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巴基斯坦拉合尔的癌症流行病学——2010 - 2015年

Cancer Epidemiology in Lahore, Pakistan - 2010-2015.

作者信息

Badar Farhana, Mahmood Shahid, Mahmood Mohammad Tariq, Masood Misbah, Tanvir Imrana, Chughtai Omar Rasheed, Niazi Shahida, Ahmad Alia

机构信息

Cancer Registry and Clinical Data Management, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.

Department of Pathology, Shaukat Khanum Memorial Cancer Hospital and Research Centre, Lahore, Pakistan.

出版信息

J Coll Physicians Surg Pak. 2020 Feb;30(2):113-122. doi: 10.29271/jcpsp.2020.02.113.

DOI:10.29271/jcpsp.2020.02.113
PMID:32036815
Abstract

OBJECTIVE

To study the cancer incidence rates in Lahore, which has an estimated annual population count of 10.3 million.

STUDY DESIGN

Cross-sectional study.

PLACE AND DURATION OF STUDY

Data on new cancer cases diagnosed between 2010 and 2015, among the residents of Lahore district, Pakistan, was reviewed retrospectively in 2015-2017.

METHODOLOGY

Nineteen collaborating centres of the population-based Punjab Cancer Registry (PCR), representing both the government and private sectors, reported their cases to the coordinating office located within the Shaukat Khanum Memorial Cancer Hospital and Research Centre (SKMCH&RC). The age-standardised incidence rates (ASIR) per 100,000 population, over a six-year period, were computed. Sixteen 5-year age groups were created beginning from 0-4 to 70-74 years, followed by 75+ years. Graphs on the five-year age-specific incidence rates by gender, were also generated.

RESULTS

Between 2010 and 2015, 33,028 new malignancies were recorded in Lahore, with the crude average annual incidence rate being 53.1. In adults, the highest ASIRs were noted for cancers of the breast (77.3) among females and of prostate (11.4) in men. Age-specific incidence rates for female breast cancer showed an upward trend at the age of 20 years, reaching a figure of 160 at the age of 55 years. Among males, the rates for prostate cancer started to increase at the age of 55 years and reached a peak of 93 at 75 years.

CONCLUSION

These results warrant expanding cancer registration in the region and sharing statistics with policy-makers to establish hospitals accordingly to manage cancer, along with exploring various risk factors within the population.

摘要

目的

研究拉合尔的癌症发病率,该市估计年人口数为1030万。

研究设计

横断面研究。

研究地点和时间

2015 - 2017年对2010年至2015年期间在巴基斯坦拉合尔地区居民中诊断出的新癌症病例数据进行回顾性分析。

方法

基于人群的旁遮普癌症登记处(PCR)的19个合作中心,代表政府和私营部门,向位于沙卡特汗姆纪念癌症医院和研究中心(SKMCH&RC)内的协调办公室报告病例。计算了每10万人口在六年期间的年龄标准化发病率(ASIR)。创建了从0 - 4岁到70 - 74岁的16个5岁年龄组,随后是75岁及以上年龄组。还生成了按性别划分的五岁年龄组特定发病率图表。

结果

2010年至2015年期间,拉合尔记录了33028例新恶性肿瘤病例,粗年均发病率为53.1。在成年人中,女性乳腺癌的年龄标准化发病率最高(77.3),男性前列腺癌的年龄标准化发病率最高(11.4)。女性乳腺癌的年龄别发病率在20岁时呈上升趋势,55岁时达到160。在男性中,前列腺癌发病率在55岁时开始上升,75岁时达到峰值93。

结论

这些结果表明有必要在该地区扩大癌症登记,并与政策制定者分享统计数据,以便相应地建立医院来管理癌症,同时探索人群中的各种风险因素。

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