Morbidity and mortality trend and pattern of cancer in newly started cancer unit of tertiary care hospital in Bilaspur, Chhattisgarh

Abstract

Background: Cancer affects all communities worldwide. Approximately 12.7 million people were diagnosed with cancer and more than 7.6 million died in world during 2012. [1] Cancer has become one of the 10 leading causes of death in India. Hence, this study was conducted in newly started cancer unit with seven inpatient department beds and no radiation facilities to use this statistic for infrastructure development of department. Objective: (i) To generate the basic statistics of cancer in newly started cancer unit and (ii) find out the type of treatment/procedures perform on patient. Materials and Methods: A cross-sectional hospital-based observational study was conducted. Semi-structured format was used to collect data from the outpatient departments (OPDs) and inpatient departments registers of the department of radiotherapy to inquire about registration of cancer, their sociodemographic profile, also inquire about various type of treatment and procedure perform on patients. Analysis was done by Epi-info 7 software version 7.2.2.2. Results: Cancer patient contributes 0.23% of total OPD registration in MRD. The most common three registered cancers were 1st oral cancer 24 (18.18%), 2nd breast cancer 23 (17%), and 3rd colon and rectum 14 (10.60%). Maximum cancer cases were belonging to the age group of 26–50 years 57 (43.18%), rural area 90 (68.18%), and low socioeconomic class 99 (75%). Chemotherapy received by 96 (72.72%), surgery by 37 (28.03%), and 27 (20.45%) referred. No mortality was recorded in the study period. Conclusion: In our observation, some differences of cancer pattern and trends are seen. Incidence of cancer cervix was low and it ranked 5th among overall cancer that strongly implicates the need, to be developed more accurate and appropriate screening strategy at hospital level. Rashtriya Swasthya Bima Yojana scheme is good initiative for poor patient, 86 (65.6%) patient benefited by it.