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Completeness in an African cancer registry
D M Parkin1, H Wabinga, S Nambooze
1International Agency for Research on Cancer, Lyon, France.
Cancer Causes & Control : CCC
|March 15, 2001
Summary
Cancer registration completeness in Kampala, Uganda, reached 89.6% for adults aged 15 and over. This study provides crucial data for cancer incidence rates in Africa, highlighting variations by age and cancer type.
Area of Science:
- Epidemiology
- Public Health
- Cancer Research
Background:
- Cancer registries are vital for comparative studies.
- Accurate cancer incidence data is crucial for public health initiatives.
- Evaluating cancer registry completeness is essential for data reliability.
Purpose of the Study:
- To assess the completeness of cancer case-finding in Kampala, Uganda, from 1994-1996.
- To provide an objective measure of cancer registration accuracy in an African setting.
- To evaluate the impact of HIV on cancer risk using a comprehensive case series.
Main Methods:
- Utilized a large, independently collected case series for comparison with registry data.
- Analyzed cancer registration completeness for adults aged 15 and above.
- Examined variations in completeness by age, cancer site, and availability of histology reports.
Main Results:
- Overall registration completeness was 89.6% (95% CI 87.0-91.7) for adults.
- Completeness varied by age (better for under 30s) and cancer site (Kaposi sarcoma well-identified).
- Cases with histology reports were more likely to be registered; completeness declined over time.
Conclusions:
- This study offers the first objective measurement of cancer registration completeness in Africa.
- Published cancer incidence rates in Kampala are reasonably accurate.
- Reassurance is provided for the reliability of cancer data, excluding the most recent period.