Trends in the incidence of ovarian cancer in sub-Saharan Africa.

Autor: Gizaw M; Department of Preventive Medicine, School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia.; Institute for Medical Epidemiology, Biometrics and Informatics, Martin Luther University Halle Wittenberg, Global Health Working Group, Halle, Germany., Parkin DM; Nuffield Department of Population Health, Oxford University, Oxford.; International Agency for Research on Cancer, Cancer Surveillance Unit, Lyon, France., Stöter O; Institute for Medical Epidemiology, Biometrics and Informatics, Martin Luther University Halle Wittenberg, Global Health Working Group, Halle, Germany.; Department of Gynaecology, Martin-Luther-Universitat Halle-Wittenberg, Halle, Germany., Korir A; Nairobi Cancer Registry, Kenya Medical Research Institute, Nairobi, Kenya., Kamate B; Bamako Cancer Registry, Bamako, Mali., Liu B; African Cancer Registry Network, Oxford, UK., Bojang L; Gambia National Cancer Registry Medical Research Council Unit, Fajara, Gambia., N'Da G; Abidjan Cancer Registry, Abidjan, Côte d'Ivoire., Manraj SS; Mauritius National Cancer Registry, Port Louis, Mauritius., Bukirwa P; Kampala Cancer Registry and Department of Pathology, School of Biomedical Sciences, College of Health Sciences, Makerere University, Kampala, Uganda., Chokunonga E; Zimbabwe National Cancer Registry, Harare, Zimbabwe., Chingonzoh T; Bulawayo Cancer Registry, Bulawayo, Zimbabwe., Peko JF; Brazzaville Cancer Registry, Brazzaville, Congo., Finesse A; Seychelles National Cancer Registry, Victoria, Seychelles., Somdyala N; Burden of Disease Research Unit, South African Medical Research Council, Eastern Cape Cancer Registry, Tygerberg, South Africa., Ladipo A; Ibadan Cancer Registry, Department of Pathology University College Hospital, Ibadan, Nigeria., Kantelhardt EJ; Institute for Medical Epidemiology, Biometrics and Informatics, Martin Luther University Halle Wittenberg, Global Health Working Group, Halle, Germany.; Department of Gynaecology, Martin-Luther-Universitat Halle-Wittenberg, Halle, Germany.
Jazyk: angličtina
Zdroj: International journal of cancer [Int J Cancer] 2023 Apr 01; Vol. 152 (7), pp. 1328-1336. Date of Electronic Publication: 2022 Nov 07.
DOI: 10.1002/ijc.34335
Abstrakt: Ovarian cancer (OC) is one of the commonest cancers of women in sub-Saharan Africa (SSA), although to date no data have been available on time trends in incidence to better understand the disease pattern in the region. We estimate time trends by histological subtype from 12 population-based cancer registries in 11 countries: Kenya (Nairobi), Mauritius, Seychelles, Uganda (Kampala), Congo (Brazzaville), Zimbabwe (Bulawayo and Harare), Cote d'Ivoire (Abidjan), The Gambia, Mali (Bamako), Nigeria (Ibadan) and South Africa (Eastern Cape). The selected registries were those that could provide consistent estimates of the incidence of ovarian cancer and with quality assessment for periods of 10 or more years. A total of 5423 cases of OC were included. Incidence rates have been increasing in all registries except Brazzaville, Congo, where a nonsignificant decline of 1% per year was seen. Statistically significant average annual increases were seen in Mauritius (2.5%), Bamako (5.3%), Ibadan (3.9%) and Eastern Cape (8%). Epithelial ovarian cancer was responsible for the increases observed in all registries. Statistically significant average annual percentage changes (AAPC) for epithelial OC were present in Bamako (AAPC = 5.9%), Ibadan (AAPC = 4.7%) and Eastern Cape (AAPC = 11.0%). Creating awareness among professionals of the growing importance of the disease is surely an important step to improving availability of, and access to, diagnosis and treatment of OC in SSA. Support must be given to the cancer registries to improve the availability of good-quality data on this important cancer.
(© 2022 The Authors. International Journal of Cancer published by John Wiley & Sons Ltd on behalf of UICC.)
Databáze: MEDLINE
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