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[The incidence pattern of certain cancers in the RSA].

P J Kloppers, D A van Staden, J P Fehrsen

    South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde
    |December 24, 1983
    PubMed
    Summary
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    A 1977 review of 3,409 cancer patients in South Africa found that cervical carcinoma was most common in Black patients, while colon carcinoma was most common in White patients. Cancer incidence varied significantly between racial groups.

    Area of Science:

    • Oncology
    • Epidemiology
    • Public Health

    Background:

    • Cancer registries are crucial for understanding disease burden.
    • South Africa has a diverse population with varying health profiles.
    • 1977 data provides a historical baseline for cancer incidence in South Africa.

    Purpose of the Study:

    • To analyze the incidence of seven common carcinomas in South African hospitals in 1977.
    • To compare the relative frequencies of these carcinomas between White and Black patient populations.

    Main Methods:

    • Retrospective review of patient records from 10 South African hospitals.
    • Data collected on patients treated for carcinoma of the cervix, oesophagus, breast, lung, liver, stomach, or colon in 1977.
    • Analysis of patient demographics, specifically race, in relation to cancer type.

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    Main Results:

    • A total of 3,409 patients (1.19% of all admissions) were treated for the specified carcinomas.
    • Carcinoma of the cervix was the most frequent among Black patients.
    • Carcinoma of the colon was the most frequent among White patients.
    • The incidence order of carcinomas was nearly reversed between White and Black populations.

    Conclusions:

    • Significant racial disparities exist in the incidence of common carcinomas in South Africa.
    • Cervical and colon cancer patterns highlight distinct public health challenges for different racial groups.
    • Further research is needed to understand the underlying causes of these observed epidemiological differences.