Nannavecchia Anna M, Rashid Ivan, Cuccaro Francesco, Chieti Antonio, Bruno Danila, Burgio Lo Monaco Maria G, Tanzarella Cinzia, Bisceglia Lucia
aCancer Registry of Apulia, Health Regional Agency of Apulia bCancer Registry of Apulia, Local Health Unit of Barletta-Andria-Trani, Bari, Italy.
Eur J Cancer Prev. 2017 Sep;26 Joining forces for better cancer registration in Europe(Joining forces for better cancer registration in Europe):S153-S156. doi: 10.1097/CEJ.0000000000000374.
The Cancer Registry of Puglia (RTP) was instituted in 2008 as a regional population-based cancer registry. It consists of six sections (Foggia, Barletta-Andria-Tran, Bari, Brindisi, Lecce, and Taranto) and covers more than 4 000 000 inhabitants. At present, four of six sections have received accreditation by AIRTUM (53% of regional population). To point out possible regional geographic variability in cancer incidence and also to support health services planning, we developed an original estimation method to ensure a complete territorial coverage. Incidence data of the four accredited RTP sections for the shared incidence period 2006-2008, the 2001-2009 hospitalization regional data, and 2006-2009 mortality data were considered. To take into account specific health features of different provinces, we performed an estimate of cancer incidence rates of nonaccredited sections using a combination of accredited sections rates and a factor that combines mortality and hospitalization ratios available for all the sections. Finally, we validated the method and we applied it to estimate regional cancer rates as the population-weighted average of accredited sections and nonaccredited sections adjusted rates. The validation process shows that estimated rates are close to real incidence data. The most frequent neoplasms in Apulia are breast (direct standardized rates 96.8 per 100 000 inhabitants), colon-rectum (36.6), and thyroid cancer (25.3) in women and prostate (70.2), lung (68.4), and colon-rectum cancer (52.2) in men. This method could be useful to assess the cancer incidence when complete cancer registration data are not available, but hospitalization, mortality, and neighbouring incidence data are available.
普利亚癌症登记处（RTP）于2008年设立，是一个基于地区人口的癌症登记处。它由六个部门（福贾、巴列塔-安德里亚-特拉尼、巴里、布林迪西、莱切和塔兰托）组成，覆盖超过400万居民。目前，六个部门中有四个已获得意大利肿瘤登记协会（AIRTUM）的认证（占地区人口的53%）。为了指出癌症发病率可能存在的地区地理差异，并支持卫生服务规划，我们开发了一种原始估计方法，以确保全面覆盖整个地区。我们考虑了四个获得认证的RTP部门在2006 - 2008年共享发病期的发病率数据、2001 - 2009年的地区住院数据以及2006 - 2009年的死亡率数据。为了考虑不同省份的特定健康特征，我们使用获得认证部门的发病率以及一个结合了所有部门死亡率和住院率的因素，对未获得认证部门的癌症发病率进行了估计。最后，我们对该方法进行了验证，并将其应用于估计地区癌症发病率，即获得认证部门和未获得认证部门调整发病率的人口加权平均值。验证过程表明，估计发病率接近实际发病率数据。普利亚最常见的肿瘤在女性中是乳腺癌（直接标准化发病率为每10万居民96.8例）、结肠直肠癌（36.6例）和甲状腺癌（25.3例），在男性中是前列腺癌（70.2例）、肺癌（68.4例）和结肠直肠癌（52.2例）。当没有完整的癌症登记数据，但有住院、死亡和相邻地区发病率数据时，这种方法可能有助于评估癌症发病率。
