Cancer incidence and mortality rates and trends in Trinidad and Tobago

Wayne A. Warner, Tammy Y. Lee, Kimberly Badal, Tanisha M. Williams, Smriti Bajracharya, Vasavi Sundaram, Nigel A. Bascombe, Ravi Maharaj, Marjorie Lamont-Greene, Allana Roach, Melissa Bondy, Matthew J. Ellis, Timothy R. Rebbeck, Simeon Slovacek, Jingqin Luo, Adetunji T. Toriola, Adana Llanos Wilson

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Background: Cancer is the second leading cause of death in the Caribbean, including the islands of Trinidad and Tobago (TT). The population of TT consists of over 1.3 million people with diverse ancestral and sociocultural backgrounds, both of which may influence cancer incidence and mortality. The objective of this study was to examine incidence and mortality patterns and trends in TT. Methods: Cancer surveillance data on 29,512 incident cancer cases reported to the Dr. Elizabeth Quamina Cancer Registry (population-based cancer registry of TT) between 1995 and 2009 were analyzed. Age-standardized rates, overall and by sex, ancestry, and geography, were reported. Results: The highest incidence and mortality rates were observed for cancers related to reproductive organs in women, namely, breast, cervical, and uterine cancers, and prostate, lung and colorectal cancers among men. Average incidence rates were highest in areas covered by the Tobago Regional Health Authority (TRHA) (188 per 100,000), while average mortality rates were highest in areas covered by the North West Regional Health Authority (108 per 100,000). Nationals of African ancestry exhibited the highest rates of cancer incidence (243 per 100,000) and mortality (156 per 100,000) compared to their counterparts who were of East Indian (incidence, 125 per 100,000; mortality, 66 per 100,000) or mixed ancestry (incidence, 119 per 100,000; mortality, 66 per 100,000). Conclusions: Our findings highlight the need for national investment to improve the understanding of the epidemiology of cancer in Trinidad and Tobago, and to ultimately guide much needed cancer prevention and control initiatives in the near future.

Original languageEnglish (US)
Article number712
JournalBMC Cancer
Volume18
Issue number1
DOIs
StatePublished - Jul 4 2018

Fingerprint

Trinidad and Tobago
Mortality
Incidence
Neoplasms
Registries
Lung Neoplasms
Prostatic Neoplasms
West Indies
Uterine Neoplasms
Geography
Second Primary Neoplasms
Health
Uterine Cervical Neoplasms
Population
Cause of Death
Colorectal Neoplasms
Epidemiology
Breast Neoplasms

All Science Journal Classification (ASJC) codes

  • Genetics
  • Oncology
  • Cancer Research

Keywords

  • Cancer in populations of African ancestry
  • Cancer in populations of Indian ancestry
  • Cancer incidence
  • Cancer mortality
  • Cancer surveillance
  • Caribbean
  • Trinidad and Tobago

Cite this

Warner, W. A., Lee, T. Y., Badal, K., Williams, T. M., Bajracharya, S., Sundaram, V., ... Llanos Wilson, A. (2018). Cancer incidence and mortality rates and trends in Trinidad and Tobago. BMC Cancer, 18(1), [712]. https://doi.org/10.1186/s12885-018-4625-x
Warner, Wayne A. ; Lee, Tammy Y. ; Badal, Kimberly ; Williams, Tanisha M. ; Bajracharya, Smriti ; Sundaram, Vasavi ; Bascombe, Nigel A. ; Maharaj, Ravi ; Lamont-Greene, Marjorie ; Roach, Allana ; Bondy, Melissa ; Ellis, Matthew J. ; Rebbeck, Timothy R. ; Slovacek, Simeon ; Luo, Jingqin ; Toriola, Adetunji T. ; Llanos Wilson, Adana. / Cancer incidence and mortality rates and trends in Trinidad and Tobago. In: BMC Cancer. 2018 ; Vol. 18, No. 1.
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abstract = "Background: Cancer is the second leading cause of death in the Caribbean, including the islands of Trinidad and Tobago (TT). The population of TT consists of over 1.3 million people with diverse ancestral and sociocultural backgrounds, both of which may influence cancer incidence and mortality. The objective of this study was to examine incidence and mortality patterns and trends in TT. Methods: Cancer surveillance data on 29,512 incident cancer cases reported to the Dr. Elizabeth Quamina Cancer Registry (population-based cancer registry of TT) between 1995 and 2009 were analyzed. Age-standardized rates, overall and by sex, ancestry, and geography, were reported. Results: The highest incidence and mortality rates were observed for cancers related to reproductive organs in women, namely, breast, cervical, and uterine cancers, and prostate, lung and colorectal cancers among men. Average incidence rates were highest in areas covered by the Tobago Regional Health Authority (TRHA) (188 per 100,000), while average mortality rates were highest in areas covered by the North West Regional Health Authority (108 per 100,000). Nationals of African ancestry exhibited the highest rates of cancer incidence (243 per 100,000) and mortality (156 per 100,000) compared to their counterparts who were of East Indian (incidence, 125 per 100,000; mortality, 66 per 100,000) or mixed ancestry (incidence, 119 per 100,000; mortality, 66 per 100,000). Conclusions: Our findings highlight the need for national investment to improve the understanding of the epidemiology of cancer in Trinidad and Tobago, and to ultimately guide much needed cancer prevention and control initiatives in the near future.",
keywords = "Cancer in populations of African ancestry, Cancer in populations of Indian ancestry, Cancer incidence, Cancer mortality, Cancer surveillance, Caribbean, Trinidad and Tobago",
author = "Warner, {Wayne A.} and Lee, {Tammy Y.} and Kimberly Badal and Williams, {Tanisha M.} and Smriti Bajracharya and Vasavi Sundaram and Bascombe, {Nigel A.} and Ravi Maharaj and Marjorie Lamont-Greene and Allana Roach and Melissa Bondy and Ellis, {Matthew J.} and Rebbeck, {Timothy R.} and Simeon Slovacek and Jingqin Luo and Toriola, {Adetunji T.} and {Llanos Wilson}, Adana",
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Warner, WA, Lee, TY, Badal, K, Williams, TM, Bajracharya, S, Sundaram, V, Bascombe, NA, Maharaj, R, Lamont-Greene, M, Roach, A, Bondy, M, Ellis, MJ, Rebbeck, TR, Slovacek, S, Luo, J, Toriola, AT & Llanos Wilson, A 2018, 'Cancer incidence and mortality rates and trends in Trinidad and Tobago', BMC Cancer, vol. 18, no. 1, 712. https://doi.org/10.1186/s12885-018-4625-x

Cancer incidence and mortality rates and trends in Trinidad and Tobago. / Warner, Wayne A.; Lee, Tammy Y.; Badal, Kimberly; Williams, Tanisha M.; Bajracharya, Smriti; Sundaram, Vasavi; Bascombe, Nigel A.; Maharaj, Ravi; Lamont-Greene, Marjorie; Roach, Allana; Bondy, Melissa; Ellis, Matthew J.; Rebbeck, Timothy R.; Slovacek, Simeon; Luo, Jingqin; Toriola, Adetunji T.; Llanos Wilson, Adana.

In: BMC Cancer, Vol. 18, No. 1, 712, 04.07.2018.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Cancer incidence and mortality rates and trends in Trinidad and Tobago

AU - Warner, Wayne A.

AU - Lee, Tammy Y.

AU - Badal, Kimberly

AU - Williams, Tanisha M.

AU - Bajracharya, Smriti

AU - Sundaram, Vasavi

AU - Bascombe, Nigel A.

AU - Maharaj, Ravi

AU - Lamont-Greene, Marjorie

AU - Roach, Allana

AU - Bondy, Melissa

AU - Ellis, Matthew J.

AU - Rebbeck, Timothy R.

AU - Slovacek, Simeon

AU - Luo, Jingqin

AU - Toriola, Adetunji T.

AU - Llanos Wilson, Adana

PY - 2018/7/4

Y1 - 2018/7/4

N2 - Background: Cancer is the second leading cause of death in the Caribbean, including the islands of Trinidad and Tobago (TT). The population of TT consists of over 1.3 million people with diverse ancestral and sociocultural backgrounds, both of which may influence cancer incidence and mortality. The objective of this study was to examine incidence and mortality patterns and trends in TT. Methods: Cancer surveillance data on 29,512 incident cancer cases reported to the Dr. Elizabeth Quamina Cancer Registry (population-based cancer registry of TT) between 1995 and 2009 were analyzed. Age-standardized rates, overall and by sex, ancestry, and geography, were reported. Results: The highest incidence and mortality rates were observed for cancers related to reproductive organs in women, namely, breast, cervical, and uterine cancers, and prostate, lung and colorectal cancers among men. Average incidence rates were highest in areas covered by the Tobago Regional Health Authority (TRHA) (188 per 100,000), while average mortality rates were highest in areas covered by the North West Regional Health Authority (108 per 100,000). Nationals of African ancestry exhibited the highest rates of cancer incidence (243 per 100,000) and mortality (156 per 100,000) compared to their counterparts who were of East Indian (incidence, 125 per 100,000; mortality, 66 per 100,000) or mixed ancestry (incidence, 119 per 100,000; mortality, 66 per 100,000). Conclusions: Our findings highlight the need for national investment to improve the understanding of the epidemiology of cancer in Trinidad and Tobago, and to ultimately guide much needed cancer prevention and control initiatives in the near future.

AB - Background: Cancer is the second leading cause of death in the Caribbean, including the islands of Trinidad and Tobago (TT). The population of TT consists of over 1.3 million people with diverse ancestral and sociocultural backgrounds, both of which may influence cancer incidence and mortality. The objective of this study was to examine incidence and mortality patterns and trends in TT. Methods: Cancer surveillance data on 29,512 incident cancer cases reported to the Dr. Elizabeth Quamina Cancer Registry (population-based cancer registry of TT) between 1995 and 2009 were analyzed. Age-standardized rates, overall and by sex, ancestry, and geography, were reported. Results: The highest incidence and mortality rates were observed for cancers related to reproductive organs in women, namely, breast, cervical, and uterine cancers, and prostate, lung and colorectal cancers among men. Average incidence rates were highest in areas covered by the Tobago Regional Health Authority (TRHA) (188 per 100,000), while average mortality rates were highest in areas covered by the North West Regional Health Authority (108 per 100,000). Nationals of African ancestry exhibited the highest rates of cancer incidence (243 per 100,000) and mortality (156 per 100,000) compared to their counterparts who were of East Indian (incidence, 125 per 100,000; mortality, 66 per 100,000) or mixed ancestry (incidence, 119 per 100,000; mortality, 66 per 100,000). Conclusions: Our findings highlight the need for national investment to improve the understanding of the epidemiology of cancer in Trinidad and Tobago, and to ultimately guide much needed cancer prevention and control initiatives in the near future.

KW - Cancer in populations of African ancestry

KW - Cancer in populations of Indian ancestry

KW - Cancer incidence

KW - Cancer mortality

KW - Cancer surveillance

KW - Caribbean

KW - Trinidad and Tobago

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Warner WA, Lee TY, Badal K, Williams TM, Bajracharya S, Sundaram V et al. Cancer incidence and mortality rates and trends in Trinidad and Tobago. BMC Cancer. 2018 Jul 4;18(1). 712. https://doi.org/10.1186/s12885-018-4625-x