RURAL CANCER REGISTRY, AHMEDABAD DISTRICT The Gujarat Cancer & Research Institute, Ahmedabad
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1 RURAL CANCER REGISTRY, AHMEDABAD DISTRICT The Gujarat Cancer & Research Institute, Ahmedabad Dr Shilin N. Shukla, Principal Investigator Dr Parimal J. Jivarajani, Co-Investigator The Rural Cancer Registry, Ahmedabad District (RCR-AD) has been functioning in the department of Community Oncology and Medical Records at the Gujarat Cancer and Research Institute (GCRI) since January 2004 under the network of National Cancer Registry Programme (NCRP) of Indian Council of Medical Research, New Delhi. The main objective of the project is to assess the magnitude of different types of cancer in the rural areas of Ahmedabad District. The registry area is situated in North latitude and East longitudes. Total area of the registry is 7677 km 2, which covers 10 taluks and 548 villages. As per the census of 2001, total population of the registry area is 1.56 million with 733 per km 2 of population density having M:F sex ratio of 1000:892. Rural Cancer Registry, Ahmedabad District receives good co-operation from more than 250 sources for data collection. The collaborating sources consist of municipal hospitals, government hospitals, corporate and trust hospitals, private oncologists, consultants and pathological labs. The base institution, GCRI is a Regional Cancer Centre and the only comprehensive centre for cancer treatment in Gujarat and contributes the major number of cases. The Birth & Death Registrar Office of the Ahmedabad Municipal Corporation and the District Panchayat office are also important sources of cases. Case registration method for RCR-AD is active. A reliable data collection method has been established at G.C.R.I. Field Investigators fill the core proforma by direct interview with patient/relative at the time of case registration at GCRI every day. Government/Private hospitals, consultants and pathological labs are contacted regularly for cancer data collection. Mortality information is captured from the vital statistics offices. The information is collected in prescribed core proforma provided by NCRP. This is entered into PBCRDM 2.1 software developed by NCRP. Data thus accrued are sent to NCRP where a series of quality, duplicate and matching checks are carried out. After verification of the data, tables are generated and reports prepared for publication. 510
2 Staff Mr Himanshu V Patel : Statistical Assistant, GCRI staff Mr Jayesh B Solanki : Statistical Assistant, GCRI staff Ms Vishruti Pandya : Jr. Statistical Assistant, GCRI staff Mr Kalpesh Upadhyay : Field Worker, GCRI staff Mr Jignesh Patel : Junior Clerk, GCRI staff Mr Himanshu Patel : Junior Clerk, GCRI staff Mr Vishal Parmar : Field Investigator, Project staff Miss Swati Rana : Field Investigator, Project staff Miss Akruti Trivedi : Field Investigator, Project staff TABLE AHR-1: Main Sources of Registration of Incident Cases of Cancer: Name of the Institution Number % The Gujarat Cancer & Research Institute Vedant Hospital Apollo Hospital Jilla Panchayat Dr Dilip Shrinivasan Others Total Institutions listed have registered at least one percent of all cases in the registry for the combined years The numbers and proportion listed are the minimum number of cases. Institutions could have registered/ reported more cases, since duplicate registrations and non-resident/registry cases are not included. 511
3 Figure AHR -1 Population Pyramid showing Age Distribution: AHMEDABAD RURAL 512
4 TABLE AHR-2 Population by Five Year Age Group and Gender: Number and Relative Proportion (%) AHMEDABAD RURAL Age Group Males Females Number % Number % Total
5 TABLE AHR-3(a): Number of Incident Cancers by Five Year Age Group and Site (ICD-10): Males %= Relative Proportion of Cancers of All Sites. ICD-10 Site Unkn Total % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C60 Penis C61 Prostate C62 Testis C63 Other Male Genital C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, NS C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-C85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U* Other and Uns All Sites
6 TABLE AHR-3(b): Number of Incident Cancers by Five Year Age Group and Site (ICD-10): Females %= Relative Proportion of Cancers of All Sites. ICD-10 Site Unkn Total % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C51 Vulva C52 Vagina C53 Cervix Uteri C54 Corpus Uteri C55 Uterus Unspecified C56 Ovary etc C57 Other Female Genital C58 Placenta C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, NS C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-C85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U* Other and Uns All Sites
7 TABLE AHR-4(a): Average Annual Age Specific, Crude (CR), Age Adjusted (AAR) (with Standard Error (SE)) and Truncated (35-64 yrs) (TR) Incidence Rate per 100,000 population: Males ICD >75 CR AAR SE TR C C01-C C03-C C07-C C C C C12-C C C C C C C19-C C C C23-C C C30-C C C33-C C37-C C40-C C C C C C47+C C C C C C C C C C C C C70-C C C C C82-C85,C C C C C92-C C O&U * All
8 TABLE AHR-4(b): Average Annual Age Specific, Crude (CR), Age Adjusted (AAR) (with Standard Error (SE)) and Truncated (35-64 yrs) (TR) Incidence Rate per 100,000 population: Females ICD >75 CR AAR SE TR C C01-C C03-C C07-C C C C C12-C C C C C C C19-C C C C23-C C C30-C C C33-C C37-C C40-C C C C C C47+C C C C C C C C C C C C C C C C C70-C C C C C82-C85,C C C C C92-C C O&U* All
9 TABLE AHR-5(a): Number (#) and Proportion (%) of Cancers by Site (ICD-10) and Method of Diagnosis: Males ICD-10 Site Clinical Microscopic X -Ray/Imaging DCO Others Unknown Total # % # % # % # % # % # % # % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C60 Penis C61 Prostate C62 Testis C63 Other Male Genital C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-C85,C96 NHL C88 Malig Imn. Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U* Other and Uns All Sites * O&U includes the Sites ( ICD-10: C26, C39, C48, C75, C76, C77, C78, C79, C80, C97) 518
10 TABLE AHR-5(b): Number (#) and Proportion (%) of Cancers by Site (ICD-10) and Method of Diagnosis: Females ICD-10 Site Clinical Microscopic X -Ray/Imaging DCO Others Unknown Total # % # % # % # % # % # % # % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C51 Vulva C52 Vagina C53 Cervix Uteri C54 Corpus Uteri C55 Uterus Unspecified C56 Ovary etc C57 Other Female Genital C58 Placenta C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-C85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U* Other and Uns All Sites * O&U includes the Sites ( ICD-10: C26, C39, C48, C75, C76, C77, C78, C79, C80, C97) 519
11 TABLE AHR-6(a): Number (#) and Proportion (%) of Cancers by Site (ICD-10) and Detailed Microscopic Diagnosis: Males ICD-10 Site Pri. Hist Sec. Hist Cytology Blood Film Bone Marrow Others Total # % # % # % # % # % # % # % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C60 Penis C61 Prostate C62 Testis C63 Other Male Genital C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-C85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U* Other and Uns All Sites * O&U includes the Sites ( ICD-10: C26, C39, C48, C75, C76, C77, C78, C79, C80, C97) 520
12 TABLE AHR-6(b): Number (#) and Proportion (%) of Cancers by Site (ICD-10) and Detailed Microscopic Diagnosis: Females ICD-10 Site C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C51 Vulva C52 Vagina C53 Cervix Uteri C54 Corpus Uteri C55 Uterus Unspecified C56 Ovary etc C57 Other Female Genital C58 Placenta C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-C85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U* Other and Uns All Sites * O&U includes the Sites ( ICD-10: C26, C39, C48, C75, C76, C77, C78, C79, C80, C97) Pri. Hist Sec. Hist Cytology Blood Film Bone Marrow Others Total # % # % # % # % # % # % # % 521
13 TABLE AHR-7(a): Number of Cancer Deaths by Five Year Age Group and Site (ICD-10): Males %= Relative Proportion of Cancers of All Sites. ICD-10 Site Unkn Total % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C60 Penis C61 Prostate C62 Testis C63 Other Male Genital C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, NS C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-C85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U* Other and Uns All Sites
14 TABLE AHR-7(b): Number of Cancer Deaths by Five Year Age Group and Site (ICD-10): Females %= Relative Proportion of Cancers of All Sites. ICD-10 Site Unkn Total % C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C51 Vulva C52 Vagina C53 Cervix Uteri C54 Corpus Uteri C55 Uterus Unspecified C56 Ovary etc C57 Other Female Genital C58 Placenta C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, NS C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-C85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U * Other and Uns All Sites
15 TABLE AHR-8(a): Average Annual Age Specific, Crude (CR), Age Adjusted (AAR) (with Standard Error (SE)) and Truncated (35-64 Yrs) (TR) Mortality Rate per 100,000 population: Males ICD >75 CR AAR SE TR C C01-C C03-C C07-C C C C C12-C C C C C C C19-C C C C23-C C C30-C C C33-C C37-C C40-C C C C C C47+C C C C C C C C C C C C C70-C C C C C82-C85,C C C C C92-C C O&U * All
16 TABLE AHR-8(b): Average Annual Age Specific, Crude (CR), Age Adjusted (AAR) (with Standard Error (SE)) and Truncated (35-64 Yrs) (TR) Mortality Rate per 100,000 population: Females ICD >75 CR AAR SE TR C C01-C C03-C C07-C C C C C12-C C C C C C C19-C C C C23-C C C30-C C C33-C C37-C C40-C C C C C C47+C C C C C C C C C C C C C C C C C70-C C C C C82-C85,C C C C C92-C C O&U * All
17 TABLE AHR-9(a): Cumulative Rate (Cu.Rate%) & Cumulative Risk (Cu.Risk) of individual sites (ICD-10) based on age specific rates (from 0-64 years and from 0-74 Years ) Males ICD-10 Site 0-64 Years 0-74 Years Cu. Rate % Cu. Risk Cu. Rate% Cu. Risk C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C60 Penis C61 Prostate C62 Testis C63 Other Male Genital C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-C85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U* Other and Uns All Sites
18 TABLE AHR-9(b): Cumulative Rate (Cu.Rate%) & Cumulative Risk (Cu.Risk) of individual sites (ICD-10) based on age specific rates (from 0-64 years and from 0-74 Years ) Females ICD-10 Site 0-64 Years 0-74 Years Cu. Rate % Cu. Risk Cu. Rate% Cu. Risk C00 Lip C01-C02 Tongue C03-C06 Mouth C07-C08 Salivary Gland C09 Tonsil C10 Oth. Oropharynx C11 Nasopharynx C12-C13 Hypopharynx C14 Pharynx Unspecified C15 Oesophagus C16 Stomach C17 Small Intestine C18 Colon C19-C20 Rectum C21 Anus & Anal Canal C22 Liver C23-C24 Gallbladder etc C25 Pancreas C30-C31 Nose, Sinuses etc C32 Larynx C33-C34 Lung etc C37-C38 Other Thoracic Organs C40-C41 Bone C43 Melanoma of Skin C44 Other Skin C45 Mesothelioma C46 Kaposi Sarcoma C47+C49 Conn. & Soft Tissue C50 Breast C51 Vulva C52 Vagina C53 Cervix Uteri C54 Corpus Uteri C55 Uterus Unspecified C56 Ovary etc C57 Other Female Genital C58 Placenta C64 Kidney etc C65 Renal Pelvis C66 Ureter C67 Bladder C68 Uns.Urinary Organs C69 Eye C70-C72 Brain, Nervous System C73 Thyroid C74 Adrenal Gland C81 Hodgkins Disease C82-C85,C96 NHL C88 Malig Imn.Prol D C90 Multiple Myeloma C91 Lymphoid Leuk C92-C94 Myeloid Leukaemia C95 Leukaemia Uns O&U* Other and Uns All Sites
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