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加纳城市的恶性肿瘤:库马西市的证据。

Malignant tumours in urban Ghana: evidence from the city of Kumasi.

机构信息

Department of Medicine, Komfo Anokye Teaching Hospital, P O Box 1934, Kumasi, Ghana.

Kumasi Cancer Registry, Kumasi, Ghana.

出版信息

BMC Cancer. 2019 Mar 25;19(1):267. doi: 10.1186/s12885-019-5480-0.

DOI:10.1186/s12885-019-5480-0
PMID:30909876
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6434839/
Abstract

BACKGROUND

Data from population-based cancer registries (PBCRs) are a useful resource for estimating the incidence of cancers. PBCR data is useful in the planning and implementation of cancer prevention and control strategies. Ghana's plan for control of non-communicable diseases recognises the need for good quality data to facilitate the attainment of set goals.

METHODS

We reviewed data from the Kumasi Cancer Registry for the year 2015. Data collected included clinical and demographic information, laboratory reports and source of case information. Data was entered into the Canreg-5 software. Data was initially analysed using Canreg-5 to estimate the incidence and age standardised rates (ASR) for various tumours. Data was also exported to Microsoft Excel for further analysis using Epi Info version 7.1.4. Microsoft Excel was used to generate charts and graphs. Aggregated data for the years 2013 and 2014 were also analysed for trends in cancer incidence and ASR.

RESULTS

A total of 736 cancer cases were recorded among the residents of Kumasi for the year 2015. Females accounted for 62.4% of all cases. The overall incidence of cancer in Kumasi for 2015 was 46.1 per 100,000. The mean age of all cases was 51.3 years (with a range of 1 to 99 years). The incidence among female residents was estimated at 54.1 per 100,000 compared with 37.1 per 100,000 in males. Among females, breast and cervical cancers recorded the highest incidences of 16.1 per 100,000 and 13.7 per 100,000 respectively. Among males, prostate cancer had the highest incidence of 10.5 per 100,000. Breast, cervical and liver cancers were the commonest in both sexes accounting for 19.7, 14.7 and 11.4% of cases respectively.

CONCLUSION

There has been significant improvement in data quality and coverage since the inception of our PBCR in 2012. PBCRs are feasible; therefore there is the need for more such registries to improve data on cancers in Ghana. Consistent with other evidence, we found breast cancer as the commonest female cancer in Ghana.

摘要

背景

基于人群的癌症登记处(PBCR)的数据是估计癌症发病率的有用资源。PBCR 数据对于规划和实施癌症预防和控制策略非常有用。加纳控制非传染性疾病的计划认识到需要高质量的数据来促进既定目标的实现。

方法

我们回顾了 2015 年库马西癌症登记处的数据。收集的数据包括临床和人口统计信息、实验室报告和病例信息来源。数据输入到 Canreg-5 软件中。最初使用 Canreg-5 分析数据,以估算各种肿瘤的发病率和年龄标准化率(ASR)。数据还被导出到 Microsoft Excel 中,以便使用 Epi Info 版本 7.1.4 进行进一步分析。使用 Microsoft Excel 生成图表和图形。还分析了 2013 年和 2014 年的汇总数据,以了解癌症发病率和 ASR 的趋势。

结果

2015 年,库马西居民共记录了 736 例癌症病例。女性占所有病例的 62.4%。2015 年库马西的癌症总发病率为 46.1/100,000。所有病例的平均年龄为 51.3 岁(范围为 1 至 99 岁)。女性居民的发病率估计为 54.1/100,000,而男性为 37.1/100,000。在女性中,乳腺癌和宫颈癌的发病率最高,分别为 16.1/100,000 和 13.7/100,000。在男性中,前列腺癌的发病率最高,为 10.5/100,000。乳腺癌、宫颈癌和肝癌是男女最常见的癌症,分别占病例的 19.7%、14.7%和 11.4%。

结论

自 2012 年我们的 PBCR 成立以来,数据质量和覆盖范围有了显著提高。PBCR 是可行的;因此,需要更多这样的登记处来改善加纳癌症的数据。与其他证据一致,我们发现乳腺癌是加纳女性最常见的癌症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5603/6434839/dceb12dae829/12885_2019_5480_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5603/6434839/dceb12dae829/12885_2019_5480_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5603/6434839/dceb12dae829/12885_2019_5480_Fig1_HTML.jpg

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