Cervical Cancer Burden in Tbilisi

Abstract

According to the GLOBOCAN/IARC (2013) estimated 530 000 cases of cervical cancer incidence and 275,000 cervical cancer related deaths were registered worldwide in 2008. Epidemiological study on clarification of the burden of cervical cancer in Tbilisi has been carried out at the University of Georgia. Primary data on 3,773 cases of cervical cancer incidence during the years 1998-2010 was obtained from the National Center for Disease Control and Public Health (NCDC) and National Statistics Office of Georgia (GEOSTAT) provided data on 5,440 cancer related death cases in female population in Tbilisi during the years 2003-2007. Basing on descriptive data analyses, it was identified that the burden of cervical cancer in female population in Tbilisi, presents the important problem of medical and social character. Cervical cancer incidence rate in Tbilisi (ASR= 37,0%000) corresponds to the average rate of incidence in the world developing countries and mortality rate caused by this disease (ASR=3,6%000) corresponds to the same level of the developed countries. Dynamics of the disease shows the increase of the cervical cancer incidence. During the study period, cervical cancer incidence rate has increased by 1.5 times (SRR) and 53.9 % (SIR). The peak level of cervical cancer incidence was registered in the age group 40-44. Cervical cancer was the sixth most common cause of death in the structure of cancer related deaths with the ratio 2.9 % of all cases. Recommendations have been developed basing on the results of the study.