Retrospective appraisal of cancer patients from Vientiane Capital City, Lao People's Democratic Republic (PDR), seeking treatment in Thailand

Chaleunvong, Kongmany, Kamsa-ard, Supot, Suwanrungruang, Krittika, Wiangnon, Surapon, Sychareun, Vanphanom, Alounlangsy, Phetsamone, Durham, Jo and Promthet, Supannee (2013) Retrospective appraisal of cancer patients from Vientiane Capital City, Lao People's Democratic Republic (PDR), seeking treatment in Thailand. Asian Pacific Journal of Cancer Prevention, 14 9: 5435-5440. doi:10.7314/APJCP.2013.14.9.5435

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Author Chaleunvong, Kongmany
Kamsa-ard, Supot
Suwanrungruang, Krittika
Wiangnon, Surapon
Sychareun, Vanphanom
Alounlangsy, Phetsamone
Durham, Jo
Promthet, Supannee
Title Retrospective appraisal of cancer patients from Vientiane Capital City, Lao People's Democratic Republic (PDR), seeking treatment in Thailand
Journal name Asian Pacific Journal of Cancer Prevention   Check publisher's open access policy
ISSN 1513-7368
Publication date 2013
Sub-type Article (original research)
DOI 10.7314/APJCP.2013.14.9.5435
Volume 14
Issue 9
Start page 5435
End page 5440
Total pages 6
Place of publication Rajchathewee, Bangkok, Thailand
Publisher Asian Pacific Organization for Cancer Prevention
Collection year 2014
Language eng
Subject 2730 Oncology
1306 Cancer Research
2739 Public Health, Environmental and Occupational Health
2713 Epidemiology
Formatted abstract
Background: Recent estimates suggest that in the Lao People’s Democratic Republic (Lao PDR) the burden of cancer in terms of DALYs lost is amongst the highest in South East Asia. As such, increasingly cancer is becoming an important public health concern in the country. Lao PDR however has no population-based cancer registry and only one hospital-based registry. Cancer treatment within the country is extremely limited. Patients who can, may travel to neighboring countries for treatment, but little information about this is available in the country.  The aim of this study was to estimate some of the otherwise largely unknown parameters of the cancer burden in Lao PDR.

Materials and Methods: This is a retrospective, descriptive study based on the records of 847 Lao cancer cases treated with surgery, radiation and chemotherapy at Srinagarind Hospital, Khon Kaen University, in Thailand between 1988 and 2010.

Results: The annual rate of registration of Lao cancer cases fluctuated, but showed an increasing trend. Most cancers were diagnosed by histology (65.2%), and a combination of endoscopy and radiology (15.6%). In most cases (70.2%) the stage of cancer at diagnosis could not be determined. In those whose stage could be identified, 54.0% were at the final stage (Stage IV). Among males, the commonest cancer sites were the liver (16.1%), blood (12.3%) and nasopharynx (10.6%). Those in female patients were the cervix (22.2%), breast (14.6%) and blood (8.1%).

Conclusions:
This study indicates that despite some fluctuations, the number of Lao cancer patients presenting at Srinagarind Hospital, Khon Kaen, gradually increased between 1988 and 2010. The unfavorable pattern of late-stage cancer diagnosis among male and female patients suggests a need for cancer control interventions and the establishment of cancer registration and treatment facilities within Lao PDR.

Keyword Cancer burden
Cancer incidence
Cancer treatment
Lao PDR
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Public Health Publications
 
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