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Pediatric Cancer Burden in Different Regions of India: Analysis of Published Data From 33 Population-Based Cancer
Atul Budukh1, Sonali Bagal2, Jarnail Singh Thakur3
1Centre for Cancer Epidemiology (CCE), Tata Memorial Centre (TMC),Navi Mumbai, Maharashtra and Homi Bhabha National Institute, Training School Complex, Anushaktinagar, Mumbai, Maharashtra. Correspondence to: DrAtul Madhukar Budukh, Professor, Epidemiology Centre for Cancer Epidemiology,Tata Memorial Centre, Homi Bhabha National Institute, Maharashtra. budukham@tmc.gov.in.
Insights
Pediatric cancer accounts for 2% of all cancer cases in India. Incidence rates are higher in boys than girls, with northern India reporting the highest burden.
Area of Science:
- Oncology
- Epidemiology
- Public Health
Background:
- Pediatric cancer represents a significant global health challenge, particularly in low and middle-income countries.
- Understanding the burden and patterns of pediatric cancer is crucial for effective resource allocation and intervention strategies.
- India, with its vast population, requires detailed epidemiological data on childhood cancers.
Purpose of the Study:
- To determine the regional burden and patterns of pediatric cancer (ages 0-14 years) across India.
- To analyze incidence rates based on available data from population-based cancer registries.
- To identify geographic variations in pediatric cancer occurrence within India.
Main Methods:
- Utilized published data from population-based cancer registries under the National Cancer Registry Programme and Tata Memorial Centre.
- Categorized registries into six geographic regions for analysis.
- Calculated age-specific and age-standardized incidence rates per million population, including 95% confidence intervals.
Main Results:
- Pediatric cancers constitute 2% of all cancer cases in India.
- The age-standardized incidence rate for boys was 95.1 per million, and for girls was 65.5 per million.
- Northern India exhibited the highest pediatric cancer incidence rates, while northeastern India reported the lowest.
Conclusions:
- The study highlights regional disparities in pediatric cancer incidence across India.
- Accurate pediatric cancer burden assessment necessitates the establishment of dedicated pediatric cancer registries nationwide.
- Further research and improved data collection are essential for targeted interventions and improved outcomes for childhood cancer in India.
Objective:
To provide the regional pediatric cancer (age-group 0-14 years) burden and pattern in India utilizing published data of population-based cancer registries established under the National Cancer Registry Programme and Tata Memorial Centre, Mumbai.
Methods:
Based on the geographic locations, the population-based cancer registries were categorized into six regions. The age-specific incidence rate was calculated using the number of pediatric cancer cases and population in the respective age-group. Age-standardized incidence rate per million and 95% CI were calculated.
Results:
In India, 2% of all cases were pediatric cancer. The age-standardized incidence rate (95% CI) for boys and girls is 95.1 (94.3-95.9) and 65.5 (64.8-66.2) per million population, respectively. Registries from northern India reported the highest rate; while the lowest rate was in northeastern India.
Conclusions:
There is a need to establish pediatric cancer registries in different regions of India to know the accurate pediatric cancer burden.
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