Abstract
Background:There is, till date no population-based data regarding cancer patterns in North- Eastern India, dictating the need to understand the epidemiology of cancer in this population for its effective management. Methods:This is the first report of the Population Based Cancer Registry (PBCR) in Tripura (2010-2014). The protocol involves active collection of data on all cancer cases from Tripura through staff visit in more than 150 sources of incident and mortality registration, government and private hospitals, municipal corporation, etc. and scrutiny, corroboration with existing records. Data was analyzed statistically to understand cancer trends in terms of incidence and mortality across different sites, age groups affected and gender. Results:A total of 10,251 cases were registered during the period, with overall age-adjusted incidence rates of 75.7 and 54.9 per 100,000 males and females respectively. Crude Incidence Rate (CR) and Age- Adjusted Rate (AAR) was among the lowest reported in India, probably due to associated socio-economic factors. The most prevalent cancers were lung (18.1%), esophageal (8.3%) for men and cervix uteri (17.6%), breast (13.8%) for females. Gall bladder cancer in females was one of the highest in the country. Rate of cancer mortality in the population was quite high and significantly increased with time, probably accounting for dearth in early detection and feasible treatment alternatives. Conclusion:The data suggests that high cancer incidence and mortality are prevalent in the population of Tripura, dictating the need of active tobacco control measures, early detection and awareness drives for effective cancer control.
Highlights
The National Cancer Registry Programme (NCRP) was introduced by Indian Council of Medical Research (ICMR) in 1981 and currently holds a network of 28 Cancer Registries across the country
The data suggests that high cancer incidence and mortality are prevalent in the population of Tripura, dictating the need of active tobacco control measures, early detection and awareness drives for effective cancer control
The Cancer Atlas Project was established in 2006 by NCRP, which was subsequently recognised as a Population Based Cancer Registry (PBCR) in 2009 at the prestigious Regional Cancer Centre (RCC), Agartala, to cater to cancer data collection from the entire state of Tripura
Summary
The National Cancer Registry Programme (NCRP) was introduced by Indian Council of Medical Research (ICMR) in 1981 and currently holds a network of 28 Cancer Registries across the country. Initiatives taken in North- Eastern India is relatively recent, leading to lack of reliable population- based cancer data from this part of the country. There is, till date no population-based data regarding cancer patterns in North- Eastern India, dictating the need to understand the epidemiology of cancer in this population for its effective management. Results: A total of 10,251 cases were registered during the period, with overall age-adjusted incidence rates of 75.7 and 54.9 per 100,000 males and females respectively. Conclusion: The data suggests that high cancer incidence and mortality are prevalent in the population of Tripura, dictating the need of active tobacco control measures, early detection and awareness drives for effective cancer control
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