Geographic Distribution and Estimating the Childhood Cancer Incidence in Iran: Three-Source Capture-Recapture Analysis on National Registries Data

Mahmoud Khodadost; Arash Fattahi; Nasrin Hoseiny Nejad; Azad Shokri; Hamed Fattahi; Fatemeh Sarvi; Alireza Mosavi-Jarrahi

doi:10.18502/ijph.v51i3.8943

Geographic Distribution and Estimating the Childhood Cancer Incidence in Iran: Three-Source Capture-Recapture Analysis on National Registries Data

Alireza Mosavi-Jarrahi

Abstract

Background: Cancers seldom happen in childhood age and awareness of accurate cancer incidence is essential in order to preventive programs. This study aimed to estimate the childhood cancer incidence in Iran using the three-source capture -recapture method.

Methods: Total new cases of childhood cancer reported by three national data sources of MAHAK charity database, pathology reports and clinical records in Iran were enrolled in this study. The common cases among three sources were determined using data linkage method. The childhood incidence rate per 1 million populations was estimated based on three-source capture-recapture method. We used BIC, G2 and AIC statistics to select the best-fit model. Arch GIS was used to determine geographic distribution.

Results: Overall, 2567 childhood cancer was included by three sources of registries. The total estimated number of childhood cancer was 5388 (95% CI: 4742.15-6228,14). The higher estimated incidence rate was Leukemia, Lymphoma by 94.91 and 24.80 per 1 million populations and the lower incidence was liver and retinoblastoma with 2.35 and 7.01 per 1 million populations. Provinces of Ardabil and Kohgiluyeh with an incidence rate of 420.01 and 404.61 per 1 million populations had a higher incidence rate and Mazandaran and Ilam with an incidence rate of 60.87 and 66.88 per 1 million populations had the lowest incidence. The overall completeness of the childhood cancer registry based on three-source was 48%.

Conclusion: The low-quality childhood cancer registration system highlights the needs for urgent screening programs for early detection in the high prevalent area in Iran.

1. Steliarova-Foucher E, Colombet M, Ries LA, et al (2017). International incidence of childhood cancer, 2001–10: a population-based registry study. Lancet Oncol, 18:719-731.
2. Ward ZJ, Yeh JM, Bhakta N, ey al (2019). Estimating the total incidence of global childhood cancer: a simulation-based analysis. Lancet Oncol, 20:483-493.
3. Rodriguez-Galindo C, Friedrich P, Alcasabas P, et al (2015). Toward the Cure of All Children With Cancer Through Collaborative Efforts: Pediatric Oncology As a Global Challenge. J Clin Oncol, 33(27): 3065–3073.
4. Ferlay J, Soerjomataram I, Dikshit R, et al (2015). Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer, 136:E359-86.
5. Bhakta N, Force LM, Allemani C, et al (2019). Childhood cancer burden: a review of global estimates. Lancet Oncol, 20(1):e42-e53.
6. Erdmann F, Li T, Luta G, et al (2018). Incidence of childhood cancer in Costa Rica, 2000-2014: An international perspective. Cancer Epidemiol, 56:21-30.
7. Kolahdouzan S, Sadjadi A, Radmard A, et al (2010). Five common cancers in Iran. Arch Iran Med, 13:143-6.
8. Jedy-Agba EE, Oga EA, Odutola M, et al (2015). Developing national cancer registration in developing countries–case study of the Nigerian national system of cancer registries. Front public health, 3:186.
9. Raza SA, Jawed I, Zoorob RJ, et al (2020). Completeness of Cancer Case Ascertainment in International Cancer Registries: Exploring the Issue of Gender Disparities. Front Oncol, 10:1148.
10. Chao A, Tsay P, Lin SH, et al (2001). The applications of capture‐recapture models to epidemiological data. Statist Med, 20(20):3123-57.
11. Mohammadi G, Akbari ME, Mehrabi Y, et al (2016). Estimating completeness of cancer registration in Iran with capture-recapture methods. Asian Pac J Cancer Prev, 17(S3):93-9.
12. Khodadost M, Yavari P, Babaei M, et al (2015). Estimating the completeness of gastric cancer registration in Ardabil/Iran by a capture-recapture method using population-based cancer registry data. Asian Pac J Cancer Prev, 16(5):1981-6.
13. Khodadost M, Yavari P, Khodadost B, et al (2016). Estimating the Esophagus Cancer Incidence Rate in Ardabil, Iran: A Capture-Recapture Method. Iran J Cancer Prev, 9(1):e3972.
14. Aghaei A, Ahmadi-Jouibari T, et al (2013). Estimation of the gastric cancer incidence in Tehran by two-source capture-recapture. Asian Pac J Cancer Prev, 14(2):673-7.
15. Hook EB, Regal RR (1997). Validity of methods for model selection, weighting for model uncertainty, and small sample adjustment in capture-recapture estimation. Am J Epidemiol, 145:1138-1144.
16. Ferlay J, Soerjomataram I, Ervik M, et al (2012). Cancer incidence and mortality worldwide: IARC CancerBase. Globocan 2012 v10, 11.
17. Moradi A, Semnani S, Roshandel G, et al (2010). Incidence of childhood cancers in golestan province of iran. Iran J Pediatr, 20(3):335-42.
18. Belgaumi AF, Pathan GQ, Siddiqui K, et al (2019). Incidence, clinical distribution, and patient characteristics of childhood cancer in Saudi Arabia: A population‐based analysis. Pediatric blood & cancer, 66(6):e27684.
19. Abood RA, Abdahmed KA, Mazyed SS (2020). Epidemiology of Different Types of Cancers Reported in Basra, Iraq. Sultan Qaboos Univ Med J, 20(3): e295–e300.
20. Sohail Afzal M (2020). Childhood Cancer in Pakistan. Iran J Public Health, 49(8):1579.
21. Isaevska E, Manasievska M, Alessi D, et al (2017). Cancer incidence rates and trends among children and adolescents in Piedmont, 1967–2011. PloS One, 12(7):e0181805.
22. Magrath I, Steliarova-Foucher E, Epelman S, et al (2013). Paediatric cancer in low-income and middle-income countries. Lancet Oncol, 14(3):e104-16.
23. Dolatkhah R, Somi MH, Kermani IA, et al (2015). Increased colorectal cancer incidence in Iran: a systematic review and meta-analysis. BMC public health, 15:997.
24. Torabi M, Green C, Nugent Z, et al (2014). Geographical variation and factors associated with colorectal cancer mortality in a universal health care system. Can J Gastroenterol Hepatol, 28(4):191-7.
25. Brooke HL, Talbäck M, Martling A, et al (2016). Socioeconomic position and incidence of colorectal cancer in the Swedish population. Cancer Epidemiol, 40:188-95.
26. Rudel RA, Attfield KR, Schifano JN, et al (2007). Chemicals causing mammary gland tumors in animals signal new directions for epidemiology, chemicals testing, and risk assessment for breast cancer prevention. Cancer, 109:2635-2666.
27. Naddafi K, Hassanvand MS, Yunesian M, et al (2012). Health impact assessment of air pollution in megacity of Tehran, Iran. Iran J Environ Health Sci Eng, 9(1):28.
28. Roshandel G, Sadjadi A, Aarabi M,et al (2012). Cancer incidence in Golestan Province: report of an ongoing population-based cancer registry in Iran between 2004 and 2008. Arch Iran Med, 15(4):196-200.
29. Fathi A, Bahadoram M, Amani F (2015). Epidemiology of childhood cancer in Northwest Iran. Asian Pac J Cancer Prev, 16(13):5459-62.
30. Dorak MT, Karpuzoglu E (2012). Gender differences in cancer susceptibility: an inadequately addressed issue. Front Genet, 3:268.

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Issue	Vol 51 No 3 (2022)
Section	Original Article(s)
DOI	https://doi.org/10.18502/ijph.v51i3.8943
Keywords
Pediatrics Cancer Childhood Capture-recapture Geographic distribution

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Khodadost M, Fattahi A, Hoseiny Nejad N, Shokri A, Fattahi H, Sarvi F, Mosavi-Jarrahi A. Geographic Distribution and Estimating the Childhood Cancer Incidence in Iran: Three-Source Capture-Recapture Analysis on National Registries Data. Iran J Public Health. 2022;51(3):659-668.

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