J Cancer Epidemiol. 2020 Jul 14;2020:6031708. doi: 10.1155/2020/6031708. eCollection 2020.
Regional Variation of Pancreatic Cancer Incidence in the Nile Delta Region of Egypt over a Twelve-Year Period.
Journal of cancer epidemiology
Christina Baum, Amr S Soliman, Heidi E Brown, Ibrahim A Seifeldin, Mohamed Ramadan, Breanne Lott, An Nguyen, Ahmed El-Ghawalby, Ahmed Hablas
Affiliations
Affiliations
- Department of Epidemiology & Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA.
- Department of Community Health and Social Medicine, City University of New York Medical School, New York City, NY 10031, USA.
- Gharbiah Cancer Society, Tanta, Gharbiah, Egypt.
- Department of Health Promotion Sciences, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, AZ 85724, USA.
- Department of Global Health, Milken Institute School of Public Health, George Washington University, Washington, DC 20052, USA.
- Department of Surgery, Liver Transplantation Unit, Gastrointestinal Surgery Center, College of Medicine, Mansoura University, Mansoura, Egypt.
PMID: 32733561
PMCID: PMC7376424 DOI: 10.1155/2020/6031708
Abstract
BACKGROUND: Pancreatic cancer is one of the deadliest forms of cancer, with incidence rates rising in many countries around the world. Geographic variation in pancreatic cancer incidence has not been studied extensively, especially in low- and middle-income countries. The aim of this study was to characterize the distribution of pancreatic cancer incidence in the central Nile Delta region of Egypt and to examine differences by urban and rural patient residence using the nation's only population-based cancer registry.
METHODS: Utilizing the Gharbiah province population-based cancer registry, data were abstracted for 1,089 pancreatic cancer cases diagnosed over twelve years from 1999 to 2010. Age- and sex-specific incidence rates were calculated and compared for urban and rural areas of the eight districts of Gharbiah.
RESULTS: Age-adjusted incidence of pancreatic cancer within Gharbiah varied considerably by urban/rural patient residence and by district. Incidence rates were 1.3 times higher in urban compared to rural areas (4.45 per 100,000 in urban areas and 3.43 per 100,000 in rural areas). The highest incidence rates were observed in urban centers of Kotour, El Santa, and Kafr El-Zayat districts (12.94, 8.32, and 7.89, respectively).
CONCLUSION: Incidence rates varied greatly by urban and rural areas and by district of residence in the Nile Delta region of Egypt. Future studies should examine potential environmental risk factors that may contribute to the geographic distribution of pancreatic cancer in this region.
Copyright © 2020 Christina Baum et al.
Conflict of interest statement
The authors declare that there is no conflict of interest regarding the publication of this article.
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