The Ekiti Cancer Registry became a provisional member of AFCRN in 2019

Elima Jedy- Agba et al. The role of hospital- based cancer registries in low and middle income countries – The Nigerian case Study . cancer Epidemiol.2012 Oct; 36(5):

430-5.

Jedy-Agba E, Oga A, Odutola M, Abdullahi M, Popoola A, Achara P, et al. Adebamowo. Developing National Cancer Registration in Developing Countries – Case Study of the Nigeria National System of Cancer Registries. Frontiers in Public Health 3:188.

Omonisi AE, Erinomo OO, Inubile AJ, Adebayo O, Ayodele J, Areo PO, et al. 1

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Cancer Incidence Report from Ekiti, Southwest, Nigeria, 2013- 2017, Ekiti Cancer Registry Nigeria Technical Report, 2018.

Data from the registry were included in Cancer Incidence in Nigeria Book: 2009- 2013. https://nigeriancancer registries.net /Cancer in Nigeria 2009- 2013.pdf.

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*Nigeria, Ekiti (2013−2017) Number of cases by age group and summary rates of incidence: males

Age group (years) ICD-10 C00-06 C07-08 C11 C09-10, C12-14 C15 C16 C18 C19-20 C21 C22 C23-24 C25 C32 C33-34 C40-41 C43 C44 C45 C46 C47, C49 C50 C60 C61 C62 C64-65 C67 C66, C68 C69 C70-72 C73 C81 C82-86, C96 C90 C91 C92-94 C95 O&U C00-96 C00-96 exc. C44

Site Mouth Salivary gland Nasopharynx Other pharynx Oesophagus Stomach Colon Rectum Anus Liver Gallbladder etc. Pancreas Larynx Trachea, bronchus, and lung Bone Melanoma of skin Non-melanoma skin Mesothelioma Kaposi sarcoma Connective and soft tissue Breast Penis Prostate Testis Kidney and renal pelvis Bladder Ureter and other urinary Eye Brain and nervous system Thyroid Hodgkin lymphoma Non-Hodgkin lymphoma Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Leukaemia, unspecified Other and unspecified All sites All sites except C44 Average annual population

ASR (W) 0.6 0.1 0.5 0.5 0.6 0.8 1.1 1.1 0.7 2.7 0.7 0.3 0.0 0.1 0.1 0.2 0.7 0.0 0.0 1.1 0.6 0.0 33.0 1.2 0.2 1.2 0.1 0.3 0.1 0.3 1.3 3.4 0.0 0.0 0.9 0.0 4.9 59.6 58.9

CR 74 0.07 0.01 0.06 0.06 0.09 0.08 0.10 0.13 0.06 0.26 0.11 0.02 0.00 0.02 0.00 0.04 0.09 0.00 0.00 0.13 0.03 0.00 4.04 0.09 0.01 0.19 0.01 0.04 0.02 0.03 0.15 0.34 0.00 0.00 0.09 0.00 0.56 6.91 6.81

% 1.6 0.4 0.9 0.9 1.1 1.4 2.5 1.6 1.2 5.1 1.1 0.7 0.0 0.2 0.2 0.4 0.9 0.0 0.0 2.1 1.2 0.2 51.3 2.8 0.5 1.9 0.2 0.4 0.2 0.5 2.5 6.2 0.0 0.0 1.9 0.0 8.0 100.0 99.1

Crude rate 0.6 0.1 0.3 0.3 0.4 0.5 0.9 0.6 0.4 1.8 0.4 0.2 0.0 0.1 0.1 0.1 0.3 0.0 0.0 0.7 0.4 0.1 18.0 1.0 0.2 0.7 0.1 0.1 0.1 0.2 0.9 2.2 0.0 0.0 0.7 0.0 2.8 35.1 34.8 322004

All ages 9 2 5 5 6 8 14 9 7 29 6 4 0 1 1 2 5 0 0 12 7 1 290 16 3 11 1 2 1 3 14 35 0 0 11 0 45 565 560

Age unk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

MV % 89 50 60 0 33 50 71 67 57 21 83 25 - 0 100 100 80 - - 83 100 100 88 94 100 91 100 50 0 100 100 94 - - 100 - 49 78 78

DCO % 0 0 20 0 0 0 0 11 0 34 0 0 - 100 0 0 20 - - 0 0 0 1 0 0 0 0 0 0 0 0 3 - - 0 - 7 4 3

0- - - 1 1 - - - 1 - - - 2 - - - - 1 6 6 34186

5- - - - 1 - - - 1 - - - 2 2 37189

10- - - - 1 - - - 1 - - - 1 - 3 6 6 41033

15- 1 - - - 1 - 1 - 1 - - - 1 - - 1 - 1 7 7 42223

20- 2 - 1 - - - 1 - - - 1 - - 1 3 - - - 1 1 - - 1 - - 12 12 43362

25- 3 - - - 2 - - - 1 - - - 2 - - - 1 - - - 1 1 1 - - - - 1 13 13 30177

30- - 1 - - - - 1 - - 3 - - - 1 - - 3 2 1 - - - - 1 - - - 2 15 15 18154

35- - - - 2 - - 5 - 1 - - - - 1 - - - 1 - 1 2 - - 1 1 - - 3 1 - - 1 - 2 22 21 14763

40- - - - 1 2 - 2 1 - 3 1 - - - 1 - - - 2 1 - 1 - - - - 1 3 - - 1 - 3 23 22 14504

45- 1 - - - 1 1 2 5 1 - - - 1 1 - 2 - - 1 - - - - 1 1 - - 1 - 4 23 23 12031

50- - - 2 - - 2 - - 2 3 - 2 - - - 1 - - - 3 - - 9 1 - 2 - - - - 1 2 - - 2 - 2 34 34 10989

55- 1 - - - 1 - - 2 - 2 - - - 1 - - - - - 21 - - - 1 1 4 - - - - 5 39 38 5770

60- - - - 1 - 2 1 3 - - - 1 - - - 1 1 - 37 - - 2 - - 1 - 1 3 - - 1 - 5 60 60 6176

65- - - 1 - - - - 1 - 1 1 - - - 2 - - 2 - - 39 1 - 1 - 1 - - 1 2 - - - - 7 60 58 3162

70- 1 - - 1 2 1 1 - 1 2 2 - - - - 1 - - - - 58 - - 3 - - - - 1 3 - - 1 - 2 80 80 3407

75+ - 1 - 1 1 3 3 1 2 5 - 1 - - - 4 - 117 3 1 1 - - - - 1 10 - - 1 - 7 163 163 4878

*Nigeria, Ekiti (2013−2017) Number of cases by age group and summary rates of incidence: females

Age group (years) ICD-10 C00-06 C07-08 C11 C09-10, C12-14 C15 C16 C18 C19-20 C21 C22 C23-24 C25 C32 C33-34 C40-41 C43 C44 C45 C46 C47, C49 C50 C51 C52 C53 C54-55 C56 C58 C64-65 C67 C66, C68 C69 C70-72 C73 C81 C82-86, C96 C90 C91 C92-94 C95 O&U C00-96 C00-96 exc. C44

Site Mouth Salivary gland Nasopharynx Other pharynx Oesophagus Stomach Colon Rectum Anus Liver Gallbladder etc. Pancreas Larynx Trachea, bronchus, and lung Bone Melanoma of skin Non-melanoma skin Mesothelioma Kaposi sarcoma Connective and soft tissue Breast Vulva Vagina Cervix uteri Uterus Ovary Placenta Kidney and renal pelvis Bladder Ureter and other urinary Eye Brain and nervous system Thyroid Hodgkin lymphoma Non-Hodgkin lymphoma Multiple myeloma Lymphoid leukaemia Myeloid leukaemia Leukaemia, unspecified Other and unspecified All sites All sites except C44 Average annual population

ASR (W) 0.6 0.3 0.3 0.2 0.2 1.0 1.8 0.4 0.2 1.2 0.2 0.4 0.0 0.2 0.4 0.0 0.6 0.0 0.3 1.6 30.0 0.6 0.0 9.3 2.7 2.9 0.1 0.2 1.0 0.0 0.0 0.1 0.4 1.0 6.8 0.0 0.1 0.4 0.0 3.7 68.9 68.3

CR 74 0.07 0.05 0.03 0.02 0.01 0.14 0.29 0.04 0.01 0.12 0.02 0.01 0.00 0.01 0.06 0.00 0.07 0.00 0.04 0.19 3.40 0.07 0.00 1.14 0.28 0.28 0.01 0.01 0.12 0.00 0.00 0.00 0.04 0.15 0.77 0.00 0.00 0.03 0.00 0.44 7.93 7.85

% 1.1 0.3 0.6 0.2 0.3 1.1 2.0 0.6 0.3 1.6 0.2 0.6 0.0 0.3 0.5 0.0 0.6 0.0 0.5 2.2 46.3 0.6 0.0 11.4 3.7 5.1 0.2 0.3 0.9 0.0 0.0 0.2 0.5 1.6 9.8 0.0 0.2 0.8 0.0 5.5 100.0 99.4

Crude rate 0.5 0.1 0.3 0.1 0.1 0.5 0.9 0.3 0.1 0.7 0.1 0.3 0.0 0.1 0.2 0.0 0.3 0.0 0.2 0.9 19.6 0.3 0.0 4.8 1.6 2.2 0.1 0.1 0.4 0.0 0.0 0.1 0.2 0.7 4.2 0.0 0.1 0.3 0.0 2.3 42.3 42.0 303060

All ages 7 2 4 1 2 7 13 4 2 10 1 4 0 2 3 0 4 0 3 14 297 4 0 73 24 33 1 2 6 0 0 1 3 10 63 0 1 5 0 35 641 637

Age unk 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

MV % 71 50 50 100 50 29 54 25 100 30 0 100 - 50 67 - 75 - 100 71 76 75 - 67 75 70 100 50 67 - - 0 100 100 98 - 100 100 - 40 73 73

DCO % 0 0 0 0 0 14 8 25 0 20 100 0 - 0 0 - 0 - 0 7 4 0 - 1 0 9 0 0 0 - - 0 0 0 2 - 0 0 - 11 5 5

0- 1 - 1 - - - 2 2 32121

5- - - - - 34031

10- - - - 1 - - 1 - - 2 2 37838

15- - - 1 - - - 2 - - - 1 - - - 1 - - - 1 6 6 38304

20- 1 - - - 1 - - - - 22 - - 1 - 1 - - - 1 1 - - - - 2 30 30 40847

25- 1 - 1 - - - - 44 - - 1 3 5 - - - 2 5 - - 1 - 2 65 65 29970

30- - - - 1 - - 1 - - - 1 2 30 1 - 1 1 3 - - - 1 - - 6 - 1 1 - 4 54 54 20133

35- 1 - - - 1 1 1 - - - 2 31 - - 6 3 6 1 - - - 3 6 - - - - 3 65 65 17099

40- 1 - - - 1 1 1 - - - - 2 - - - - 31 - - 1 3 5 - - - 1 13 - - 1 - 3 64 64 13694

45- - - - 1 1 1 - 2 - - - 1 - 29 - - 12 3 4 - - - 7 - - - - 4 65 65 10884

50- - 1 - - - - 1 2 - - - 1 2 - 1 - - 1 23 - - 12 3 3 - 1 1 - - - 4 - - 1 - 5 62 61 8636

55- - - 1 1 - 1 1 - - 1 1 - - - 2 - 1 1 26 - - 9 5 1 - - 2 - - - 1 - 6 - - - - - 60 58 4780

60- - - - 1 1 - - - 1 - - 3 15 - - 7 1 2 - - - 1 - 3 - - - - 2 37 36 5008

65- - - - 1 1 - - 2 - - - - 1 - - - - 2 18 2 - 6 1 - - - 2 - - - - 1 6 - - - - 3 46 46 2895

70- 1 1 - - - 1 4 - - - - 15 - - 7 - 1 - - - 2 2 - - - - 3 37 37 2317

75+ 1 - - - 1 1 1 - 1 3 - 2 - 1 - - - 1 13 1 - 10 1 1 - 1 1 - - - 3 - - - - 3 46 46 4502

Nigeria, Ibadan

The Ibadan Cancer Registry (IBCR) was the second population-based cancer registry established in Africa. It was set up in April 1960 with the aim of providing incidence rates for different cancer types in Ibadan and its environs, and to provide baseline data for use by health planners, physicians and research workers. The registry is based in the Pathology Department of the University College Hospital (UCH) in Ibadan.

The Registry is led by its Principal Investigator (Consultant Pathologist) and the deputy principal investigator and is staffed with 5 members (registrar, assisted by another trained registrar, a data manager/ computer analyst, a data collection officer/clerk, and a secretarial assistant.

The registry is funded only in part by the University College Hospital and the College of Medicine of the University of Ibadan. It has received grant support from the IARC in the past as well as grant support for studies through the AFCRN.

The registry collaborates with the Nigerian Federal Ministry of Health and the local state ministry of health by providing data to help with Cancer Control Plans, including through the Nigerian National System of Cancer Registries (NSCR).

Ibadan is the capital of Oyo State and is the second largest city in Nigeria by geographical area. With 2,549,265 inhabitants at the 2006 population census, the current population estimate is about 3 million people for the catchment area of the registry,

comprising 11 Local Government Areas (LGAs): Akinyele, Egbeda, Ibadan North, Ibadan North East/North West/South East/South West, Ido, Lagelu, Oluyole and Ona-ara). Residents are defined as persons who have been living in the relevant area for at least one year.

Oyo State, for the most part, is homogenous, mainly inhabited by the Yoruba ethnic group who are primarily agrarian. Ibadan, the administrative centre of the state, is also home to other ethnicities that have migrated for business, education or other living. About 10% of the population are of Hausa/Fulani, Igbo and Efik/Ibibio descent. There are about 55% Muslims and 45% Christians.

The registry actively collects cases from specialist cancer services available in the UCH including radiotherapy, pathology laboratory, the fine needle aspiration cytology clinic (FNAC) and other diagnostic cytological services. Regular visits to the haematology department provide the opportunity to retrieve information on haematological malignancies. IBCR also collects data from two state government hospitals (Adeoyo Hospital and Ring Road Hospital) and several private and mission hospitals that provide general medical, gynaecological and paediatric services. Seven private pathology laboratories in the registry area also provide data.

Apart from these, the registry receives some cases from medical centres in its environs including the Baptist Medical Centre (Ogbomosho North local Government Area); Ladoke Akintola University of Technology Teaching Hospital, Oshogbo;

and Obafemi Awolowo University Teaching Hospital (Ife North Local Government area).

The Ibadan Cancer Registry utilizes an active data collection method to obtain cases from sources mentioned above as well as from the state Office of Statistics, and a hospice located within the UCH premises. Registry staff visit these sources to scrutinize the records kept in the medical records departments and the registers of individual departments that diagnose and treat cancers to identify and abstract information on cancer cases among confirmed residents of the registry region. Although cancer is not a notifiable disease, some registration forms are received from private practitioners. A recently established local comprehensive cancer screening and diagnostic facility also provides data to the registry.

The death registration system in the state is inadequate and incomplete; however, death certificates issued by physicians at UCH are considered to be accurate. Hopefully there will be improvement in casefinding with the presence of hospice, access to population records, and the presence of the newly introduced hospital mortality publication.

The CanReg 4 system has been used for data recording and management since 1997. Cases are coded according to

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Dans le document Cancer in Sub-Saharan Africa (Page 150-153)