Asian Pacific Journal of Cancer Prevention

Asian Pacific Journal of Cancer Prevention (아시아태평양암예방학회)
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Cancer Registration in Basrah-Southern Iraq: Validation by Household Survey

  • Hussain, Riyadh Abdul-Ameer (Department of Community Medicine College of Medicine, University of Basrah Basrah) ;
  • Habib, Omran S (Department of Community Medicine College of Medicine, University of Basrah Basrah)
  • Published : 2016.06.01
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Abstract

On an international scale, the burden of cancer in absolute numbers continues to increase, mainly due to aging of population in many countries, the overall growth of the world population, changing lifestyle with increasing cancer-causing behavior, like cigarette smoking, changing dietary habits and sedentary life. Cancer is the second-leading cause of death and disability in the world, after only heart disease. Recently, increasing incidence and mortality of cancer have also become evident in the developing world. In Iraq and particularly in Basrah in the southern part of the country, the burden has definitely increased and deserves extensive research. The present paper is part of an extensive household survey carried out in Basrah in 2013. Among the objectives was to validate official cancer registration in the governorate. The cross-sectional survey had a retrospective component to inquire about the incidence of cancer and cancer-related deaths during the three years preceding the date of inquiry (2010-2012). A convenient sample of 6,999 households with 40,688 inhabitants using multistage cluster sampling was surveyed involving all urban and rural areas of Basrah. The official cancer registration activities in Basrah seemed to have attained a high level of registration coverage (70-80%) but the gap, represented by missed cases, is still high enough to criticize the system. Most of the missing cases were either not notified by treating facilities or they were diagnosed and treated outside Basrah. Using a set of parameters, the pattern of cancer was consistent based on data of the household survey and data of the cancer registry but a gap still existed in the coverage of incident cancer and mortality by cancer registration. Integrated serious steps are required to contain the risk of cancer and its burden on the patient through improving the registration process, improving early detection, diagnostic and management capabilities and encouraging scientific research to explore the hidden risk factors and possible causes of low registration coverage. Periodic household surveys seemed feasible and essential to support routine registration.

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References

  1. Al-Haroun SSM, Asaad QT Al-YassenAK , Al-Diab JM, Al-Hamdi KI, Habib OS(2013). Epidemiology of Skin Cancer in Basrah over the Years 2005-2009. Bahrain Medical Bulletin, 35, 190-3. https://doi.org/10.12816/0004445
  2. Alwan A (2010). Global status report on noncommunicable diseases 2010. World Health Organization, Geneva 2010.
  3. Coleman MP, Quaresma M , Berrino F, et al (2008). Cancer survival in five continents: a worldwide population- based study (CONCORD). Lancet Oncol, 9, 730-56. https://doi.org/10.1016/S1470-2045(08)70179-7
  4. Habib OS (2005). Environment and health in Southern Iraq: Facts and future prospects. Mesopot J, 20, 7-19.
  5. Habib OS, Al-Ali JK, Mohammed K. Al-Wiswasi MK, et al (2007). Cancer Registration in Basrah 2005: Preliminary results. Asian Pac J Cancer Prev, 8, 187-90.
  6. Habib OS, Al-Ali JK, Al-Saad SL, Tooma JB, Wartanian K (2009). Cancer in Basrah: A population-based pilot household survey. A paper presented at the1st International Oncology Conference in Basrah. Basrah May 7-9.
  7. Habib OS, Al-Diab JMA, Mohsin A,et al (2010). Experience and outcome of population-based cancer registration in Basrah-Southern Iraq in four years (2005-2008). Asian Pac J Cancer Prev, 11, 51-4.
  8. Hussain RA, Habib OS (2014). Cancer mortality in Basrah: Results of a household study. Med j Basrah, 32, 10-6.
  9. Hussain RA, Habib OS (2015). Incidence of cancer in Basrah: Results of a household study. Asian Pac J Cancer Prev, 16, 163-7. https://doi.org/10.7314/APJCP.2015.16.1.163
  10. IARC (2014). Planning and developing population-based cancer registration in Low-and Middle-Income settings. International Agency for Research on Cancer.
  11. Jensen O M ,Whelan S (1991). Planning a cancer registry: Cancer registration principles and methods. WHO, IACR, 9, 22-3.
  12. Valsecchi MG, Steliarova-Foucher E (2008). Cancer registration in developing countries: luxury or necessity?.Lancet Oncol, 9, 159-67. https://doi.org/10.1016/S1470-2045(08)70028-7
  13. WHO (1999). International Agency for Research on Cancer. Cancer epidemiology, principles and methods. Lyon, France.
  14. Wild CP (2014). Editorial: Cancer control: a reminder of the need for a balanced approach between prevention and treatment. East Mediterr Health J, 20, 360-2. https://doi.org/10.26719/2014.20.6.360
  15. UN (2014). the United Nations General Assembly, and follow-up on the UN Review Meeting in July 2014. World Health Organization, Eastern Mediterranean Office, Document: EM/RC61/5/2014.