Population based cancer registry-trends of cancer in Bengaluru rural district

Abstract

Background Cancer Registration System at KMIO has been in existence since the inception of this Institute in June 1973. However the Indian Council of Medical Research has included the Hospital Based Cancer Registry and Population Based Cancer Registry in its net work programme of the National Cancer Registry Programme from the year 1984 and 1982 respectively. Since then these Registries are sending data in the pre-devised format on all cancer patients to the Technical wing of the NCRP. The Hospital Based Cancer Registry of KMIO has been the main source of registration for the Population Based Cancer Registry. These registries provide data on incidence distribution of various cancers to help formulate policies required. Objectives To assess the magnitude incidence and type of various cancers in Bengaluru rural district.Methodology Community based cross-sectional study was conducted in rural field practice area. Data was collected from completed performae and entered into computer as per the International Classification of Diseases for Oncology and International Classification of Diseases. The data was then analysed using SPSS version 20.0.Results A total of 50 villages were surveyed and 36 histologically proven cases were found out of which 16 were male and 20 were female. A total number of 51346 cases including DCOs have been registered in population cancer registry as incident cases during from 2007-2011with 15983 males and 35363 females. Compared to the cases registered during the year of commencement of the registry in 1982 the number of cancer cases in Bengaluru showed an increasing overall 260 change was observed in 2011. During the year 2012 a total number of 17664 new cases were registered out of which 9432 51.0 cases were confirmed as cancer cases with the male female ratio of 11.2. District wise distribution of cases showed that majority of patients were from Bengaluru District 21.4 where KMIO is located.We found that the Peak age Group at diagnosis was 60-64 years in males and 45-49 years for females. Leading site for cancer in males was oral cavity and in females it was cervix. In children the most common was leukaemia.Conclusion Population based cancer registry is an asset and well-maintained register is required to assess magnitude incidence and type of various cancers in Bengaluru.