Comparative Analysis of Cancer Incidence by Dual Cancer Registry in Nepal 2013-2015

Hospital based cancer registry (HBCR) program was started since 2003 in coordination with seven major hospitals in the nation with the support of WHO Nepal. Five other hospitals were also included for the study since 2013. However, population based cancer registry (PBCR) was not started until 2013. To address the need of population based cancer registry, Cancer Prevention Control and Research Department of BPKMCH initiated the population based cancer registry in 2013. Both of hospital based and population based cancer registry are running parallels since 2013. The coverage of population based cancer registry was fifteen districts of three geographical region of Nepal with 25.88 % out of total population of the country. Hospital based cancer registry covered twelve major hospitals of the nation known as hospital based national cancer registry in Nepal. The present retrospective analysis of cancer patients of all age group was conducted to assess the frequency of different types of cancer presenting from first January to last December for each years of 2013, 2014 and 2015. In this study cancer incidence of each years and each registry compared separately. In the year of 2013, from hospital based incidence most common form of cancer for both sex was lung 13.2 % followed by cervix uteri 9.5 % and breast 8.6 %. Whereas, in population based for both sexes, lung cancer 15.7 % was leading cancer site followed by cervix uteri 11.0 % and breast 7.6 %. In the year of 2014, hospital based leading topography of cancer for both sex was lung 13.7 % followed by cervix uteri 9.4 % and breast 9.4 %. Whereas, in population based for both sex cancer of bronchus& lung 13.7 % was leading site followed by cervix uteri 10.5 % and breast 9.5 %. In the year of 2015, from hospital based registry bronchus& lung cancer 13.7 % ranked as a first leading cancer site for both sex followed by cervix uteri 8.9 % and breast 8.8 %. Whereas, in population based for both sex, lung cancer 12.9 % was topmost cancer site followed by cervix uteri 10.9 % and breast 9.1 %. The present data provide an update of the cancer burden of Nepal by double and parallel registry trend and frequency are relatively same.