Page 0129

REGIONAL INITIATIVES

obvious difference is seen in cancer of the cervix and breast. the best information possible is used in the development

Cervical cancer which occupied the top position among of cancer control programmes.

cancers in women in 1982 in most cities in India had been Based on the above, the yardsticks by which progress can be

replaced by breast cancer in all of the urban registries by measured will be:

2002, whereas the data from rural registries, although not ‰ The increase in survival rates of treated patients, based on

nearly as extensive, continues to be as before. It is therefore hospital series, reflecting the available infrastructure,

expected that the establishment of the TNCRP will usher in technology and trained personnel.

an era of knowledge acquisition on cancer patterns from all ‰ The improved survival of and relative proportions of

the districts of the state of Tamil Nadu, providing an atlas of treated and untreated patients observed in population

cancer that, if demonstrating clear regional differences will series, reflecting the accessibility to and/or development

be of great help in directing cancer control efforts. More of health services, referral and early detection practices.

directly, it is proposed to set up an early cancer detection ‰ The size of trends towards earlier stage of disease at

centre, including cancer education and awareness in all presentation, reflecting cancer awareness and education.

districts where the registry is collecting data. ‰ The establishment of prevention programmes and

demonstration of trends towards lower incidence rates,

Where are we in cancer control? with an emphasis on tobacco control.

In our perception, the most credible tools for the ‰ Accessibility and affordability of cancer care, which will

measurement of the success of cancer control programmes in reflect governmental commitment and public support.

a developing environment with limited resources will be:

‰ Efficient hospital cancer registries with good The available data on overall survival by selected prognostic

documentation and built-in systems of active follow-up of factors, such as the stage of disease, age at diagnosis,

treated cases. rural/urban residence and literacy status for cases of breast

‰ Rural registries in regions that are currently “out of sight.” and cervical cancers, childhood acute lymphoid leukemia and

The ICMR and IARC have focused only on urban Hodgkin disease treated at the Cancer Institute (WIA) are

demographic registries. The hospital registry and the provided in the appended tables and graphs. l

demographic registry must run in parallel to ensure that

Figure 1: Survival of patients with breast cancer and cervical cancer according to the period of treatment 1957–2006

100 100

90 90

Breast cancer Cervix cancer

80 80

70 70

60 60

50 50

40 40

30 30

20 20

10 10

0 0

0 5 10 15 20 0 5 10 15 20

Years of follow up

Years of follow up

1957-66 1967-76 1977-86

1957-76 1977-86

1987-96 1997-06

1987-96 1997-06

CANCER CONTROL 2013 127

Index

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