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Summary Report Punjab 2013-2016.Cdr Populaon-Based Cancer Registries at Chandigarh and SAS Nagar, Sangrur, Mansa Districts Punjab State, India A collaborave project of Tata Memorial Centre (TMC), Mumbai, Maharashtra State, India Homi Bhabha Naonal Instute (HBNI), Mumbai, India Post Graduate Instute of Medical Educaon and Research (PGIMER), Chandigarh, India Department of Health and Family Welfare, Government of Punjab State, India Director of Health Services, Chandigarh, India Cancer Burden in Chandigarh and Punjab State Report: 2013 – 2016 Populaon-Based Cancer Registry Report Release 2014 Dr. G Dewan, Director of Health Services Chandigarh; Mrs. Anjali Bhawara, Principal Secretary Health and Family Welfare Punjab; Prof Jagat Ram, PGI Director; Dr. Prashant Mathur, Director NCDIR-NCRP, ICMR; Dr. Freddie Bray, Head secon of cancer surveillance, IARC; Dr. Rajesh Dikshit, Director CCE-TMC; Prof JS Thakur, PGIMER and Dr. Atul Budukh, Professor, CCE - TMC along with other dignitaries released the reports of Chandigarh and Punjab PBCR concurrently during World NCD Congress held at PGIMER from 4th November 2017 to 6th November 2017. The message from the second year report is that all site cancer incidence rates are in comparison with other parts of India. Cancer Registry Principal Invesgator, Co-Principal Invesgator, a nd Co-invesgators Tata Memorial Centre (TMC), Mumbai Nam e Role Designaon Dr. R A Badwe Principal Invesgator Director Dr. Rajesh Dikshit Co – Invesgator Director, CCE Dr. Pankaj Chaturvedi Co – Invesgator Dy Director, CCE Officer-In-Charge, HBCH & Dr. Prathamesh Pai Co – Invesgator RC, Mullanpur Dr. Atul Budukh Co – Principal Invesgator Professor Epidemiology Mr. T. Anbumani Project Consultant Administrator Post Graduate Instute of Medical Educaon and Research (PGIMER), Chandigarh Nam e Role Designaon Steering Commiee Chairman Dr. Jagat Ram Director (From 1st November 2016 to ll date) Dr. J S Thakur Principal Invesgator Professor Dr. Rakesh Kapoor Co- Invesgator Professor Dr. Pankaj Malhotra Co- Invesgator Professor Dr. Pankaj Arora Co-Invesgator Assistant Professor Department of Health and Family Welfare, Punjab Nam e Role Designaon Dr. Raj Kuma r Co-Invesgator Civil Surgeon, Sangrur Dr. Lalchand Thakra l Co-Invesgator Civil Surgeon, Mansa Dr. Jai Singh Co-Invesgator Civil Surgeon, S AS Nagar i Homi Bhabha Cancer Hospital, Sangrur Name Designaon Dr. Tapas Dora Asst Professor – Radiotherapy Dr. Sankalp Sanche Asst Professor – Pathology Dr. Debashish Chaudhary Asst Professor – Surgical Oncology Dr. Anshul Singla Asst Professor – Head and Neck Surgery Dr. Alok Kumar Goel Asst Professor – Medical Oncology Dr. Pramod Kharade Asst Professor – Prevenve Oncology Mr. Prithviraj Kadam Project Manager Supporve staff from TMC Name Designaon Mrs. Sonali Bagal Research Coordinator Ms. Shraddha Shinde Scienfic Assistant Mrs. Suchita Yadav Scienfic Assistant Dr. Priyal C hakravar Sr. Project Coordinator Cancer Registry Staff Mrs. Balkiran Kaur, Mrs. Prabha Saxena, Ms. Pooja and Chandigarh Mr. Manoj Kumar Mr. Randeep Singh, Mr. Narinderjit Singh, Mr. Ashok Kumar and SAS Nagar Mr. Rajinder Singh Ms. Divya Singh, Mr. Lakhwinder Singh, Mr. Amarjeet Singh, Sangrur Mr. Charanjit Singh, Mr. Sandeep Singh, Mr. Gurwinder Singh, Mr. Manoj Kumar and Mr. Deepak Saini Mr. Sanjeev Kumar, Mrs. Gurpreet Kaur, Mrs. Kirna Kaur and Mansa Mr. Mandeep Kumar ii Steering Commiee Member Name Designaon st Dr. Jagat Ram (1 November, 2016 onwards) Chairman Director, PGIMER, Chandigarh Dr. R A Badwe Member Director, TMC, Mumbai Dr. Subhash C. Varma Member Professor and Head of Internal Medicine, PGIMER, Chandigarh Dr. Arvind Rajwansh i Professor and Head of Cytology and Gynaecological Pathology, Member PGIMER, Chandigarh Dr. Sushmita Ghosha l Member Professor and Head of Radiotherapy, PGIMER, Chandigarh Dr. Rajesh Dikshit Member Director, CCE-TMC, Mumbai Dr. J S Thakur Professor, Department of Community Medicine and School of Member Public Health, PGIMER, Chandigarh Dr. Atul Budukh Member Professor of Epidemiology, CCE-TMC, Mumbai iii Contents Page Sr. No. Topic Number 1 Background 1 2 Populaon Covered 1 3 Release of the Second Year Report of the Cancer Registries 1 4 Area Covered 2 5 Cancer Incidence and Mortality 3 6 Leading Cancer Sites 5 7 Comparison of Cancer Incidence Rates with other Indian Registries 9 8 Highlights 16 9 Cancer Control in Punjab 17 10 References 18 11 Acknowledgment 19 1. Background Populaon-based cancer registries (PBCRs) are essenal to know the true cancer burden in the populaon. In the year 2013, Tata Memorial Centre (TMC) in collaboraon with Post Graduate Instute of Medical Educaon and Research (PGIMER), Chandigarh and Government of Punjab started the populaon-based cancer registries in urban, semi-urban and rural populaons to know the cancer burden and trends over the period in these areas. These PBCRs cover 4.6 million populaon. The data have been collected from Chandigarh Union Territory (UT) and three districts in Punjab viz; SAS Nagar, Mansa and Sangrur. The informaon presented in this report pertains to all cancer cases registered with four registries menoned above in the year 2013 – 2016. 2. Populaon Covered The Mansa and Sangrur registries are rural, SAS Nagar registry is a semi-urban registry whereas Chandigarh is predominantly urban. Table1: Esmated average populaon distribuon among selected districts across rural and urban areas: 2013-2016 Populaon covered PBCR Rural Area (%) Urban Area (%) (in million)* Chandigarh 1.1 2% 98% SAS Nagar 1.0 45% 55% Sangrur 1.75 69% 31% Mansa 0.8 79% 21% * Esmated populaon-based on growth rate of 2001 and 2011 census populaon 3. Release of the Second Year Report of the Cancer Registries Dr. G Dewan, Director of Health Services Chandigarh; Mrs. Anjali Bhawara, Principal Secretary Health and Family Welfare Punjab; Prof Jagat Ram, PGI Director; Dr. Prashant Mathur, NCDIR- NCRP, ICMR Director; Dr. Freddie Bray, Head secon of cancer surveillance, IARC; Dr. Rajesh Dikshit, Director CCE-TMC; Prof JS Thakur, PGIMER and Dr. Atul Budukh, Professor, CCE - TMC along with other dignitaries released the reports of Chandigarh and Punjab PBCR concurrently during World NCD Congress held at PGIMER on 4th November 2017 to 6th November 2017. The message from the second year report is that all site cancer incidence rates are in comparison with other parts of India. 1 4. Area Covered Chandigarh SAS Nagar District Sangrur District Mansa District 2 5. Cancer Incidence and Mortality Table 2: Populaon covered, incidence cases registered and incidence rate by sex: (2013-2016) Chandigarh SAS Nagar Sangrur Mansa Male Average populaon covered 625,093 601,204 916,056 426,231 Number of cases registered 1754 1594 1905 886 AAR per 100,000 * 96.0 83.1 54.7 52.0 Cumulave risk of geng the 11.6% 9.8% 6.4% 5.8% disease (0-74 age group) (1 in 9) (1 in 10) (1 in 16) (1 in 17) Female Average populaon covered 518,525 538,031 812,852 377,091 Number of cases registered 1749 1785 2070 1012 AAR per 100,000 * 102.4 98.6 63.6 62.4 Cumulave risk of geng the 12.3% 11.3% 7.2% 6.9% disease (0-74 age group) (1 in 8) (1 in 9) (1 in 14) (1 in 14) *AAR: Age-adjusted rate per 100,000 populaon Table 3: Populaon covered, death due to cancer and death rate by sex: (2013-2016) Chandigarh SAS Nagar Sangrur Mansa Male Average populaon covered 625,093 601,204 916,056 426,231 Number of deaths registered 835 841 1323 625 AAR per 100,000 * 46.7 44.3 38.1 36.4 Cumulave risk of death due to 5.6% 5.4% 4.6% 4.1% disease (0-74 age group) (1 in 18) (1 in 19) (1 in 22) (1 in 24) Female Average populaon covered 518,525 538,031 812,852 377,091 Number of deaths registered 597 691 1185 591 AAR per 100,000 * 36.3 37.9 36.5 36.2 Cumulave risk of death due to 4.5% 4.5% 4.7% 4.2% disease (0-74 age group) (1 in 22) (1 in 22) (1 in 21) (1 in 22) *AAR: Age-adjusted rate per 100,000 populaon 3 Figure 1: Cancer incidence by sex (2013-2016) 120 Male Female 102.4 98.6 100 96.0 83.1 n o 80 la u p 63.6 po 62.4 0 0 0 60 , 54.7 0 52.0 0 1 r e p R 40 A A 20 0 Chandigarh SAS Nagar Sangrur Mansa Figure 2: Cancer mortality by sex (2013-2016) 50 Male 46.7 44.3 45 Female 40 37.9 38.1 36.3 36.5 36.4 36.2 n 35 o la u 30 op p 0 25 00 , 0 10 r 20 e p R A A 15 10 5 0 Chandigarh SAS Nagar Sangrur Mansa 4 6. Leading Cancer Sites Figure 3: Leading cancer sites in Chandigarh – Males (2013-2016) Lung 12.9 (12.8%) Prostate 10.2 (9.0%) Oesophagus 5.8 (5.9%) Bladder 5.6 (5.5%) Mouth 4.9 (5.2%) NHL 4.9 (5.2%) Larynx 4.8 (4.9%) Tongue 4.4 (5.0%) Gallbladder etc. 3.0 (3.0%) Colon 2.9 (3.0%) 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 AAR per 100,000 populaon Figure 4: Leading cancer sites in Chandigarh – Females (2013-2016) Breast 33.0 (32.6%) Cervix uteri 8.1 (8.1%) Corpus uteri 7.2 (6.6%) Ovary 6.2 (6.2%) Gallbladder etc. 5.7 (5.7%) NHL 4.3 (3.9%) Lung 4.2 (3.6%) Oesophagus 2.4 (2.2%) Colon 2.1 (2.1%) Mulple myeloma 2.0 (1.8%) 0.0 5.0 10.0 15.0 20.0 25.0 30.0 35.0 AAR per 100,000 populaon 5 Figure 5: Leading cancer sites in SAS Nagar – Males (2013-2016) Lung 7.8 (9.0%) Prostate 7.7 (9.6%) Oesophagus 5.9 (6.5%) Bladder 4.9 (5.8%) Tongue 4.2 (5.0%) Liver 4.1 (4.8%) Mouth 4.0 (4.5%) Larynx 4.0 (4.4%) Brain, nervous system 3.3 (4.5%) NHL 2.9 (3.5%) 0.0 1.0 2.0 3.0 4.0 5.0 6.0 7.0 8.0 9.0 Figure 6: Leading cancer sites in SAS Nagar – Females (2013-2016) Breast 30.2 (30.3%) Cervix uteri 10.4 (10.4%) Ovary 7.4 (7.5%) Gallbladder etc.
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