Rural Cancer Registry Barshi

POPULATION BASED RURAL CANCER REGISTRY, BARSHI POPULATION BASED RURAL CANCER REGISTRY, BARSHI (Barshi, Paranda and Bhum)

Tata Memorial Hospital, Mumbai

Nargis Dutt Memorial Cancer Hospital, Barshi(Dist: Solapur) Maharashtra State

Dr R.A. Badwe, Principal Investigator

Dr B.M. Nene, Co-Principal Investigator

Dr Rajesh Dikshit, Co-Principal Investigator

The rural cancer registry: Barshi, Paranda & Bhum, which was set up in 1987, is the first rural cancerregistry in the country and is situated in the campus of Nargis Dutt Memorial Cancer Hospital (NDMCH).The registry covers a total population of about 0.5 million in 346 villages spread over 3713 km 2 . Village isthe basic administrative unit in rural areas. Most of the population is Hindu (96%). Muslims form 3% andother religious groups form 1% of the total population. The registry is jointly funded by the Tata Memorial Centre, Mumbai and the Indian council of Medical Research, New Delhi. The diagnostic and treatment facilities are provided by NDMCH with technological support from Tata Memorial Hospital, Mumbai.The special methodology adopted in Barshi was useful not only to assess the cancer burden but also to develop and assess cancer control activities in the region. The registry has resulted in obtaining good quality data and in case seeking medical attention for early stage. The innovative methodology has facilitated the process of cancer registration in rural areas. It has created a positive impact on cancer control activities. The registry has created resources for epidemiological studies.The Registry data are utilised for many cancer control activities, including evaluating screening programmes and conducting population based survival studies. Etiological studies (case control, cohort etc.) are also currently being undertaken.

Registry Staff Research Co-ordinator : Mr N.S. Panse

Project Assistant : Mr S.R. Mathapati

Research Fellow : Dr F.Y. Khan

Social Researchers : Mr N.P. Gaikwad

Mr T.S. Dudhankar

Mr B.D. Honmane

Mr N.D. Padwal

Mr S.R. Korale

 

Methods of Cancer Regitration

Cancer Registration is entirely done by active method. It is different from the registration practices of urban registries in that it relies heavily on interaction with the village community, raising the cancer awareness in the area, cancer detection camp for easy access to diagnosis and other interventions apart from data collection from different medical institution. The method of the cancer registry has been published (Jayant et al 1991, 1995).

 

50% increase in the number of cases registered from period I to period V.
Cancer of cervix is the first leading site from period I to V. The cervical cancer incidence has gone down from 28.1 per 100,000 to 19 per 100,000. (APC : – 1.7 statistically significant)
Female breast cancer is the second leading cancer site from the period I to V. The breast cancer incidence has gone up from 8.8 per 100,000 to 11.4 per 100,000. (APC :0.9 , statistically not significant)
Cancer of Stomach and Prostate are in the top five leading cancer site in the period V and it was not in the top leading cancer site from period I to IV.
Cancer of the mouth was in the first five leading cancer site in males in the period I to III, however in the period V it is first leading cancer site.
(APC :2.0 – statistically not significant)
In Female Oesophagus cancer is consistently the third leading cancer site from period I to V. The oesophagus cancer incidence has gone from 1.9 to 2.8 per 100000.
Ovarian cancer is consistently in the top five leading cancer site. The ovarian cancer incidence has increased from 1.3 per 100000 to 2.8 per 100,000.
In the first two periods cancer of the penis was in the first five leading cancer site. In the period III to V it is not in the first five leading cancer site.
In the first fifteen year period Ca Hypopharynx was the first leading cancer site in males. in fourth period it was second leading cancer site.

 

Stage shift in cervical cancer due to registry activities of creating cancer awareness in the community (Jayant et al. 1995)
Registry Data has been published in CI5 (Jayant et. al, Badwe et.a. 2013)
Survival results has been published (Jayant 1998, 2011)
The registry has played important role in monitoring the cervical cancer incidence and mortality rate of cervical cancer randomized controlled trial going on the Osmanabad district, Maharashtra state. (Sankaranarayanan et.al 2009)
The Barshi registry has reported the lowest cancer incidence rate as compared to urban cancer registries in India. The TMC has started the Barshi Cohort Study for 200,000 people for the age group 30 to 65. The overall goal is to investigate a cohort to test the hypothesis related to physical activity, diet and life style related behavior and potential genetic determinants of cancer in a population with low baseline cancer risk. Enumeration work is complete and 4000 people are enrolled in the cohort. The Barshi registry data will be link to Cohort study (Dikshit RP et.al.2010)
The registry has expanded it area and covering Barshi Urban area and supporting the cancer registration activity of Beed district based on the Cancer Atlas Method adopted ICMR (Ref ( Nene BM et.al. 2008)
The registry data has been utilized for the Breast Cancer Control study to find out the risk factors of Breast Cancer in rural and urban population ( Nagrani et al.2014)
More than 50 national and international candidate visited Barshi to study the cancer registration process.