Vol. 5, Issue 11 (2019)
Time trends of cancer in a tertiary care centre, 2013-2017
Author(s): Brij Bhushan Tyagi, Narendra Kumar Bhardwaj, Vinod Raina
Abstract: Background: There is limited published data on recent cancer incidence and mortality trends worldwide. Cancer is emerging as a leading cause of morbidity and mortality in India. With 8 to 9 lakh cancer cases occurring every year, it is an important public health problem. At any point of time, it is estimated that there are nearly 25 lakh prevalent cases in the country and every year about 4 lakh deaths occur due to cancer. There is no authenticated 100% cancer data on incidence/mortality of Haryana state to date as the state has recently joined the Cancer Atlas program of NCRP-ICMR. Aim and Objectives: This study is aimed to determine the time trend line and epidemiology of cancer in a tertiary care centre from 2013 to 2017 using data extracted from Hospital Based Cancer Registry (HBCR). Methods: All newly diagnosed cancer cases registered among cancer registry between 2013 and 2017 from various sources were analyzed. Results: A total of 15,148 cancer cases were registered during the period 2013-2017. Of those, 8,305 (54.8%) were males and 6,843 (45.2%) were females. Based on the results of this study, a statistically significant increase in incidence was observed in both sexes for cancers of tongue, mouth, salivary gland, oropharynx, pharynx, esophagus, stomach, small intestine, colon, rectum, anal canal, liver, gallbladder, pancreas, larynx, other thoracic organ, bone, melanoma of skin, kidney, bladder, brain & nervous system, Hodgkin’s disease, non-hodgkin lymphoma, multiple myeloma & lymphoid leukemia. In females, a statistically significant increase in incidence of cancers was observed among breast and reproductive organs namely, vulva, cervix uteri, corpus uteri, uterus, ovary, other female genital organs. A statistically significant increase in incidence was seen for cancers of prostate and testis among men. There was almost threefold variation in incidence cases from January 2013 to December 2017 (1490 to 4328). Conclusions: Over the 5-years study period; burden of cancer increased. We recommend initiating screening programs for the most common types of cancer that have valid screening tests to detect cancer during its early stages and reduce overall morbidity and mortality.