Breast Cancer Burden in Tbilisi

Abstract

According to GLOBOCAN/IARC (2013), in 2008, 1 384 000 new cases of breast cancer incidence and 458 000 cancer related deaths were registered worldwide. Epidemiolo-gical research has been conducted at the University of Georgia to specify the number of breast cancer incidence in Tbilisi. There is data on 12 913 cases of breast cancer in Tbilisi in 1998-2010 provided by the National Center for Disease Control and Public Health (NCDC). Tbilisi Population Cancer Registry provided information about 16 705 cases of death in the Tbilisi’s female population in 2002-2004.Based on a descriptive analysis, it has been determined that in the Tbilisi’s female population, the number and frequency of breast cancer is an important medical and social problem. The frequency of incidence of breast cancer in Tbilisi (ASR=123% ; AAR=158%) and the frequency of cancer related deaths (ASR=33% ; AAR=43%) correspond to the index of the average level of the developed countries of the world. Besides, according to both indicators in dynamics, there was an increase in breast cancer incidence. Compared to 1988-1992, in 2008-2010, according to SRR, the frequency of breast cancer rose 3.5 times, and according to SIR – by 253%.In Tbilisi, in 2002-2004, the cases of deaths caused by cancer ranked second after those caused by the circulatory system and its share in the structure of death comprised 18%. In the structure of cancer mortality in women over 25, breast cancer ranks first. At the same time, at a later period, 35-59, breast cancer again ranks first in the structure of different causes of death. As a result of the research, recommendations have been worked out.