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Cancer survival in the Gambia, 1993-1997
1National Cancer Registry, The Gambia, c/o IARC-Gambia Hepatitis Intervention Study, MRC Laboratories, Fajara, Banjul, The Gambia. ebah@iarc.fr
IARC Scientific Publications
|June 17, 2011
Summary
Cancer survival rates in The Gambia are low, with 5-year survival for common cancers like cervix and breast cancer below 25%. This highlights critical needs for improved cancer diagnosis and treatment strategies in the region.
Area of Science:
- Oncology
- Public Health
- Epidemiology
Background:
- The Gambia established its national cancer registry in 1986.
- Cancer registration utilizes active and passive methods.
- Collaborations include IARC, France; UK Medical Research Council (MRC); and the Gambian Government.
Purpose of the Study:
- To analyze cancer survival data from The Gambia.
- To report 5-year relative survival rates for selected cancers.
- To investigate survival patterns across different age groups.
Main Methods:
- Utilized data from the national cancer registry (1993-1997).
- Employed predominantly active follow-up methods (median 1-6 months).
- Included 54-82% of registered cases for survival analysis; histological verification ranged from 1-45%.
Main Results:
- Five-year age-standardized relative survival: Cervix (23%), Non-Hodgkin lymphoma (22%), Breast (10%), Stomach (4%), Liver (3%).
- Complete 5-year follow-up ranged from 81-98% for various cancers.
- Survival by age group showed fluctuations with no clear trend and few survivors in many intervals.
Conclusions:
- The study reveals critically low 5-year survival rates for major cancers in The Gambia.
- Survival data indicates significant challenges in cancer management and outcomes.
- Further research and interventions are needed to improve cancer survival in the region.
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