Prevalence and types of cancer in older Indians: A multicentric observational study across 17 institutions in India.

Autor: Noronha V; Department of Medical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Parel, Mumbai, Maharashtra, India. Electronic address: vanita.noronha@gmail.com., Rao AR; Department of Geriatric Medicine, All India Institute of Medical Sciences, Delhi, India. Electronic address: abhijith.rrao@gmail.com., Pillai A; Department of Medical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Parel, Mumbai, Maharashtra, India. Electronic address: anupapillai123@gmail.com., Kumar A; Department of Medical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Parel, Mumbai, Maharashtra, India. Electronic address: doctor.geriatrics@gmail.com., Rajappa S; Basavatakaram Indo American Cancer Hospital and Research Institute, Banjara Hills, Hyderabad, India. Electronic address: senthiljrajappa@gmail.com., Kapoor A; Department of Medical Oncology, Homi Bhabha Cancer Hospital and Mahamana Pandit Madan Mohan Malaviya Cancer Center, Varanasi, India. Electronic address: kapoorakhil1987@gmail.com., Mishra BK; Department of Medical Oncology, Homi Bhabha Cancer Hospital and Mahamana Pandit Madan Mohan Malaviya Cancer Center, Varanasi, India. Electronic address: bkmmishra@gmail.com., Gupta T; Bhagwan Mahaveer Cancer Hospital and Research Center, Jaipur, India. Electronic address: tarachandg@gmail.com., Desai C; Hemato-oncology Clinic (A) Pvt Ltd, HOC Vedanta, Ahmedabad, India. Electronic address: chiragdesai.oncology@gmail.com., Pavithran K; Department of Medical Oncology, Amrita Institute of Medical Science and Research Center, Amrita Vishwa Vidyapeetham, Kochi, India. Electronic address: drkpavithran@hotmail.com., Goel A; Department of Medical Oncology, Homi Bhabha Cancer Hospital, Sangrur, India. Electronic address: alokdrgoel@gmail.com., Vora C; Sasoon General Hospital, Pune, Maharashtra, India. Electronic address: chakor_vora@yahoo.co.in., Mailankody S; Department of Medical Oncology, Manipal Comprehensive Cancer Care Center, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India. Electronic address: sharadajayaram27@gmail.com., Hingmire S; Deenanath Mangeshkar Hospital & Research Center, Pune, Maharashtra. Electronic address: sshingmire@yahoo.com., Saha R; Max Institute of Cancer Care, Patparganj, Delhi, India. Electronic address: drrajatsaha78@gmail.com., Kumar A; Mahaveer Cancer Sansthan and Research Center, Patna, India. Electronic address: dramitpmc@gmail.com., Sahoo TP; Silver Line Hospital, Bhopal, Madhya Pradesh, India. Electronic address: tarini73@rediffmail.com., Chandrasekharan A; Aster MIMS, Kozhikode, Kerala, India. Electronic address: groundhogcs@gmail.com., Kothari R; Narayana Multispeciality Hospital, Ahmedabad, India. Electronic address: rushabhkothari13@gmail.com., Kumar L; Department of Medical Oncology, All India Institute of Medical Sciences, Delhi, India. Electronic address: lalitaiims@yahoo.com., Ramaswamy A; Department of Medical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Parel, Mumbai, Maharashtra, India. Electronic address: anantr13@gmail.com., Banavali S; Department of Medical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Parel, Mumbai, Maharashtra, India. Electronic address: banavali_2000@yahoo.com., Prabhash K; Department of Medical Oncology, Tata Memorial Hospital, Homi Bhabha National Institute, Parel, Mumbai, Maharashtra, India. Electronic address: kumarprabhashtmh@gmail.com.
Jazyk: angličtina
Zdroj: Cancer epidemiology [Cancer Epidemiol] 2024 Oct; Vol. 92, pp. 102628. Date of Electronic Publication: 2024 Aug 02.
DOI: 10.1016/j.canep.2024.102628
Abstrakt: The global demographic and epidemiological transition have led to a rapidly increasing burden of cancer, particularly among older adults. There are scant data on the prevalence and demographic pattern of cancer in older Indian persons. This was a multicentric observational study conducted between January 2019 and December 2020. Data were retrieved from existing electronic databases to gather information on two key variables: the total number of patients registered with oncologists and the number of patients aged 60 years and above. The primary objective was to determine the percentage of older adults among patients with cancer served by these hospitals. Secondary objectives included understanding the prevalence of different types of cancer in the older population, and the sex- and geographic distribution of cancer in older Indian patients. We included 272,488 patients with cancer from 17 institutes across India. Among them, 97,962 individuals (36 %) were aged 60 years and above. The proportion of older adults varied between 20.6 % and 53.6 % across the participating institutes. The median age of the older patients with cancer was 67 (interquartile range, 63-72) years. Of the 54,281 patients for whom the details regarding sex were available, 32,243 (59.4 %) were male. Of the 56,903 older patients, head and neck malignancies were the most prevalent, accounting for 11,158 cases (19.6 %), followed by breast cancer (6260 cases, 11 %), genitourinary cancers (6242 cases, 10.9 %), lung cancers (6082 cases, 10.7 %), hepatopancreaticobiliary (6074, 10.7 %), and hematological malignancies (5226 cases, 9.2 %). Over one-third of Indian patients with cancer are aged 60 years and above, with a male predominance. Head and neck, breast, and genitourinary cancers are the most prevalent in this age group. Characterizing the burden of cancer in older adults is crucial to enable tailored interventions and additional research to improve the care and support for this vulnerable population.
Competing Interests: Declaration of Competing Interest We wish to confirm that there are no known conflicts of interest from any authors associated with this publication. No funding was required for this project.
(Copyright © 2024 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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