gms | German Medical Science

50. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds)
12. Jahrestagung der Deutschen Arbeitsgemeinschaft für Epidemiologie (dae)

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie
Deutsche Arbeitsgemeinschaft für Epidemiologie

12. bis 15.09.2005, Freiburg im Breisgau

Cancer survival in a southern African urban population

Meeting Abstract

  • Adam Gondos - Department of Epidemiology, German Centre for Research on Ageing, Heidelberg, Germany
  • E. Chokunonga - Zimbabwe National Cancer Registry, Harare, Zimbabwe
  • H. Brenner - Department of Epidemiology, German Centre for Research on Ageing, Heidelberg, Germany
  • D.M. Parkin - International Agency for Research on Cancer, Lyon, France
  • R. Sankila - Finnish Cancer Registry, Helsinki, Finland
  • M.Z. Borok - Zimbabwe National Cancer Registry, Harare, Zimbabwe
  • Z.M. Chirenje - Department of Obstetrics and Gynaecology, University of Zimbabwe, Harare, Zimbabwe
  • A.M. Nyakabau - Department of Radiotherapy, Parirenyatwa Hospital, Harare, Zimbabwe
  • M.T. Bassett - Zimbabwe National Cancer Registry, Harare, Zimbabwe

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie. Deutsche Arbeitsgemeinschaft für Epidemiologie. 50. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds), 12. Jahrestagung der Deutschen Arbeitsgemeinschaft für Epidemiologie. Freiburg im Breisgau, 12.-15.09.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc05gmds088

The electronic version of this article is the complete one and can be found online at: http://www.egms.de/en/meetings/gmds2005/05gmds113.shtml

Published: September 8, 2005

© 2005 Gondos et al.
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Outline

Text

In the context of an international collaborative study, coordinated by the International Agency for Research on Cancer on cancer survival in developing countries, we derived the first comprehensive population based cancer survival estimates from the African continent. Five-year absolute and relative survival estimates are presented for black and white Zimbabwean patients diagnosed with cancer in Harare, Zimbabwe between the years 1993-97. The survival of black Zimbabwean cancer patients are among the lowest ever reported from population based cancer registries. For most cancer sites, white Zimbabwean patients have much higher survival than black Zimbabweans, except for lung and colorectal cancer, for which the estimates are similarly poor. Race specific comparisons to cancer patients in the United States show that Zimbabwean patients have much lower survival than American cancer patients and that the gap between black Zimbabwean patients and black American patients is broader than between white Zimbabwean and white American patients. Access to and the ability to pay for medical care may be a very important barrier to better survival for the majority of black Zimbabwean patients and the most important cause for the very low cancer survival in this population.