The first 2 years of the Gambian National Cancer Registry
1990

The Gambian National Cancer Registry: First Two Years

Sample size: 559 publication Evidence: moderate

Author Information

Author(s): E. Bah, A.J. Hall, H.M. Inskip

Primary Institution: International Agency for Research on Cancer

Hypothesis

The introduction of hepatitis B vaccination will reduce the incidence of hepatocellular carcinoma in The Gambia.

Conclusion

The registry shows a low overall rate of cancer incidence, with prevalent cancers likely due to infectious agents.

Supporting Evidence

  • 559 cancer patients were registered in the first two years.
  • Hepatocellular carcinoma was the most common cancer in both men and women.
  • The registry is the only functioning national cancer registry in Africa.

Takeaway

This study created a cancer registry in The Gambia to track cancer cases and hopes that vaccinating children against hepatitis B will lower liver cancer rates.

Methodology

The registry was established through collaboration with health facilities and regular visits by a cancer registrar to encourage case reporting.

Potential Biases

Potential bias in age estimation and underreporting of certain cancers.

Limitations

Underascertainment of cancer cases, particularly in rural areas and among the elderly, and lack of histopathology services.

Participant Demographics

The population estimates were derived from the 1983 national census, with adjustments for growth.

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