Abstract
We documented available information concerning incident cases of gastric cancer in part of Kenya's Eastern Province between 1991 and 1993. By reviewing the records of all major health facilities in the area, 200 cases of gastric carcinoma were found giving an annual average crude incidence rate of 7.01 per 100 000 males and 3.7 for females (world age-standardised rates, 14.3 for males and 7.1 for females). There is likely to be underascertainment of cases especially among those aged over 65 years. Previous incidence estimates for the same area of Kenya were reviewed and a 10-fold increase in the recorded indirectly standardised incidence rate between the periods 1965–70 and 1991–93 was noted but this may be due to improved diagnostic facilities. The recent rates in this part of Kenya are comparable to Eastern European rates and similar to those recorded in other highland regions of Africa. © 2001 Cancer Research Campaign
Keywords: gastric cancer, incidence, Helicobacter pylori
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- Bayo S., Parkin D. M., Koumaré A. K., Diallo A. N., Ba T., Soumaré S., Sangaré S. Cancer in Mali, 1987-1988. Int J Cancer. 1990 Apr 15;45(4):679–684. doi: 10.1002/ijc.2910450418. [DOI] [PubMed] [Google Scholar]
- Blaser M. J. Malaria and the natural history of Helicobacter pylori infection. Lancet. 1993 Aug 28;342(8870):551–551. doi: 10.1016/0140-6736(93)91674-b. [DOI] [PubMed] [Google Scholar]
- Chokunonga E., Levy L. M., Bassett M. T., Borok M. Z., Mauchaza B. G., Chirenje M. Z., Parkin D. M. Aids and cancer in Africa: the evolving epidemic in Zimbabwe. AIDS. 1999 Dec 24;13(18):2583–2588. doi: 10.1097/00002030-199912240-00012. [DOI] [PubMed] [Google Scholar]
- Chokunonga E., Levy L. M., Bassett M. T., Mauchaza B. G., Thomas D. B., Parkin D. M. Cancer incidence in the African population of Harare, Zimbabwe: second results from the cancer registry 1993-1995. Int J Cancer. 2000 Jan 1;85(1):54–59. doi: 10.1002/(sici)1097-0215(20000101)85:1<54::aid-ijc10>3.0.co;2-d. [DOI] [PubMed] [Google Scholar]
- Cook P. J., Burkitt D. P. Cancer in Africa. Br Med Bull. 1971 Jan;27(1):14–20. doi: 10.1093/oxfordjournals.bmb.a070807. [DOI] [PubMed] [Google Scholar]
- Dent R. I. Changes in epidemiology of cancer of the stomach in Zimbabwe. Cent Afr J Med. 1989 Sep;35(9):493–494. [PubMed] [Google Scholar]
- Echimane A. K., Ahnoux A. A., Adoubi I., Hien S., M'Bra K., D'Horpock A., Diomande M., Anongba D., Mensah-Adoh I., Parkin D. M. Cancer incidence in Abidjan, Ivory Coast: first results from the cancer registry, 1995-1997. Cancer. 2000 Aug 1;89(3):653–663. doi: 10.1002/1097-0142(20000801)89:3<653::aid-cncr22>3.0.co;2-z. [DOI] [PubMed] [Google Scholar]
- Holcombe C. Helicobacter pylori: the African enigma. Gut. 1992 Apr;33(4):429–431. doi: 10.1136/gut.33.4.429. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kitinya J. N., Lauren P. A., Jones M. E., Paljarvi L. Epidemiology of intestinal and diffuse types of gastric carcinoma in the Mount Kilimanjaro area, Tanzania. Afr J Med Med Sci. 1988 Jun;17(2):89–95. [PubMed] [Google Scholar]
- Koulibaly M., Kabba I. S., Cissé A., Diallo S. B., Diallo M. B., Keita N., Camara N. D., Diallo M. S., Sylla B. S., Parkin D. M. Cancer incidence in Conakry, Guinea: first results from the Cancer Registry 1992-1995. Int J Cancer. 1997 Jan 6;70(1):39–45. doi: 10.1002/(sici)1097-0215(19970106)70:1<39::aid-ijc6>3.0.co;2-7. [DOI] [PubMed] [Google Scholar]
- Madebo T., Lindtjørn B., Henriksen T. H. High incidence of oesophagus and stomach cancers in the Bale highlands of south Ethiopia. Trans R Soc Trop Med Hyg. 1994 Jul-Aug;88(4):415–415. doi: 10.1016/0035-9203(94)90407-3. [DOI] [PubMed] [Google Scholar]
- Newton R., Ngilimana P. J., Grulich A., Beral V., Sindikubwabo B., Nganyira A., Parkin D. M. Cancer in Rwanda. Int J Cancer. 1996 Mar 28;66(1):75–81. doi: 10.1002/(SICI)1097-0215(19960328)66:1<75::AID-IJC14>3.0.CO;2-A. [DOI] [PubMed] [Google Scholar]
- Ngendahayo P., Parkin D. M. Le cancer au Rwanda. Etude de fréquence relative. Bull Cancer. 1986;73(2):155–164. [PubMed] [Google Scholar]
- Parkin D. M., Wabinga H., Nambooze S. Completeness in an African cancer registry. Cancer Causes Control. 2001 Feb;12(2):147–152. doi: 10.1023/a:1008966225984. [DOI] [PubMed] [Google Scholar]
- Segal I., Ally R., Sitas F., Walker A. R. Co-screening for primary biliary cirrhosis and coeliac disease. Helicobacter pylori: the African enigma. Gut. 1998 Aug;43(2):300–301. doi: 10.1136/gut.43.2.300a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Wabinga H. R., Parkin D. M., Wabwire-Mangen F., Nambooze S. Trends in cancer incidence in Kyadondo County, Uganda, 1960-1997. Br J Cancer. 2000 May;82(9):1585–1592. doi: 10.1054/bjoc.1999.1071. [DOI] [PMC free article] [PubMed] [Google Scholar]