CANCER REGISTRY

BY ROLL NO.- 58,139

INTRODUCTION FREQUENCY OF CANCER

NATIONAL CANCER REGISTRY PROGRAMME CANCER registration is the process of

systematically and continuously collecting information on malignant neoplasm.

Broadly, there are two types of cancer registries: 1.Hospital 2.population based

National Cancer Registry Programme was launched in 1982 by INDIAN COUNCIL OF MEDICAL RESEARCH to provide true information on cancer prevelance and incidence.

OBJECIVES 1.To generate authentic data on the

magnitude of cancer problem in india 2. to undertake epidemiological

investigations and advice control measures

3. Promote human resource development in cancer epidemiology

POPULATION BASED REGISTRIES Under the NCCP,these registeries have been set

up at Madras ,Mumbai ,Delhi, Bangalore ,Bhopal ,Ahmedabad and at one rural site at Barshi in maharashtra

It covers mainly urban population which is 12.8% and coverage ofrural population is 0.06%. The total coverage of population is 3.3% only

The population based registeries provide epidemiologicl data on incidenceof cancer in the population,crude incidence rates for all ages ,age adjusted standardised incidence rates,annual age adjusted incidence rates

These registeries provide information on;

1.COMMON CANCERS IN INDIA, 2.GEOGRAPHICAL VARIATION OF OCCURENCE OF CANCER3.NATURE OF CANCERS FOR EFFECTIVE CONTROL MEASURES

THE CONVENTIONAL MODELS1.Opportunistic screening; successful in America . In india, rural population are illiterate and have no access to such facilities

2.Organised population based screeningWHO recommends this project for developing countries at least once in a life time screening for women between 35-60 years

LIMITATIONS1.Dependancy on voluntary organisations to conduct camps2.Camps are usually clubbed with major political programmes and the importance of the camps was therefore diluted3.Camps end up with screening the low risk population4.Mobile camps are not cost effective as it cost rupees 2000 to detect a frank case or suspected case5.Rs.100 for screening a person and Rs. 30000 for conducting a camp

HOSPITAL BASED REGISTRIESThese are located in within identified hospitals.Under NCCP ,These have been set up at Dibrugarh,Tiruvanathapuram, Chennai ,Mumbai ,Banglore and ChandigarhHBCR have no denominator of population at risk . Incidence rate cannot be derived from such data . However, cancer extent,stages,therapy and survival rate information are more reliable on such dataThe existing programme through Mobile Cancer Detection Unit and Hospital Based Cancer Detection unit is based on opportunistic screening

PRIMARY FACTORS RESPONSIBLE FOR NEW CASES AND DEATHS

BURDEN OF CANCER IN INDIA

INDIAS’S CANCER CONTROL PROGRAMME

INDIA’S INITIATIVE Approximate budget allocation under the 5 schemes of the

Revised Programme: • Recognition of new Regional Cancer Centres (RCCs) by providing

a onetime grant of Rs. 5.00 crore ( existing 25). • Strengthening of existing RCCs by providing a one-time grant of

Rs. 3.00 crore. • Development of Oncology Wing by providing enhanced grant of

Rs. 3.00 crore to the Government institutions (Medical Colleges as well as government hospitals). • Development of District Cancer Control Programme by providing

the grantin- aid of Rs. 90.00 lakh spread over a period of 5 years. • Decentralised NGO Scheme by providing a grant of Rs. 8000 per

camp to the NGOs for IEC activities

MODE OF DATA COLLECTION FOR CANCER REGISTERIES developing countries including India, the

provision of information is on voluntary basis. Exact methodology of data collection would necessarily depend upon the local circumstances.

Passive method: The hospitals in areas with compulsory notification and the hospital cancer registries, abstract the information from the patient records on a specified proforma and send it to the registry.

Active method: The workers from registry scan through the patient records in different hospitals, clarify incomplete or contradictory information, and abstract data (followed in India) with collection of data from hospital records interview of patients. Periodic population surveys on cancer occurrence in rural areas

In surveys, the information is collected on cancer occurrence, the registration number of health care agency attended (which may be within or outside the defined geographic area of interest), as well as the outcome

QUALITY CHECKS IN PBCR

CANCER PREVENTION AND CONTROL

THANX