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Cancer Incidence in Kabul, Afghanistan: The First Report From the Population-Based Cancer Registry
Maihan Abdullah1,2, Nisar Niazi1, Goodarz Danaei3
1Ministry of Public Health, Kabul, Afghanistan.
Afghanistan
Area of Science:
- Oncology
- Public Health
- Epidemiology
Background:
- Population-based cancer registries are vital for cancer surveillance and control.
- The Kabul Cancer Registry (KCR) is Afghanistan's first population-based cancer registry, established in 2018.
- Understanding cancer incidence in Kabul is essential for targeted interventions.
Purpose of the Study:
- To estimate the incidence of cancer in Kabul, Afghanistan, from 2018 to 2020.
- To provide crucial data for cancer control program development.
- To assess the initial performance of the KCR.
Main Methods:
- Data collected by the KCR from health facilities between 2018-2020.
- Adherence to International Agency for Research on Cancer (IARC) standards.
- Age-standardized incidence rates (ASIRs) calculated using CanReg5 software and Segi's World Standard Population.
Main Results:
- 4,498 new cancer cases recorded; female-to-male ratio of 0.82:1.
- Overall ASIRs: 44.3/100,000 (males) and 60.9/100,000 (females).
- Leading cancers: Breast (14.9), Esophagus (6.7), Stomach (4.2) in females; Stomach (9.1), Esophagus (5.5), Colorectum (3.7) in males. Leukemia was the most common childhood cancer (43.5%).
Conclusions:
- High incidence of breast, stomach, and esophagus cancers necessitates targeted prevention and early detection strategies.
- Strengthening the KCR is crucial for improving data quality and cancer control efforts.
- The findings highlight the need for enhanced cancer control programs in Afghanistan.
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