Establishing a Cancer Registry and Baseline Data for Nyandarua County, Kenya: A Step towards Establishing a Central Cancer Registry

Cancer is a major global public health issue, causing a significant number of premature deaths worldwide. In 2020, the World Health Organization reported that more than 19 million individuals were diagnosed with cancer, and over 10 million lost their lives to the disease. Predictions indicate that cancer-related deaths will exceed 30 million by 2030, with around 75% occurring in low- and middle-income countries (LMICs) like Kenya. Various factors contribute to this concerning trend, including aging populations, a high prevalence of cancer risk factors, socioeconomic disparities resulting in limited healthcare access, and deficiencies in healthcare systems within LMICs. This study focused on Nyandarua County, Kenya, which lacks a dedicated cancer registry. Without comprehensive incidence data, the county faces challenges in developing targeted programs for cancer prevention, management, and control. The main objective of this investigation was to establish a cancer registry specific to Nyandarua County, capable of continuously gathering accurate cancer data, patient treatment follow-ups and disease outcomes. A demographic survey was conducted to determine the frequency of all-cause and specific cancers among patients who attended selected health facilities between 2013 and 2020. The presented data were collected from existing hospital records in three main hospitals in the county.

癌症是全球重大公共卫生问题，每年造成大量过早死亡病例。2020年，世界卫生组织（World Health Organization）报告显示，全球新增癌症确诊病例超1900万例，因癌症离世的病例超过1000万。有预测指出，到2030年，癌症相关死亡病例将突破3000万，其中约75%将发生在肯尼亚这类低收入和中等收入国家（low- and middle-income countries, LMICs）。
这一令人担忧的趋势由多重因素导致，包括人口老龄化、癌症风险因素高患病率、因社会经济差距导致的医疗服务可及性受限，以及低收入和中等收入国家医疗体系存在的不足。
本研究聚焦肯尼亚尼安达鲁亚县（Nyandarua County），该县尚未设立专门的癌症登记系统。由于缺乏全面的发病率数据，该县在制定癌症预防、诊疗与管控的针对性方案时面临诸多挑战。
本次调查的主要目标是建立针对尼安达鲁亚县的专属癌症登记系统，可持续收集精准的癌症相关数据、患者治疗随访信息及疾病转归情况。
研究人员开展了一项人口学调查，以统计2013至2020年间在指定医疗机构就诊患者的全因癌症及特定类型癌症的发病频次。
本次展示的数据采集自该县三家主要医院的现有病历档案。