000			04161nam a22003257a 4500
001			CUHAS/MPH/6000201/T/19
003			CUHAS/MPH/6000201/T/19
005			20240423152918.0
008			221212b |||||||| |||| 00| 0 eng d
028			_bWurzburg Road 35, BMC Premises, Post Code: 33102:
028			_b P. O Box 1464, Mwanza – Tanzania:
028			_bPhone: +255 28 298 3384:
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_bWebsite: www.bugando.ac.tz
040			_bEnglish _cddc
041			_aEnglish
100			_aAlen Amasi Kanjanja _d[Male] _947188 _eCUHAS/MPH/6000201/T/19
222			_aKeywords: _bCancer, Patterns, Geospatial Distribution, Bugando Medical Centre (BMC).
245			_aGeospatial distribution, pattern, and associated factors of cancer among patients attending Bugando Medical Centre, North-western Tanzania
260			_aMwanza, Tanzania: _b Catholic University of Health and Allied Sciences [CUHAS – Bugando] : _c2022
300			_axvi; 114 Pages
300			_aIncludes References and Appendices
520			_aAbstract: Background: Cancer continues to be ranked high in causing mortality and morbidity among non-communicable disease with 10 million deaths annually. Epidemiological reports on caner burden show a large heterogeneity by region, reflecting variation in potential environmental exposure, social economics, and access to medical care and screening. Geospatial studies in recent decades around the world has played a greater role in discovery of diseases distribution and hence associated factors and helped in preventive and control strategies. This study aimed to determine the geospatial distribution, patterns, and associated factors cancer patients from the Lake Zone communities attending Bugando Medical Centre in Northern Tanzania by using the Mwanza cancer registry (MCR). MCR records all cancers cases attending the Bugando medical centre (BMC) in the lake zone. Methods: This was a retrospective, cross-sectional hospital-based study involving 3697 participants from the MCR with confirmed diagnosis by histopathology studies. Data analysis was performed using STATA version 15. For the purpose of obtaining the geospatial distribution of cancer cases in the Lake Zone Quantum Geographical Information System (QGIS) version 3.24.1 was used. Results: About one third (34.5%) of the participants were aged between 52 and 68 years. Their median age was 53(IQR: 39-65) years. The majority (22%) of the participants were diagnosed with malignant neoplasm of the cervix uteri. About 11% of the participants were diagnosed with metastatic neoplasm of the prostate. The participants aged 52-68 years had a 54% higher proportion of cervix uteri (aPR = 1.54, 95% CI = 1.21 – 1.78). Participants aged 69-98 years had a 75% higher prevalence of prostate cancer (aPR = 1.75, 95% CI = 1.12 – 1.99) as compared to the other age groups (69 years). Moreover, Mwanza, Mara, and Shinyanga had 47.5%, 12.5%, and 10.5% proportions, which are higher than other Lake Zone regions and a higher prevalence rate per 100,000 population over a period of three consecutive years of studies (January 2019 to December 2021). Patients residing in Shinyanga, Geita, and Tabora districts had significantly higher proportions of cervix uteri cancers that the remaining areas. Furthermore, patients from Kahama district had 76% higher proportions of prostate cancer (aPR = 1.76, 95%CI = 1.32 – 1.97) as compared to their counterparts. Conclusion: Diagnosed cancer cases in the lake zone are unevenly distributed, with some areas presenting more diagnosed patients as compared to others. There are vivid geospatial hotspots for different cancer types in different districts in the Lake Zone that can be used for cancer programs in the region. The proportional of cervical uteri among the patients attending Bugando Medical Centre (BMC) is high in the Lake Zone.
600			_xPublic Health _930277
700			_aElias Charles Nyanza _922891
700			_aNestory Masalu _922884
700			_aKristin Schroeder _922077
942			_2ddc _cMP
999			_c18625 _d18625