Geographical spread of gastrointestinal tract cancer incidence in the Caspian Sea region of Iran: Spatial analysis of cancer registry data

<p>Abstract</p> <p>Background</p> <p>High incidence rates of gastrointestinal tract cancers have been reported in the Caspian region of Iran. This study aimed to: 1) describe the geographical spatial patterns of gastrointestinal tract cancer incidence based on cancer re...

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Main Authors: Mohammad Kazem, Nourijelyani Keramat, Wolfe Rory, Mahmoodi Mahmood, Mohebbi Mohammadreza, Zeraati Hojjat, Fotouhi Akbar
Format: Article
Language:English
Published: BMC 2008-05-01
Series:BMC Cancer
Online Access:http://www.biomedcentral.com/1471-2407/8/137
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author Mohammad Kazem
Nourijelyani Keramat
Wolfe Rory
Mahmoodi Mahmood
Mohebbi Mohammadreza
Zeraati Hojjat
Fotouhi Akbar
author_facet Mohammad Kazem
Nourijelyani Keramat
Wolfe Rory
Mahmoodi Mahmood
Mohebbi Mohammadreza
Zeraati Hojjat
Fotouhi Akbar
author_sort Mohammad Kazem
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>High incidence rates of gastrointestinal tract cancers have been reported in the Caspian region of Iran. This study aimed to: 1) describe the geographical spatial patterns of gastrointestinal tract cancer incidence based on cancer registry data and, 2) determine whether geographical clusters of statistical significance exist.</p> <p>Methods</p> <p>The Babol Cancer Registry, which covers the two major northern Iranian provinces of Mazandaran and Golestan (total population = 4,484,622) was used to identify new gastrointestinal tract cancer cases during 2001 to 2005. Age-specific cancer incidence rates were calculated for 7 gastrointestinal tract cancer sites in 26 wards of the Mazandaran and Golestan provinces. Spatial autocorrelation indices, hierarchical Bayesian Poisson models, and spatial scan statistics were used in measuring the geographic pattern and clusters.</p> <p>Results</p> <p>There were non-random spatial patterns in esophageal and stomach cancers that were similar for both sexes. Clusters of high incidence were identified in esophageal, stomach, colorectal and liver cancer for both sexes, as well as a possible cluster of pancreas cancer in males.</p> <p>Conclusion</p> <p>Gastrointestinal tract cancers exhibit significant spatial clustering of risk in northern Iran. Further work is needed to relate these geographical patterns to information on potential life-style and environmental factors.</p>
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spelling doaj.art-b0feecbcf4a84ea0aab15636a9460cf12022-12-22T03:09:28ZengBMCBMC Cancer1471-24072008-05-018113710.1186/1471-2407-8-137Geographical spread of gastrointestinal tract cancer incidence in the Caspian Sea region of Iran: Spatial analysis of cancer registry dataMohammad KazemNourijelyani KeramatWolfe RoryMahmoodi MahmoodMohebbi MohammadrezaZeraati HojjatFotouhi Akbar<p>Abstract</p> <p>Background</p> <p>High incidence rates of gastrointestinal tract cancers have been reported in the Caspian region of Iran. This study aimed to: 1) describe the geographical spatial patterns of gastrointestinal tract cancer incidence based on cancer registry data and, 2) determine whether geographical clusters of statistical significance exist.</p> <p>Methods</p> <p>The Babol Cancer Registry, which covers the two major northern Iranian provinces of Mazandaran and Golestan (total population = 4,484,622) was used to identify new gastrointestinal tract cancer cases during 2001 to 2005. Age-specific cancer incidence rates were calculated for 7 gastrointestinal tract cancer sites in 26 wards of the Mazandaran and Golestan provinces. Spatial autocorrelation indices, hierarchical Bayesian Poisson models, and spatial scan statistics were used in measuring the geographic pattern and clusters.</p> <p>Results</p> <p>There were non-random spatial patterns in esophageal and stomach cancers that were similar for both sexes. Clusters of high incidence were identified in esophageal, stomach, colorectal and liver cancer for both sexes, as well as a possible cluster of pancreas cancer in males.</p> <p>Conclusion</p> <p>Gastrointestinal tract cancers exhibit significant spatial clustering of risk in northern Iran. Further work is needed to relate these geographical patterns to information on potential life-style and environmental factors.</p>http://www.biomedcentral.com/1471-2407/8/137
spellingShingle Mohammad Kazem
Nourijelyani Keramat
Wolfe Rory
Mahmoodi Mahmood
Mohebbi Mohammadreza
Zeraati Hojjat
Fotouhi Akbar
Geographical spread of gastrointestinal tract cancer incidence in the Caspian Sea region of Iran: Spatial analysis of cancer registry data
BMC Cancer
title Geographical spread of gastrointestinal tract cancer incidence in the Caspian Sea region of Iran: Spatial analysis of cancer registry data
title_full Geographical spread of gastrointestinal tract cancer incidence in the Caspian Sea region of Iran: Spatial analysis of cancer registry data
title_fullStr Geographical spread of gastrointestinal tract cancer incidence in the Caspian Sea region of Iran: Spatial analysis of cancer registry data
title_full_unstemmed Geographical spread of gastrointestinal tract cancer incidence in the Caspian Sea region of Iran: Spatial analysis of cancer registry data
title_short Geographical spread of gastrointestinal tract cancer incidence in the Caspian Sea region of Iran: Spatial analysis of cancer registry data
title_sort geographical spread of gastrointestinal tract cancer incidence in the caspian sea region of iran spatial analysis of cancer registry data
url http://www.biomedcentral.com/1471-2407/8/137
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