Machakos Cancer Registry Data 2015-2019

Background: In Kenya cancer is an increasing public health challenge, with an estimated 48,000 new cancer cases and over 33,000 deaths recorded each year. Machakos county, Kenya, recently opened a cancer centre given the increasing burden of cancer care with an aim of bringing cancer services such as surgical oncology, chemotherapy, radiotherapy, and pathological services closer to the residents of Machakos county. The county is also one of four counties selected for the universal health coverage pilot programme making it uniquely poised to inform cancer control programs at the local, national, and international levels.
Methods: This study aimed to build a cancer database and comprehensively to enable future population-based cancer studies by reviewing cancer diagnosis records for selected major public hospitals in Machakos county from 2015-2019. Medical records data were retrieved from Machakos Level 5 Hospital and Kangundo, Matuu, Kathiani and Mwala Level 4 Hospitals.
Results: A total of 522 cancer cases were recorded across the study period with more than a third (N=172, 33%) diagnosed August-December of 2019 when the Machakos Cancer Centre opened. Among the cancers diagnosed the majority were in women (59.2%) with cervix uteri (n=106, 34.3%) followed by breast (n=62, 20.1%) as the most common cancers. For males, oesophagus (n=52, 24.4%) followed by prostate (n=43, 20.2%) were the most common cancer types.
Conclusion: It is clear that access to cancer care treatment will change referral patterns for residents in Machakos county and with the establishment of this database we expect to enable future population-based surveillance of the cancer burden to inform cancer control programs.

背景：在肯尼亚，癌症已成为日益严峻的公共卫生挑战，每年估计有48,000例新发癌症病例，以及超过33,000人死亡。鉴于癌症护理负担的日益加重，肯尼亚的马查科斯县最近开设了一所癌症中心，旨在将如外科肿瘤学、化疗、放疗和病理服务等癌症服务更接近马查科斯县的居民。该县还是四个被选为全民健康保险试点项目的县份之一，这使得它独具特色，能够为地方、国家和国际层面的癌症控制计划提供信息。方法：本研究旨在通过回顾马查科斯县2015-2019年间选定的主要公立医院的癌症诊断记录，构建一个癌症数据库，并全面地促进未来基于人群的癌症研究。医疗记录数据是从马查科斯第五级医院和康古多、马图、卡蒂亚尼和马拉第四级医院获取的。结果：在整个研究期间，共记录了522例癌症病例，其中超过三分之一（N=172，占比33%）在2019年8月至12月期间被诊断，此时马查科斯癌症中心已开放。在所诊断的癌症中，多数发生在女性（占比59.2%），其中子宫颈癌（n=106，占比34.3%）最为常见，其次是乳腺癌（n=62，占比20.1%）。对于男性而言，食管癌（n=52，占比24.4%）最为常见，其次是前列腺癌（n=43，占比20.2%）。结论：显然，癌症护理治疗的可及性将改变马查科斯县居民的转诊模式，并且随着数据库的建立，我们期待能够促进未来对癌症负担的基于人群的监测，从而为癌症控制计划提供信息。