FIRST CANCER STATISTICS REPORT FROM HAZARA DIVISION
AbstractBackground: ‘Cancer’ is on rise globally. Cancer registry is vital for policy making, resource allocation, progress tracking and overall cancer control. In Pakistan, cancer prevention, screening and standardised clinical trials, as well as quality assurance through surveillance are badly hampered due to the lack of a National Cancer Registry. For Pakistan a well-integrated system of Cancer Registry is need of the day. Methods: This retrospective study was conducted on the hospital records at the Oncology Department of Ayub Teaching Hospital, Abbottabad from year 2007–12. Data were collected through a standard data capture form with a final figure of 555 patients. The malignancies were diagnosed clinically and histo-pathologically at different laboratories of Pakistan. Results: Among these cases, 54.08% were male and 45.92% female. Incidence of cancer in patients below 14 years age was 8.47% and 91.53% above 14 years. Majority (31.95%) cases were from Mansehra followed by Abbottabad with 27.08% and Haripur 14.26% cases. Leukaemias were at top with 15.14% cases followed by breast carcinoma (13.69%), Lymphomas (12.07%), ovarian carcinomas (8.65%), and gastric carcinoma and skin cancers with 2.70% each. Among men, the highest incidence was of Hodgkin’s lymphoma (14.9%) followed by lymphocytic leukaemia (14.3%). Prostate cancer was seen in 8.3% male patients. Another 5.7% patients had lung cancer. In women, the highest incidence was carcinoma breast (19.7%) followed by ovarian carcinoma (13.4%), leukaemia (9.7%), and Hodgkin’s lymphoma (4.3%). Conclusion: A variety of cancers are prevalent in the indigent population. Record-keeping in wards is sub-optimal. Commonest cancers in the area have slight differences with rest of the country.Keywords: Cancer, Cancer Registry, Abbottabad, Hazara, Pakistan
Global status report on non-communicable diseases 2010. 2011. Available from: http://www.who.int/nmh/publications/ ncd_report_full_en.pdf [Cited 13 Mar 2013]
Daar AS, Singer PA, Persad DL, Pramming SK, Matthews DR, Beaglehole R, et al. Grand challenges in chronic non-communicable diseases. Nature 2007;450(7169):494–6.
Teppo, Lyly, Eero Pukkala, and Maria Lehtonen. Data quality and quality control of a population-based cancer registry: experience in Finland. Acta oncol 1994;33(4):365–9.
The Cancer Registry and the Registrar –National Cancer Registrars 2008. Available from http://www.ncra-usa.org/ files/public/CRWhat.pdf [Cited 13 Mar 2013]
Bhurgri Y, Bhurgri A, Hassan SH, Zaidi SH, Rahim A, Sankaranarayanan R et al. Cancer incidence in Karachi, Pakistan: first results from Karachi cancer registry. Intl J Cancer 2000;85(3):325–9.
Akhtar, Faheem. Cancer registration in Pakistan: contemporary state of affairs. Asian Pac J Cancer Prev 2007;8(3):452–6.
Sloan, FA. The Cancer Burden in Low- and Middle-Income Countries and How 2007. Available from: http://www.ncbi.nlm.nih.gov/books/NBK54028/ [Cited 13 Mar 2013]
Bhurgri Y. Karachi Cancer Registry Data–implications for the National Cancer Control Program of Pakistan. Asian Pac J Cancer Prev 2004;5(1):77–82.
Collective cancer registry report from dec. 1994 uptil dec. 2012. Available from: https://www.shaukatkhanum.org.pk/ images/skm_img/downloads/pdf/ccrr-1994-2012.pdf [Cited 14 May 2013]
Bhurgri Y, Bhurgri A, Nishter S, Ahmed A, Usman A, Pervez S, et al. Pakistan-country profile of cancer and cancer control 1995–2004 J Pak Med Assoc 2006;56(3):124–30.
Bhurgri Y, Pervez S, Usman A, Khan JA, Bhurgri A, Kasi Q, et al. Cancer patterns in Quetta (1998–1999). Cancer J Pak Med Assoc 2002;52(12):560–5.
Sadia Hameed, Arif Hussain, Naima Javed, Habib Subhani. Analysis of the Prevalence of cancer in Faisalabad: A single centre study. Asia-Pacific Microwave Conference 2009:3(2):114–8.
Ahmed Z, Azad NS, Rauf F, Yaqoob N, Husain A, Ahsan A, et al. Frequency of primary solid malignant neoplasms in different age groups as seen in our practice. J Ayub Med Coll Abbottabad 2007;19(3):56–63.
Takiar R, Nadayil D, Nandakumar A. Projections of number of cancer cases in India (2010–2020) by cancer groups. Asian Pac J Cancer Prev 2010;11(4):1045–9.
Breast Cancer: Facts & Figures 2011–2012 –American Cancer Society. 2013. Available from: http://www.cancer.org/research/ cancerfactsstatistics/2011-2012-breast-cancer-facts-figures.pdf [cited 14 Mar 2013]
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.