Epidemiological profile of cancer patients in surgery ward of a tertiary teaching hospital in the Vindhya region with special reference to high proportion of carcinoma gall bladder
Keywords:Cancer, Epidemiological, Gall bladder, Mortality
Background: Cancer is on rise. WHO estimates that by 2030, the incidence of cancer will increase by 68% as compared to 2012. This study evaluates epidemiological profile of Cancer in the Vindhya region. Design of this study was combination of retrospective and prospective study.
Methods: All cancer patients admitted in surgery ward of S. S. medical college, Rewa between 2010 to 2014 were included in the study. Data regarding age, gender, religion, socio-economic status, residence, dietary habits, addiction and site of cancer as well as mortality pattern of cancer was tabulate, analyzed and compared.
Results: 1186 cases were included in this study which constituted 3.02% of total admissions in surgical ward. 50.25% were males, 49.75% were females. Most common age groups were middle age group i.e. 35-64 years (25.30% males, 32.29% females, total 57.59%) and geriatric (19.48% males, 11.38% females, total 30.86%). 95.78% were Hindus, 4.22% were Muslims. 70.40% were BPL, 29.60% were APL. 67.20% belonged to rural areas, 32.80% were from urban areas. 75.89% were vegetarians, 24.11% were non-vegetarians. 25.97% were addicted to tobacco alone, 1.52% to alcohol alone and 18.63% to both tobacco and alcohol. Breast cancer was the most prevalent cancer (19.06%), followed by cancer gall bladder (10.55%). Among males, colorectal cancer was the commonest (11.24%), gall bladder was the 4th commonest (8.22%). Among females, breast was the commonest (37.12%) and gall bladder was the 2nd commonest (12.88%). Gall bladder cancer was the commonest (13.93%) in geriatric age group, 2nd commonest (9.37%) in the middle age group and 5th commonest in the young age group (7.63%). 18.38% of all and 46.40% of gall bladder cancer presented with metastasis. 91 cancer deaths were recorded accounting for 3.64% of all deaths and the case fatality rate of cancer was 7.67%. Gall bladder cancer was the commonest cause of Cancer deaths overall (14.29%) and in females (20.00%) and 2nd commonest among males (10.70%) after Ca stomach (12.50%). Cancer gall bladder was the commonest cause of death in middle age (16.34%) and 2nd commonest in geriatric age group (15.63%).Conclusions: Cancer affects all genders, ages and demographic profiles. Cancer of gall bladder has emerged as a major cause of morbidity and mortality in this study.
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