Sunday, 1 December 2013

First Ever Population-based Cancer Registry in the Offing

All India Institute of Medical Sciences (AIIMS), Bhubaneswar is planning to start a comprehensive population study to extract definitive data on incidence of cancer as well as predominant types of the disease among the people of the State.
A proposal for launching the first ever population-based cancer registry (PBCR) for Odisha has been sent to the National Cancer Registry Programme (NCRP) under Indian Council of Medical Research. Work on the project would commence as soon as the approval is accorded.
While PCBRs are under implementation across 25 sites in the country, covering around 7.45 per cent of the population and having partial or complete representation of 16 States and one Union Territory, Odisha is yet to have an exercise of the kind. All estimates and projections are based on the registration statistics of the Acharya Harihar Regional Cancer Centre, the only Government-run cancer institution in the State.
It is estimated that more than 50,000 new patients are added to the State’s population every year. Head and neck cancer including oral cancer, gastrointestinal tract cancer and leukaemia are the major cancers among men while breast, cervix and ovarian cancers are leading among women.
“The objective is to not only gauge accurate incidence rate but also get a grip on the patterns of cancer in the region which will help in developing targeted cancer control and prevention measures. We have got the ICMR go-ahead for the hospital-based cancer registry (HBCR) and work would start soon,” said Head, Department of Radiation Oncology and Chairman Research Cell, Prof Dillip Kumar Parida.
AIIMS, Bhubaneswar has already started a 10-bed day care centre for cancer patients and is set to have a 15-bed in-patient facility when the hospital services start in January. It has also initiated the process of procurement of state-of-the-art cancer therapy equipment like Linear Accelerator, high dose rate Brachytherapy machine and a CT Simulator. The equipment would be installed and operational in six months.
The process to have a Cancer Family Registry (CFR) has also been initiated for screening of high risk families. “According to evidence, as high as 10 per cent of cancers can be attributed to genetic transmission through generations in the family. During the past decade, there have been major developments in cancer genetics with identification and characterisation of genes involved in inherited forms of cancer. Identification of such families can help in early detection leading to cure of cancer,” Prof Parida said.

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