Colo-rectal Cancer Trends In Saudi Arabia, And The Need To Organize Nationwide Cancer Prevention Program

Haya AL EID, Ministry of Health, Saudi Arabia
AL AAMA T. 1

1 Ministry of Health, Department of Therapeutic Services, Riyadh, Saudi Arabia

COLO-RECTAL CANCER TRENDS IN SAUDI ARABIA, AND THE NEED TO ORGANIZE NATIONWIDE CANCER PREVENTION PROGRAM
Saudi Arabia, Riyadh, Haya S. Al Eid, MOH
PURPOSE
Saudi Arabia is lacking an organized national Colo-rectal cancer(CRC) control program.  Our aims are to figure out the magnitude, ASR, trends of CRC, and the need of cancer prevention program.
METHOD
We obtained CRC cases diagnosed between 1994-2011 from the National Cancer Registry database. We assessed trends of incidence rates over the past 18 years by calculating the Age Standardized Incidence Rate (ASR) in 13 administrative regions.
RESULTS
Between 1994-2011, there were 11,259 CRC cases ; 6,082 case (54 %) in men and 5,177 (46 %) in women with male to female ratio 117:100.  The overall ASR was 7.8 per 100,000 (8.2 for males and 7.4 for women). The mean age at diagnosis was 58 years in men and 56 years in women. CRC ranked 1st  in men and 3rd in women, nearly 1 % of patients presented with In Situ while up to 64 % distant or regional extension. Over years, the incidence rate increased steadily for both sexes; the ASR doubled from 4.1 in 1994 to  7.8 in 2011.There are substantial variations in CRC incidence between regions. The highest ASR reported in Riyadh and Eastern provinces while the lowest ASR reported in Jazan. In 1994 and 1998 CRC ranked 6th, years 1995-1997ranked 5th,  year 2001 ranked 3rd, but after that from 2002-2011, it maintains the 2nd rank.
CONCLUSION
Although ASR among Saudis is low compared with other countries, but the age at diagnosis is lower, maintaining the 2nd rank for 10 years in both sexes, continuous increase in numbers, are alarming indicators. MOH should start an immediate massive national cancer control program including early detection, screening, and community health education programs.
FUNDING SOURCE: MOH