European Journal of Epidemiology

, Volume 14, Issue 3, pp 287–297

The Cuban National Cancer Registry: 1986–1990

  • Antonio A. Martín
  • Yaima H. Galán
  • Armando J. Rodríguez
  • Margarita Graupera
  • Patricia Lorenzo-Luaces
  • Leticia M. Fernández
  • Rolando Camacho
  • Marta Lezcano
Article

Abstract

In Cuba, the illness that produces most deaths among 1–64–year-olds is cancer. Over 65, it is the second cause of death after heart diseases. A National Cancer Registry was created 1964. Its main goals are to register all malignant neoplasms diagnosed in the country, to study this disease from the statistical and epidemiological point of view and to aid in the health control and planning of cancer fighting resources. This paper presents the results based on cases registered from 1986 to 1990. More than 50% of incidence and mortality caused by cancer is confined to the five major primary sites: lung, prostate, colon, breast and cervix. World population standardised rates by 100,000 inhabitants for the period 1986–1990 were 218.2 in males and 183.7 in females for incidence and 138.4 in males and 95.1 in females for mortality. Cancer incidence distribution by provinces shows two major regions: western-central, where higher risks of lung, breast, prostate and colon cancers are found, and eastern where very high risk of cervix cancer is observed. Although an improvement of the information quality indexes has been reported by the National Cancer registry in the studied period of time, quality of the data remained very poor according to the international standards. However, the results obtained by the National Cancer Registry seem to be a valuable tool to evaluate the cancer burden and, in particular, to control and eventually modify the tasks of the National Cancer Control Program in Cuba.

Cancer Cancer registry Epidemiology Incidence Mortality 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Boring CC, Squires TS, Tong T. Cancer statistics, 1994. CA Cancer J Clin 1994; 44: 7–26.Google Scholar
  2. 2.
    Brinton LA, Fraumen JF. Epidemiology of uterine cervical cancer. J Chron Dis 1986; 39: 1051–1106.Google Scholar
  3. 3.
    Camacho R, Fernández LM, Martín AA, Abascal ME, Diez M. El programa nacional de control de cáncer en Cuba. Rev Cub Med Gen Integral 1994; 10(3): 215–219.Google Scholar
  4. 4.
    Caraballoso M. National cancer registry of Cuba: 1971– 1980. In: Parkin DM, Stiller CA, Bieber A, Draper GJ, et al. (eds), International incidence of childhood cancer. Lyon: IARC Scientific Publication No. 87, 1988.Google Scholar
  5. 5.
    Caraballoso M, Fernández L, Ríos E. Nuevo sistema del registro nacional de cáncer. Procedimientos administrativos. Revista Cubana de Administración de Salud 1986; 12 (2): 159–165.Google Scholar
  6. 6.
    Comité Estatal de Estadísticas. Compendio de cifras de mortalidad general, infantil y perinatal. Período 1960– 1980. RepÚblica de Cuba, La Habana, 1983.Google Scholar
  7. 7.
    Cutler SJ. Organización de registros permanentes de incidencia de cáncer. Seminario sobre registros de cáncer en América Latina. OPS. Publicación Científica No. 215. Cali, 1970.Google Scholar
  8. 8.
    Cuzick J, Boyle P. Trends in cervix motality. Cancer Surveys 1988; 7: 417–439.Google Scholar
  9. 9.
    Doll R, Peto R. The causes of cancer. Quantitative estimates of avoidable risk of cancer in the United States today. J Natl Cancer Inst 1981; 66: 1191–1308.Google Scholar
  10. 10.
    Doll R, Smith PG. Comparison Between Registries: Age-standardized rates. In: Waterhouse J, Muir CS, Shanmugaratnam K, Powell J (eds), Cancer incidence in five continents, Volume IV, Lyon: IARC Scientific Publications No. 42, 1982: 671–675.Google Scholar
  11. 11.
    Fernández L. Sistema de información para el Registro Nacional de Cáncer. Tesis de Candidatura. Instituto Nacional de Oncología y Radiobiología. La Habana, 1985.Google Scholar
  12. 12.
    Fernández L, Caraballoso M, Rodríguez R, Pereira L. Proposición de un sistema automatizado para procesar la información del Registro Nacional de Cáncer. Revista Cubana de Administración de Salud 1984; 10: 341–346.Google Scholar
  13. 13.
    Fernández L, Caraballoso M, Martín A, et al. National Cancer Registry of Cuba. In: Parkin DM, Meier CS, Whelan SL, Gao YT, Ferlay A, Powell J (eds), Cancer incidence in five continents, Volume VI. Lyon: IARC Scientific Publications No. 120, 1993.Google Scholar
  14. 14.
    Fernández L, Martín A. Morbilidad y Mortalidad por Cáncer en Cuba. Revista Cubana de Oncología 1990; 6 (2): 294–300.Google Scholar
  15. 15.
    Galán Y, Martín A, Rodríguez A, Grauper M, Luaces P, Fernández L. Estimación de la integridad de casos del Registro Nacional de Cáncer de Cuba. Rev Cubana Oncol 1996; 12(1): 37–42.Google Scholar
  16. 16.
    Gónzalez S, Suárez N, Caceres C, Conde C, Camacho R. Características del hábito de fumar en Cuba. Revista Venezolana de Oncología 1993; 5: 93–95.Google Scholar
  17. 17.
    Halley G. CUBA. In: Waterhouse J, Muir CS, Correa P, Powell J (eds), Cancer incidence in five continents, Volume III. Lyon: IARC Scientific Publication No. 15, 1976.Google Scholar
  18. 18.
    Halley G. CUBA. In: Waterhouse J, Muir CS, Shanmugaratna K, Powell J (eds), Cancer incidence in five continents, Volume IV. Lyon: IARC Scientifc Publication No. 42, 1982.Google Scholar
  19. 19.
    Howe GR, Friendenreich CM, Jain M, Miller AB. A cohort study of fat intake and risk of breast cancer. J Natl Cancer Inst 1991; 83: 336–340.Google Scholar
  20. 20.
    Instituto de Investigaciones Estadísticas. Proyección de la población Cubana 1980–200. Comité Estatal de Estadísticas. La Habana, 1986.Google Scholar
  21. 21.
    Kvale G. Reproductive factors in breast cancer epidemiology. Acta Oncol 1992; 31: 187–194.Google Scholar
  22. 22.
    Lence JJ, Fernández L, Lezcano N, Martín A, González A, González S, Conde C. El riesgo de enfermar y morir por cancer en las diferentes provincias de Cuba. Rev Cubana Oncol 1991; 7(1): 42–56.Google Scholar
  23. 23.
    Lorenzo-Luaces P, Galán Y, Abscal ME. Técnicas multivariadas en la investigación epidemiológica. Ejemplo en la prevalencia de factores de riesgo de cáncer en Cuba. Rev Cuban Oncol 1995; 11(1): 55–60.Google Scholar
  24. 24.
    Martín AA, Fernández L. Plan de validación del nuevo sistema del Registro Nacional de Cáncer. Revista Cubana de Oncología 1987; 3(3): 421–427.Google Scholar
  25. 25.
    Martín AA, Fernández L, Rodríguez A. Cáncer en Cuba: Estadísticas de morbilidad y mortalidad. Centro de Salud (Madrid) 1994; 2(2): 115–121.Google Scholar
  26. 26.
    Martín AA, Valdés M, Lonchong M, Grueiro S. Incidencia del cáncer infantil en Cuba (1983–1987). Rev Cubana Oncol 1994; 10(1–2): 50–58.Google Scholar
  27. 27.
    Martín AA, Valdés M, Lonchong M, Grueiro S. Tendencia de la mortalidad por cáner infantil en Cuba. Oncología (Madrid) 1994; 7(17): 55–61.Google Scholar
  28. 28.
    Martín AA, Alert JA, Renó JS, Lonchong M, Grueiro S. Incidence of chilhood cancer in Cuba. Int J Cancer 1997; 71: 551–555.Google Scholar
  29. 29.
    Muir CS, Waterhouse J. Comparability and quality of data: Reliability of registration. In: Muir CS, Waterhouse J, Mack T, Powell J, Whelan S (eds), Cancer incidence in five continents, Volume V. Lyon: IARC Scientific Publication No. 42, 1982.Google Scholar
  30. 30.
    Ministerio de Salud PÚblica. RepÚblica de Cuba. Informe Anual: 1993; Ciudad de la Habana.Google Scholar
  31. 31.
    Organización Panamericana de la Salud. Clasificación Internacional de Enfermedades para Oncología (CIEO). Primera Edición. Publicación Científica: 1977; No. 345, Washington.Google Scholar
  32. 32.
    Parkin DM, Chen VW, Ferlay J, Galcerán J, Storm HH, Whelan SL. Comparabilidad y control de la calidad en los registros de cáncer. Informe Técnico: 1995; No. 19. Lyon: IARC.Google Scholar
  33. 33.
    Parkin DM, Coleman MP. Changes in diet and changes in cancer risk. Observational studies. In: Hakama M, Beral V, Cullen JM, Parkin DM (eds), Evaluating effectiveness of primariy prevention of cancer. Lyon: IARC Scientific Publication No. 103, 1990.Google Scholar
  34. 34.
    Parkin DM, Meier CS Whelan SL, Gao YT, Ferlay A, Powell J (eds). Cancer incidence in five continents, Volume VI. Lyon: IARC Scientific Publications No. 120, 1993.Google Scholar
  35. 35.
    Parkin DM, Stiller CA, Bieber A, Draper GJ, Terracini B, Young JL. International incidence of childhood cancer. Lyon: IARC Scientific Publication No. 87, 1988.Google Scholar
  36. 36.
    Parkin DM, Stjernsward J, Muir CS. Cancer control. Estimates of the worldwide frequency of the twelve major cancer. WHO 1984; 62: 163–182.Google Scholar
  37. 37.
    Ríos NE. Estado actual de los sistemas de información de mortalidad en Cuba. Instituto de Desarrollo de la Salud. MINSAP: 1980; La Habana.Google Scholar
  38. 38.
    Tomatis L, Aitio A, Day NE, Heseltine E, Kaldor J, Miller AB, et al. (eds), Cancer, causes, ocurrence and control. Lyon: IARC Scientific Publication No. 100, 1990.Google Scholar
  39. 39.
    Weinstein IB. Cancer prevention: Recent progress and future opportunities. Cancer Research 1991; 51 (Suppl): 5080S–5085S.Google Scholar
  40. 40.
    Whelan SL. Quality control of international cancer incidence data. Health Reports 1993; 5(1): 73–79.Google Scholar
  41. 41.
    Zaridze DG, Boyle P. Cancer of the prostate. Epidemiology and aetiology. Br J Urol 1987; 59: 493–502.Google Scholar

Copyright information

© Kluwer Academic Publishers 1998

Authors and Affiliations

  • Antonio A. Martín
    • 1
  • Yaima H. Galán
    • 1
  • Armando J. Rodríguez
    • 1
  • Margarita Graupera
    • 1
  • Patricia Lorenzo-Luaces
    • 1
  • Leticia M. Fernández
    • 1
  • Rolando Camacho
    • 1
  • Marta Lezcano
    • 1
  1. 1.National Cancer RegistryNational Institute of OncologyHavanaCuba

Personalised recommendations