PATIENT DATA COLLECTION & ANALYSIS FOR CANCER

REGISTRY IN DMCH.

Department of Medical Physics and Biomedical Engineering (MPBME)

Gono Bishwabidyalay, Savar, Dhaka, Bangladesh.

Supervisor Co-supervisor Clinical Co-supervisor

Prof. Golam Abu Zakaria (PhD) Prof. Hasin Anupama Azhari (PhD) Safayet Zaman

Md. Al-Nayeem
Reg. No: G/MPBME-1937/16
Roll-372
 CONTENTS
• INTRODUCTION

• AIM OF THE STUDY

• SCOPE OF THE STUDY

• THEORETICAL BACKGROUND

• MATERIALS

• METHODS & WORKING PROCEDURE

• RESULTS

• DISCUSSIONS

• CONCLUSIONS

• REFERENCES
 INTRODUCTION
Cancer disease around the world.
• Cancer is the uncontrolled growth of abnormal cells in the body. Cancer develops when the
body's normal control mechanism stops working. Old cells do not die and instead grow out of
control, forming new, abnormal cells. These extra cells may form a mass of tissue, called
a tumour.
More people are killed by cancer than tuberculosis, HIV, and malaria
combined.
• In 2012, an estimated 9.5 million people died of cancer worldwide.
• About 26,000 people each day and 1 out of every 6 deaths.
 INTRODUCTION
PERSPECTIVE OF BANGLADESH

• There are about 13 to 15 lakh cancer patients in Bangladesh, with about approximately 1.07 lakh
male patients newly diagnosed with cancer this year.
• As an overview, lung cancer and prostate cancer rank as the top two prevalent cancers in males.
Other types of cancers are stomach cancer, lip-oral cancer and esophagus cancer.
 AIM OF THE STUDY
• Collecting all male patients’ data.
• Registering the data in DMCH server’s database very carefully.
• Improving patient satisfaction with the improvement of healthcare system.
• Success rate may be realized by it.
• For various analysis, collecting a good amount of data and comparing them.
• Helping doctors, oncologists & medical practitioners understand the scenario of the
situation using the analysis.
• Also can help the patients understand the treatment scenario.
 IMPORTANCE & BENEFITS
We think that, these data will help us in our project work.
• This study will help us to get a brief understanding about types of cancer for males & how
are they occurring.
• It’ll help in any kind of domestic & international research purposes.
• To understand treatment procedure & approximate treatment duration it can also help.
• Doctors can compare these data for their further analysis.
• Finding old patient’s information from the database can help doctors.
 SCOPE OF THE STUDY
ALL THE WORKS DONE ON THIS PROJECT ARE DONE IN

• DHAKA MEDICAL COLLEGE AND HOSPITAL,

 THEORETICAL BACKGROUND
Data Analysis
Data analysis is defined as a process of cleaning, transforming, and modeling data to
discover useful information for decision-making. The purpose of Data Analysis is to
extract useful information from data and taking the decision based upon the data
analysis.
There are several types of data analysis techniques that exist based on business and
technology. The major types of data analysis are:
 Text Analysis
 Statistical Analysis
 Diagnostic Analysis
 Predictive Analysis
 Prescriptive Analysis
Statistical Analysis

Statistical Analysis shows "What happen?" by using past data in the form of
dashboards. Statistical Analysis includes collection, Analysis, interpretation,
presentation, and modeling of data. It analyses a set of data or a sample of data.

There are two categories of this type of Analysis -

Descriptive Analysis
Inferential Analysis
 MATERIALS
• DMCH CANCER REGISTRY DATABASE SOFTWARE
• CANCER REGISTRY FORM
 Cancer registry form
1. Hospital reg. No: DM07519 1. Occupation: Farmer
2. NID: 1964846730975 2. Most valid basis of diagnosis: Clinical (1. Clinical Only 2.
3. Date of Reg: December 19, 2019 Radiological 3. Endoscopic 4. Exploratory surgery 5. Specific
4. Name of patient: Shahjahan Mia biochemical & immunological test 6. Cytology 7. Blood film 8. Bone
5. Guardian: Ahsan marrow 9. Histopathology of primary 10. Histopathology of metastasis
11. Others (Specify)
6. Address: 380/2, Ganginapar, Mymensingh
3. Primary site of tumor (ICD-O topography): N/A
7. Incident date (date of first pathological confirmation): N/A
4. Primary histology (ICD-O morphology): N/A
8. Age (in completed years): 55 years old
5. Secondary site of tumor (ICD-O topography): N/A
9. Sex: Male
6. Secondary histology (ICD-O morphology): N/A
10. Religion: Islam
7. Stage: III
11. MARITAL Status: Married
8. Grade: G3
12. Education: N/A
9. Treatment received before reporting this hospital: No
10. If yes Type of treatment: N/A (1. Surgery (S) 2. Radiotherapy (R)
3. Chemotherapy (C) 4. Immunotherapy 5. Hormone therapy (HT) 6.
S+R 7. S+C 8. R+C 9. S+R+C
11. Diagnosis:
 METHODS & WORKING PROCEDURE
• In this cross-sectional study, histopathological confirmed all types of cancer patients irrespective of
age and sex attending at Dhaka Medical College hospital for treatment from October 2019 to January
2020 were included. There were around 200 newly registered subjects during this study period and
different types of cancers were found. Out of 200 subjects 97 were male.
• Patients’ personal data, history and medical records were collected from registry book. Before data
collection, written informed consents and permission was taken from hospital authority.
• Questions were asked to the patients and answer of the patients were included into the data
collection form.
• For the treatment pattern of cancer and other information, the patient history file and other medical
records were verified.
RESULTS Percentages of Cancer Patients (Both sex & all age)

Others
19% Lung
24%

Lip & Oral Cavity

4%

Oseophagus
7%

Breast
17%
Cervix Uteri
12%

Prostate
17%

Lung Breast Prostate Cervix Uteri Oseophagus Lip & Oral Cavity Others
 Frequency (in number)

Types of Cancer Male

Lung Carcinoma 31

Carcinoma Prostate 24

Stomach Cancer 11

Lips & Oral Cavity 9

Carcinoma Esophagus 3

Others 22
 Percentages of Cancer Patients (Male)

Lung; 32%

Prostate; 24%

Others; 20%

Stomach; 12%

Lip & Oral Cavity; 9%

Oseophagus; 3%

Stomach Prostate Lung Oseophagus Lip & Oral Cavity Others

Age group (in years) Male (%)

0-20 0.61

21-40 6.53

41-60 15.00

61-80 8.61

81-100 0.30
 Treatment Modalities Number of patients (%)

Surgery + Chemotherapy + Teletherapy 22.77

Surgery + Chemotherapy 19.82

Chemotherapy + Teletherapy 13.08

Surgery + Teletherapy 11.53

Chemotherapy 10.12

Teletherapy 9.15

Surgery 2.77

Surgery + Teletherapy + Brachytherapy 4.07

Chemotherapy + Teletherapy + Brachytherapy 2.19

Surgery + Chemotherapy + Teletherapy + Brachytherapy 2.09

Surgery + Chemotherapy + Brachytherapy 1.13

Teletherapy + Brachytherapy 1.28

 STAGES
Stages Male patients Success rate General success rate

Stage 0 0.00% N/A Highly curable

Stage I 0.00% N/A highly treatable & also
highly curable

Stage II 29.96% 56.00% Curable

Stage III 32.33% 44.00% Curable with low
success rate
Stage IV 37.71% 0.00% Treatable but not
curable
 Services Satisfied Moderately Satisfied Dissatisfied

Admission and Reception 84% 13% 3%

Quality of Doctors 92% 6% 2%

Behavior of Nurses 27% 55% 18%

Behavior of Doctors 76% 19% 5%

 DISCUSSION
• During this study I found out that lung cancer was most prominent followed by prostate,
stomach, lip& oral, esophagus carcinoma for male patients.
Risk factors causing these cancers are:
 Family history of cancer
 Drinking & smoking
 Betel quid with tobacco
 Lifestyle & environmental factors
 Sexually transmitted infections
 Stomach infections
• This study also categorizes male patients using age factors. I observed that most affected
patients were in 41-60 years age group with a percentage of (15.00), followed by 61-80 years
old with percentage of (8.61).
 CONCLUSION
• Cancer is a major cause of death worldwide including Bangladesh. Thus
development of a cancer registry in Bangladesh is very important to evaluate
the actual picture of our national cancer situation which is needed to update our
national cancer control strategy.
• The study was done in a limited area, so the result will not represent the overall
status of the situation. But the findings of the study may provide a helpful clue
to important facts and figures of different types of cancers in Bangladesh.
• From our context, we found that the success rate through the way the system is
going on is very poor. If we can light the awareness to the people about their
lack of knowledge towards cancer then we can convince them for early
diagnosis and thus head towards better treatment and better success rate.
 REFERENCES
• A fresh look at oncology facts on south central Asia and SAARC countries. Noronha V,
Tsomo U, Jamshed A, Hai M, Wattegama S, Baral R, Piya M, Prabhash K South Asian J
Cancer. 2012 Jul; 1(1):1-4.
• Cancer care scenario in Bangladesh. Uddin AF, Khan ZJ, Islam J, Mahmud A South Asian J
Cancer. 2013 Apr; 2(2):102-4.
• Cancer Registry Report National Institute of Cancer Research and Hospital 2005-
2007. [Last accessed on 2013 May 03].
• https://www.cancer.net/navigating-cancer-care/diagnosing-cancer/stages-cancer
• https://www.cancer.org/cancer/prostate-cancer/causes-risks-prevention/risk-factors.html
THANK YOU