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Cancers 2017, 9(8), 108;

National and Subnational Population-Based Incidence of Cancer in Thailand: Assessing Cancers with the Highest Burdens

Epidemiology Unit, Faculty of Medicine, Prince of Songkla University, Hat Yai 90110, Thailand
Environmental Health Sciences, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
Cancer Registry Unit, Surat Thani Cancer Hospital, Surath Thani 84100, Thailand
Chiang Mai Cancer Registry, Maharaj Nakorn Chiang Mai Hospital, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
Cancer Registry Unit, Lampang Cancer Hospital, Lampang 52000, Thailand
Cancer Unit, Lopburi Cancer Center, Lopburi 15000, Thailand
Cancer Unit, Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
Author to whom correspondence should be addressed.
Academic Editor: Samuel C. Mok
Received: 5 July 2017 / Revised: 11 August 2017 / Accepted: 12 August 2017 / Published: 17 August 2017
Full-Text   |   PDF [4177 KB, uploaded 22 August 2017]   |  


In Thailand, five cancer types—breast, cervical, colorectal, liver and lung cancer—contribute to over half of the cancer burden. The magnitude of these cancers must be quantified over time to assess previous health policies and highlight future trajectories for targeted prevention efforts. We provide a comprehensive assessment of these five cancers nationally and subnationally, with trend analysis, projections, and number of cases expected for the year 2025 using cancer registry data. We found that breast (average annual percent change (AAPC): 3.1%) and colorectal cancer (female AAPC: 3.3%, male AAPC: 4.1%) are increasing while cervical cancer (AAPC: −4.4%) is decreasing nationwide. However, liver and lung cancers exhibit disproportionately higher burdens in the northeast and north regions, respectively. Lung cancer increased significantly in northeastern and southern women, despite low smoking rates. Liver cancers are expected to increase in the northern males and females. Liver cancer increased in the south, despite the absence of the liver fluke, a known factor, in this region. Our findings are presented in the context of health policy, population dynamics and serve to provide evidence for future prevention strategies. Our subnational estimates provide a basis for understanding variations in region-specific risk factor profiles that contribute to incidence trends over time. View Full-Text
Keywords: Thailand; incidence; trends; projections; health policy Thailand; incidence; trends; projections; health policy

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Virani, S.; Bilheem, S.; Chansaard, W.; Chitapanarux, I.; Daoprasert, K.; Khuanchana, S.; Leklob, A.; Pongnikorn, D.; Rozek, L.S.; Siriarechakul, S.; Suwanrungruang, K.; Tassanasunthornwong, S.; Vatanasapt, P.; Sriplung, H. National and Subnational Population-Based Incidence of Cancer in Thailand: Assessing Cancers with the Highest Burdens. Cancers 2017, 9, 108.

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