Western Kenya Cancer Statistics

Western Kenya Cancer Statistics

Authors: ECR Group

1 Background

Eldoret Cancer Registry was established in 1999. It is located in the Faculty of Medical Sciences of Moi University, Department of Haematology and Blood Transfusion. The registry records details of all cancer patients diagnosed and treated in hospitals of Eldoret town, and aims to be population-based for the district of Uasin Gishu, in the Rift Valley Region of Kenya (pop. 2009: 894,179). As well as the Director (Dr N. Buziba), the registry has three registrars, Gladys Chesumbai , Jacqueline Gavana, and Jane Chepkosgei. Because of shortage of funds in the last 6 years, the staff work only part time basis on registry duties. Case-finding uses three types of source: hospital records departments, pathology and death

2 Datasource

The largest hospital is Moi Teaching and Referral Hospital which also acts as the Province General Hospital. Cases are identified from the disease index (completed by records staff in ICD-10) and details of cases abstracted from case records onto a registry form. The registrars also visits private hospitals (Eldoret, Elgon View, Medi-Heal Fertility Hospital, St. Lukes and Reale Hospital) and the Eldoret Hospice at regular intervals to identify cancer cases, although because of financial constraints, visits were widely spaced in recent years. There is only one public pathology lab. Serving the District (in Moi Teaching and Referral Hospital), with four pathologists and 2 private pathology labs. The registrar abstracts details of all cancer diagnoses (address is usually unavailable). Haematological malignancies are all diagnosed by the registry director and his junior- Dr. Lotodo (Department of Haematology and Blood Transfusion).

Death registration is virtually universal (home deaths should also be autopsied, but this is a rare event). The death certificate may not be issued for some weeks after death, however. Deaths at home are certified by the village chief, based on relatives’ assessments, and are of very questionable accuracy (often just “cancer”).

Cases are coded in the registry, and data entry and management is by CANREG-5. By January 2013, some 16,000 cases had been registered, about one half of which are in residents of Uasin Gishu district.

3 Study Population

Eldoret: Situated some 330 km northwest of Nairobi, Eldoret is the largest city and the administrative capital of Uasin Gishu County.

Moi’s Bridge: Located some 40 km north of Eldoret along Eldoret – Kitale road, Moi’s bridge is a small yet an important agricultural town.

Burnt Forest: Sited some 35 kilometers to Eldoret, Burnt Forest is the first major town as you approach Eldoret from Nairobi.

Turbo: Turbo is a small agricultural town located about 31 km west of Eldoret town along Eldoret -Webuye road.

Others: Outside the county

drawing

4 Objective

The main objective of this study/analysis is to assess the incidence and prevalence of different cancer types from 2000 to 2020

5 Results Overall | 2001 to 2020

5.1 Distribution of Cases by County

5.1.1 County Distribution Map

5.1.2 County Distribution Graph | Top 20 Counties

5.1.3 County Distribution Table

5.2 Distribution of Cases by Socio-Demographics

5.2.1 Age-groups (Age)

5.2.2 Gender

5.2.3 Gender + Age Graph

5.2.4 Gender + Age Table

5.4 Distribution of Cancer Types

5.4.1 Most Common Cancer Types by Gender

5.4.1.1 All Gender

5.4.1.2 Female

5.4.1.3 Male

5.5 Clinical Factors Analysis

5.5.1 Basis of Diagnosis Distribution

5.5.1.1 By Gender

5.5.1.3 By Age Group

5.5.2 Staging Distribution

5.5.2.1 By Gender

5.5.2.3 By Age Group

5.5.3 Concurrent Illness

5.5.3.1 By Gender

5.5.3.2 By Age Group

5.5.4 Types of treatment

5.5.4.1 By Gender

5.5.4.3 By Age Group

5.6 Key Cancer Types of Interest

Focus on: Breast, Cervix, Prostate, Esophagus, Lymphomas, Leukemias

5.6.1 BREAST (C50)

5.6.1.1 Age / Gender Distribution

5.6.1.2 Distribution of common subsites

5.6.1.3 Basis of Diagnosis Distribution

5.6.1.3.1 By Gender

5.6.1.4 Staging Distribution

5.6.1.5 Types of treatment

5.6.2 CERVIX (C53)

5.6.2.1 Age / Gender Distribution

5.6.2.2 Distribution of common subsites

5.6.2.3 Basis of Diagnosis Distribution

5.6.2.3.1 By Gender

5.6.2.4 Staging Distribution

5.6.2.5 Types of treatment

5.6.3 PROSTATE (C61)

5.6.3.1 Age / Gender Distribution

5.6.3.2 Distribution of common subsites

5.6.3.3 Basis of Diagnosis Distribution

5.6.3.3.1 By Gender

5.6.3.4 Staging Distribution

5.6.3.5 Types of treatment

5.6.4 ESOPHAGUS (C15)

5.6.4.1 Age / Gender Distribution

5.6.4.2 Distribution of common subsites

5.6.4.3 Basis of Diagnosis Distribution

5.6.4.3.1 By Gender

5.6.4.4 Staging Distribution

5.6.4.5 Types of treatment

5.6.5 LYMPHOMA (C81-C85, C96)

5.6.5.1 Age / Gender Distribution

5.6.5.2 Distribution of common subsites

5.6.5.3 Basis of Diagnosis Distribution

5.6.5.3.1 By Gender

5.6.5.4 Staging Distribution

5.6.5.5 Types of treatment

5.6.6 Leukemias (C90-C95)

5.6.6.1 Age / Gender Distribution

5.6.6.2 Distribution of common subsites

5.6.6.3 Basis of Diagnosis Distribution

5.6.6.3.1 By Gender

5.6.6.4 Staging Distribution

5.6.6.5 Types of treatment

5.6.7 TRACHEA, BRONCHUS, LUNG (C33-C34)

5.6.7.1 Age / Gender Distribution

5.6.7.2 Distribution of common subsites

5.6.7.3 Basis of Diagnosis Distribution

5.6.7.3.1 By Gender

5.6.7.4 Staging Distribution

5.6.7.5 Types of treatment

5.6.8 KAPOSISARCOMA (C45)

5.6.8.1 Age / Gender Distribution

5.6.8.2 Distribution of common subsites

5.6.8.3 Basis of Diagnosis Distribution

5.6.8.3.1 By Gender

5.6.8.4 Staging Distribution

5.6.8.5 Types of treatment

5.7 Childhood Cancers 0-14 years.

5.7.1 County Distribution Map

5.7.1.1 County Distribution Graph | Top 20 Counties

5.7.1.2 County Distribution Table

5.7.2 Distribution of Cases by Socio-Demographics

5.7.2.1 Gender

5.7.2.2 Gender + Age Graph

5.7.2.3 Gender + Age Table

5.7.3 Distribution of Cancer Types

5.7.3.1 Most Common Cancer Types by Gender

5.7.3.2 All Gender

5.7.3.3 Female

5.7.3.4 Male

6 Results for 2016 to 2021

TODO

7 Results for 2011 to 2015

TODO

8 Results for 2006 to 2010

TODO

9 Results for 2000 to 2005

TODO

10 References

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11 Appendix

11.1