The incidence of stomach and esophageal cancer in Mongolia: a data from 2009-2018
- VernacularTitle:Монгол Улсын хүн амын дундах улаан хоолой, ходоодны хорт хавдрын тохиолдолд хийсэн судалгаа (2009-2018 он)
- Author:
Tulgaa L
1
;
Nasanjargal T
1
;
Ulziisaikhan B
1
;
Ganchimeg D
1
;
Tegshjargal B
1
;
Tsegmed S
2
;
Batbold B
1
Author Information
1. Institute of Medical Sciences named after T.Shagdarsuren, MNUMS, Ulaanbaatar, Mongolia
2. National Center for Public Health, Ulaanbaatar, Mongolia
- Publication Type:Journal Article
- Keywords:
gastric cancer;
esophageal cancer;
Mongolia;
cancer epidemiology;
age-standardized rate
- From:Mongolian Medical Sciences
2020;192(2):27-36
- CountryMongolia
- Language:Mongolian
-
Abstract:
Introduction:Cancer is a major public health issue both in Asia and in Mongolia. The most prevalent cancer related
deaths in Mongolia are registered for the stomach, esophagus and liver.
Purpose:We aimed to investigate the incidence of stomach and esophageal cancer in Mongolian population.
Materials and Methods:Epidemiologic data were collected from 2009 to 2018 through the oncology cabinet of all hospitals and
medical centers from all provinces, soums (the smallest unit of provinces) and major districts of the
capital city. The incidence of stomach and esophageal cancer was calculated by appropriate methods
and it was presented by ArcGIS Pro 9.2 software. A P-value of less than 0.05 was considered to be
statistically significant and based on two side hypotheses. All calculations were performed in the IBM
SPSS Statistics software. The study design in concordance with ethical guidelines was approved
by the Ethics Committee of Ministry of Health Mongolia. All clinical investigations were conducted
according to the principles laid down in the Declaration of Helsinki.
Results:The incidence of esophageal cancer in last ten years (2009-2018) was 10.09 in 100000 populations
and the highest incidence were registered in Uvs (38.13), Bayan-Ulgii (24.15) and Zavkhan (18.18)
provinces, respectively. The incidence of stomach cancer was 20.33 in 100000 populations and the
highest incidences were registered in Uvs (53.01), Khovd (46.02) and Darkhan-Uul (40.50) provinces,
respectively.
Conclusion:
1. Incidence rates for esophageal and stomach cancer are high among the Mongolian population.
In the last decade, the incidence of esophageal cancer had not decreased significantly, but it’s
constant.
In our study, the esophageal cancer incidence was 10.09 per 100’000 people, which includes
one of the high incidence rate countries according to the WHO classification. More than 10
aimags incidence rate of esophageal cancer was higher than the National average. Most of them have occurred in the western region of the country. Most of the Western, some of Khangai and
Eastern soums have had the highest incidence of esophageal cancer what we have shown on
the mapping.
2. The incidence rates of stomach cancer were registered as 20.33 per 100’000 people in the last
10 years at the national level. It has shown that according to the WHO classification, our country
is also one of the countries with the highest incidence of stomach cancer. The stomach cancer
incidence trend was increased in the last 10 decades. Therefore, some of aimag’s soums has
included the highest rate classification. In addition, some soums in the Western, Khangai, and
Eastern aimags had have a very high incidence of stomach cancer.
According to results in the above, the nationwide targeted prevention program is needed
especially where the highest incidence rates. Also there is a lack of cooperation between national
organizations to accurate registration of gastrointestinal cancer and to fight against these harmful
cancers.
- Full text:2020-192(2)-27-36.pdf
