E-poster Presentation 2014 World Cancer Congress

Ethnicity  as a risk in the first 10 year population study in Sikkim – A North Eastern State of India  (#863)

  1. Population Based Cancer Registry , Department of Health , Gangtok, Sikkim, India

Background: Sikkim  is a state in the North East  Part of India  with a population of 610577 .  The Population  Based cancer Registry  (PBCR)was established in the year 2003 under the National Registry Programme  of India.  This is the first 10 year report and comes out with interesting findings of risks in  a tribal group  (Bhutia ) in the population

Aim:The aim of the registry was to collect incident cancer cases in the entire state of Sikkim   and also to look at cancers in   different ethnic groups .

Methods:– Incident cancer cases were registered in the PBCR data base actively since 2003 .  Age Adjusted incidence rates (AARs ) per 100000 person – years was calculated using the world Standard population and analyzed by Ethnic groups (Bhutia , Rai and Others )

Results: There were a total of 1976 male and 1858  female  cases of cancer between 2003 and 2012 in  the Sikkim PBCR . The overall AARs were 88.7 and 98.7 per 100000 person – years in Males and Females  respectively. Incidence rates were highest among the the Bhutia  group (AAR=172.4 and 147.4per 100000 person- years in males and females respectively) ,and the largest difference in rates were observed  for stomach cancers with AARs being 12.6 and 4.7  times higher in the Bhutia group compared  with other ethnic groups  in Males and females respectively

Conclusions:– Based on the PBCR data  of the past 10 years planning of  screening programmes  for vulnerable ethnic groups in a focused manner  would be advantageous in a low resource setting .