Spatial distribution of breast cancer in Sudan 2010-2016


Autoři: Marwa Maweya Abdelbagi Elbasheer aff001;  Ayah Galal Abdelrahman Alkhidir aff002;  Siham Mohammed Awad Mohammed aff003;  Areej Abuelgasim Hassan Abbas aff004;  Aisha Osman Mohamed aff001;  Isra Mahgoub Bereir aff002;  Hiba Reyad Abdalazeez aff005;  Mounkaila Noma aff006
Působiště autorů: Department of Histopathology & Cytology, Faculty of Medical Laboratory Sciences, Alzaiem Alazhari University, Khartoum, Sudan aff001;  Sudanese Medical Council, Khartoum, Sudan aff002;  Zanam Specialist Hospital, Khartoum, Sudan aff003;  Sudanese Medical Specialization Board, Khartoum, Sudan aff004;  Sudanese National Council for Medical & Health Professions, Khartoum, Sudan aff005;  University of Medical Sciences and Technology, Khartoum, Sudan aff006
Vyšlo v časopise: PLoS ONE 14(9)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0211085

Souhrn

Background

Breast cancer is the most prevalent cancer among females worldwide including Sudan. The aim of this study was to determine the spatial distribution of breast cancer in Sudan.

Materials and methods

A facility based cross-sectional study was implemented in eighteen histopathology laboratories distributed in the three localities of Khartoum State on a sample of 4630 Breast Cancer cases diagnosed during the period 2010–2016. A master database was developed through Epi InfoTM 7.1.5.2 for computerizing the data collected: the facility name, type (public or private), and its geo-location (latitude and longitude). Personal data on patients were extracted from their respective medical records (name, age, marital status, ethnic group, state, locality, administrative unit, permanent address and phone number, histopathology diagnosis). The data was summarized through SPSS to generate frequency tables for estimating prevalence and the geographical information system (ArcGIS 10.3) was used to generate the epidemiological distribution maps. ArcGIS 10.3 spatial analysis features were used to develop risk maps based on the kriging method.

Results

Breast cancer prevalence was 3.9 cases per 100,000 female populations. Of the 4423 cases of breast cancer, invasive breast carcinoma of no special type (NST) was the most frequent (79.5%, 3517/4423) histopathological diagnosis. The spatial analysis indicated as high risk areas for breast cancer in Sudan the States of Nile River, Northern, Red Sea, White Nile, Northern and Southern Kordofan.

Conclusions

The attempt to develop a predictive map of breast cancer in Sudan revealed three levels of risk areas (risk, intermediate and high risk areas); regardless the risk level, appropriate preventive and curative health interventions with full support from decision makers are urgently needed.

Klíčová slova:

Medicine and health sciences – Oncology – Cancers and neoplasms – Breast tumors – Breast cancer – Pathology and laboratory medicine – Anatomical pathology – Histopathology – Diagnostic medicine – Cancer detection and diagnosis – Epidemiology – Cancer epidemiology – People and places – Geographical locations – Africa – Sudan – Biology and life sciences – Population biology – Population dynamics – Geographic distribution – Computer and information sciences – Earth sciences – Geography – Geoinformatics – Geographic information systems – Marine and aquatic sciences – Bodies of water – Red Sea


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2019 Číslo 9
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