Experience Of A Hospital Cancer Registry From A Microregion In A Developing Country

Juliana GIACOMAZZI, Hospital Tacchini, Brazil
KAERCHER A. 1, 2 , GRAPIGLIA G. 1,2 , MANCIO H. 1 , POZZA R. 1 , OBST F. 1,2

1 Institute for Research and Education, Hospital Tacchini, Bento Gonçalves, Brazil
2 Institute of Cancer, Hospital Tacchini, Bento Gonçalves, Brazil

Purpose: To describe the experience of a Hospital Cancer Registry (HCR) from Southern Brazil, over 10 years of translational discussion of the HCR data with clinical/scientific/administrative staffs and Municipal Health Departments, whose our institution is a reference center (22 cities). Methods: Overall cancer cases diagnosed/treated on our institution between 2005-2013 were identified from the institutional computerized system, registered annually by the HCR team and analyzed (SPSS program) annually and periodically. The findings were discussed with institutional staffs and Municipal Health Departments for planning actions based on these data. Regional projects are being prepared, also, based on critical data obtained through the HCR. Results: 7416 patients included. The findings, compared to national/international literature, were: high prevalence (23%) of cancer diagnosis under 50 years, of cancer family history (64.8%) and of smoking and drinking habits (46.7% and 28.4%, respectively); advanced clinical stage (ECIII) or metastatic (ECIV) in  16.9% and 23.3% of cases, being more prevalent in patients from the public health system (ECIII = IV = 19.7% and 28.9%) compared to private system (ECIII = 13.8% and IV = 16.0%); and for specific tumors - lung (ECIII = 12.6 and IV = 73.8%), head and neck (ECIII and IV = 14.7% = 63.2%) and colorectal (ECIII and IV = 33.1% = 27.7%). For tumors with a solid regional screening program, such breast cancer, the prevalence of ECIII-IV was lower (26%) with a reduction trend over the 10 years period. Five-years cancer survival for the most prevalent tumors were: 83.9% for breast, 70.0% for prostate, 25.0% for lung and 65.7% for colorectal cancers. Conclusions: These data indicate the public health importance of this type of approach using data from a regional HCR. The integration of HCR team and Municipal Health Departments is one of the cornerstone to regional cancer control.Funding source: Hospital Tacchini.