRP) by the Indian Council of Medical Research. NCRP currently has twenty-six population based registries and seven hospital based registries. Yet, Indian cancer registries, mostly in urban areas, cover less than 15% of the population. Other potential concerns about some Indian registries include accuracy and detail of information on cancer diagnosis, and timeliness in updating the registry databases. It is also important that necessary data collection related quality assurance measures be undertaken rigorously by the registries to ensure reliable and valid information availability. This paper reviews the current status of cancer registration in India and discusses some of the important pitfalls and issues related to cancer registration. Cancer registration in India should be complemented with a nationwide effort to foster systematic investigations of cancer patterns and trends by states, regions and sub populations and allow a continuous cycle of measurement, communication and action.
癌症登记作为癌症监测的一个重要组成部分,对于采取统一、科学和公共卫生的癌症预防与控制方法至关重要。印度是世界上癌症发病率和死亡率最高的国家之一。以癌症登记处形式存在的良好监测系统对于规划和评估癌症控制活动很重要。印度的癌症登记始于1964年,自1982年以来,随着印度医学研究理事会启动国家癌症登记计划(NCRP)而不断扩大。NCRP目前有26个基于人群的登记处和7个基于医院的登记处。然而,印度的癌症登记处大多位于城市地区,覆盖人口不到15%。关于一些印度登记处的其他潜在问题包括癌症诊断信息的准确性和详细程度,以及登记处数据库更新的及时性。同样重要的是,登记处要严格采取与必要数据收集相关的质量保证措施,以确保提供可靠和有效的信息。本文回顾了印度癌症登记的现状,并讨论了一些与癌症登记相关的重要缺陷和问题。印度的癌症登记应辅以全国性的努力,以促进各州、地区和亚人群对癌症模式和趋势进行系统调查,并实现测量、沟通和行动的持续循环。