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Survival from five common cancers in Georgia, 2015–2019 (CONCORD)
Institution:1. Cancer Survival Group, Department of Non-Communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK;2. Chronic Disease Division, National Center for Disease Control and Public Health, Tbilisi, Georgia;3. Department of Epidemiology and Biostatistics, Tbilisi State Medical University, Georgia;4. Medical Statistics Department, National Center for Disease Control and Public Health, Tbilisi, Georgia;5. Department of Global Health & Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA, USA;6. Department of Health Policy & Management, Harvard T.H. Chan School of Public Health, Harvard University, Boston MA, USA;7. Cancer Division, University College London Hospitals NHS Foundation Trust, London, UK
Abstract:BackgroundPopulation-based cancer survival is a key metric of the effectiveness of health systems in managing cancer. Data from population-based cancer registries are essential for producing reliable and robust cancer survival estimates. Georgia established a national population-based cancer registry on 1 January 2015. This is the first analysis of population-based cancer survival from Georgia.MethodsData were available from the national cancer registry for 16,359 adults who were diagnosed with a cancer of the stomach, colon, rectum, breast (women) or cervix during 2015–2019. We estimated age-specific and age-standardised net survival at one, two and three years after diagnosis for each cancer, by sex.ResultsThe data were of extremely high quality, with less than 2% of data excluded from each dataset. For the patients included in analyses, at least 80% of the tumours were microscopically verified.Age-standardised three-year survival from stomach cancer was 30.6%, similar in men and women. For colon cancer, three-year survival was 60.1%, with survival 4% higher for men than for women. Three-year survival from rectal cancer was similar for men and women, at 54.7%. For women diagnosed with breast cancer, three-year survival was 84.4%, but three-year survival from cervical cancer was only 67.2%.ConclusionEstablishment of a national cancer registry with obligatory cancer registration has enabled the first examination of population-based cancer survival in Georgia. Maintenance of the registry will facilitate continued surveillance of both cancer incidence and survival in the country.
Keywords:Cancer survival  Georgia  Population-based cancer registry  Health systems
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