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Cancer Statistics, NCI Egypt 2002-2005

Cancer Statistics, NCI Egypt 2002-2005. Inas Elattar Professor of Biostatistics Department of Biostatistics & Cancer Epidemiology NCI Egypt December 2006. Contributors. Dr. Nelly Hassan Dr. Manar Mounir Dr. Amani El-Basmi Dr. Dalia Belal Dr. Naguiba Aref Dr. Maisa Kamel.

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Cancer Statistics, NCI Egypt 2002-2005

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  1. Cancer Statistics, NCI Egypt2002-2005 Inas Elattar Professor of Biostatistics Department of Biostatistics & Cancer Epidemiology NCI Egypt December 2006

  2. Contributors • Dr. Nelly Hassan • Dr. Manar Mounir • Dr. Amani El-Basmi • Dr. Dalia Belal • Dr. Naguiba Aref • Dr. Maisa Kamel Department of Biostatistics & Epidemiology NCI Egypt

  3. National Cancer Institute, Cairo, Egypt • The National Cancer Institute (NCI) is the largest comprehensive cancer center in Egypt • The present hospital with its 530 beds is overloaded by patients referred from allover the country • The NCI for years had a well established Pathology-Based and an Inpatient-Based Cancer Registries • Our first attempt towards a Hospital-Based Cancer Registry was in the year 2001

  4. National Cancer Institute, Cairo, Egypt,Results Overview • Over a 36 year period (1970 – 2005) more than 300,000 new patients visited the NCI, and in excess of one million outpatient visits. • About 65% of patients are treated free of charge and private patients generally have health insurance which covers their cost. • In the years 2002-2005, 78,010 new patients were seen at the NCI, and the number of outpatient visits was approximately 170,000 visits/year.

  5. National Cancer Institute, Cairo, Egypt,Results Overview • In the year 2005 there were: • 20,326 new patients seen at the NCI • More than 14,000 hospital admissions • Approximately 170,000 outpatient visits. • 70% of patients came from the Greater Cairo area, 13% from lower Egypt, & 16% from upper Egypt. • 40 % of cases were males • 85 % of cases were married

  6. Average Length of Stay, NCI 2005

  7. Bed occupancy, NCI 2005

  8. Basis of Diagnosis • Pathology report from NCI, or after slide revision • Diagnosis reported explicitly by the treating doctor • Log books of specialized clinics as chest, pain and radiotherapy • Lastly if the pathologic or laboratory diagnosis were not verified, clinical diagnosis is considered

  9. Data management and data quality • Assurance of completeness through continuous generation of patients' lists who do not have diagnosis, or those not classified as cancer or non-cancer • Checking essential demographic data as age or date of birth, sex or address are done. Patient lists were evaluated for duplicates • Internal quality checks: random selection of some records was done systematically for double checks of data abstraction and to ensure completeness

  10. Confirmation of Malignancy among New Patients (2002-05)

  11. Basis of Diagnosis

  12. Gender

  13. Median Age (years)

  14. Marital Status

  15. Residence

  16. New Cancer Males Cases by Systems (Devita)

  17. New Cancer Females Cases by Systems (Devita)

  18. Most Common Sites in Males

  19. Most Common Sites in Females

  20. Head & Neck, Males (7%)

  21. Head & Neck, Females (3%)

  22. Gastrointestinal, Males (24%)

  23. Gastrointestinal, Females (13%)

  24. Lung, Bronchus & Mesothelioma Males (7%) Females (2%)

  25. Gynecologic Systems (10%)

  26. Genitourinary Systems Males (20%) Females (6%)

  27. Lymphoma & Multiple Myeloma Males (11%) Females (7%)

  28. Leukemia Males (9%) Females (6%)

  29. Childhood Cancer,NCI 2002-05 Age less than 20 years

  30. Frequency of Children Age <20 Years by Year at Diagnosis and Gender

  31. Median Age of Boys Age <20 Years by Year at Diagnosis

  32. Most Common Childhood Cancer, 2002-05

  33. Leukemia, Children 2002-05 Males (35%) Females (33%)

  34. Lymphoma, Children 2002-05 Males (21%) Females (12%)

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