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  • br Methods A retrospective review

    2020-08-28


    Methods: A retrospective review of patient records presenting at LCC was performed. Various parameters were collected such as demographics and diagnoses. These data were used to perform a simple descriptive analysis. A series of consultations determined what parameters to include in the registry. CanReg, a cancer registration application, was customized to include these parameters.
    Results: Between July 2014 and June 2016, a total of 226 cancer incidence cases were pre-sented at LCC. There was an increasing number of new cancer cases when evaluated at 6-mo intervals. The most common cancers presented were breast (38%), prostate (12%), and colorectal (8%) cancers. The majority of patients (85%) were presented at later cancer stages.
    Conclusions: Breast, prostate, and colorectal cancers were the three most common cancer cases seen at LCC. Late-stage presentation remains a challenge. These results reveal the need for early detection and screening methods to help change the stage distribution. The cancer registry will be utilized to collect cancer data and to allow for analysis and better treatment/prevention protocols. Collaboration with other academic centers in the region will facilitate the establishment of a population-based registry.
    ª 2018 Elsevier Inc. All rights reserved.
    Introduction
    There has been an increase in cancer incidence and mor-tality worldwide, particularly in low- and middle-income
    countries.1,2 Cancer control efforts in developing nations are often given low priority. Cancer registration allows for the collection and analysis of information gathered about different types of cancers and the people they affect.3 This
    * Corresponding author. Department of Thoracic Surgery, Roswell Park Cancer Institute, Scott Bieler Clinical Sciences Center, Elm &
    information provides evidence-based data that can be used to improve the quality of care given to cancer patients.4,5
    There are two main types of cancer registries: hospital and Aprotinin based.6,7 Hospital-based cancer registries (HBCRs) primarily focus on collecting data on cancer patients at a particular hospital. This information serves to help the indi-vidual patients and the hospital administration. Population-based cancer registries (PBCRs) serve to evaluate the cancer disease burden through the collection of information on all new cancer cases occurring in a particular population.8 PBCRs can play a vital role in cancer control.9 Evaluation of the global status of cancer registries reveals a disparity between high-income countries (HICs) and LMICs in the development of high-quality PBCRs.6,10
    The International Agency for Research on Cancer (IARC) and the International Association of Cancer Registries (IACR) have made great efforts to support cancer registration in developing countries. In 2011, the IARC and other major or-ganizations developed the Global Initiative for Cancer Registry Development (GICR).11 This created regional hubs devoted for cancer registration in Africa, Asia, Latin America, and the Pacific Islands. The GICR provides technical, scientific assis-tance and the training needed to create regional cancer reg-istries. Much work remains to be done to achieve quality cancer registration in these countries.3 The establishment of high-quality PBCRs will allow for the prioritization of appro-priate interventions and therapeutic regimens. They can also provide data that can be used to monitor the effectiveness of these interventions.
    Lagos, Nigeria, is one of the most populous cities in Af-rica.12 In Nigeria, limited resources are dedicated to cancer registration. We report on our efforts to promote the devel-opment of high-quality cancer registries in Nigeria, initially by establishing a high-quality HBCR. Lakeshore Cancer Center (LCC) is the first center dedicated exclusively to cancer care in Nigeria. Improving regional cancer registration is integral to its mission. Thus, we set out to retrospectively collect and describe the characteristics of the patients seen at termination codon one center in its first 2 y of existence. This was considered a pre-lude to the creation of an HBCR.
    Methods
    LCC established a formal collaboration with the Lagos State University Teaching Hospital (LASUTH) with an emphasis on cancer registration. The Institutional Review Board of LASUTH provided approval for this cancer registration program.
    A retrospective review of electronic and paper records for patients that presented at LCC between July 2014 and June 2016 was performed. The following are the list of parameters that were collected in an Excel database: patient’s full name, demographic information, diagnosis, TNM stage, treatment, and complications. From these parameters, a simple descriptive analysis was performed in Excel.