Background
Cancer is the second leading cause of death in India accounting for nearly 9.6 million deaths in 2018. Crude annual incidence rate of all cancers together in Rajasthan has increased from 1990 to 2016 from 58.8 to 72.6 per lakh population. Few studies done are based on hospitals and pathology centres, but the data is limited. Community based study is required to know the true burden and trend of cancer prevalent in the region.
Methods
A sampling frame was prepared from all the blocks in rural Jodhpur, one block was selected by simple random sampling. Then another sampling frame was prepared by enlisting the villages in the selected block, one third villages were selected by simple random sampling.
Results
Based on interim analysis, 25 villages have been surveyed till date, with the population of 57,856. We found 91 (0.16%) cancer patients, out of which burden of Oral cancer (19,20.87%) was highest followed by Breast cancer (17,19.31%), Laryngeal cancer (10,10.98%), Primary brain tumours (6,6.59%) respectively. Other cancers were Oesophageal cancer (5) Colorectal cancer (5) Cervical cancer (4) Leukemia (4) Bone tumours (4) Stomach cancer (4) Intestinal cancer (3) Pharyngeal cancer (3) Urinary bladder cancer (1) Thyroid cancer (1) Uterus cancer (1) Lung cancer (1) Renal cell carcinoma (1) Hepatocellular carcinoma (1) and Skin Cancer (1).Tobacco and Opium consumption were found to be associated with Oral and Laryngeal cancer.
Conclusions
According to the World Cancer Report 2020, Lung cancer is the leading cause of mortality followed by Breast cancer Colorectal cancer, Prostate cancer, Stomach cancer and Cervical cancer which is different from the pattern of Western India.
Key messages
This study highlights the common cancers and the need to have a public health approach to identify or create awareness for quick treatment.