Gynecological Cancer Incidence in Georgia by Regions and Municipalities in 2015-2019

Abstract

At this stage Population Cancer Registry data Base 2015-2019 was studied for gynecological cancer incidence in Georgia by regions and municipalities. 29,303 cases of cancer were registered in female population, of which 5,401(18.4%) were gynecological cancer cases. An analysis obtained as a result of descriptive epidemiological research is underway. The following statistical data were studied: absolute number, crude and age-specific rates (per 100,000), and standardized indicators: ASR, TASR, AAR, SRR, PIR, CR0-64, CR0-74, 95% CI. In Georgia, cervical cancer ranks 3rd in the structure of 10 major localized cancers (ASR = 13.4, AAR = 18.9), endometrial cancer - 4th (ASR = 11.3, AAR = 18.5), and ovarian cancer - 6th place. (ASR = 9.8, AAR = 15.1). The highest incidence of gynecological cancer was in Tbilisi (ASR = 44.9; 95% CI = 44.5- 45.3), Guria (ASR = 41.4; 95% CI = 40.2-42.6) and Shida Kartli (ASR = 38.3; 95% CI = 37.6- 39.1). The incidence of gynecological cancer was lowest in Racha-Lechkhumi and Kvemo Svaneti (ASR = 22.4; 95% CI = 20.5-24.2). The highest incidence of cervical cancer is observed in Borjomi (ASR = 19.7; 95% CI = 10.0-29.3); Ovarian cancer incidence is highest in Poti (ASR = 21.0; 95% CI = 13.3-28.7); the Uterine cancer - Lentekhi (ASR = 22.03; 95% CI = 0.8-45.3) and the Dedoflis Tskaro (ASR = 21.03; 95% CI = 10.7-31.3). Recommendation: Have to Significantly increase the coverage of the female population through the screening program, especially in municipalities with a high incidence of gynecological cancer; Enhance surveys by municipalities with high cumulative risk. Promotion of the improvement of gynecological cancer control programs and guidelines, patient health advocacy, and promotion of patient health insurance packages. Determination of the gynecological cancer burden in cancer incidence and mortality structures, assessing disease progression and patient survival. Clarification of the main regions and municipalities of Georgia with the highest gynecological cancer incidence;