An audit and analysis of cancer patients attending radiation oncology department: a tertiary care center experience

Bishnu Prasad Das, Jitendra Patra


Background: Cancer is a major public health problem worldwide and is the second leading cause of death in the developing countries. Among various diseases, cancer has become a big threat to human beings globally. As per Indian population census data, the rate of mortality due to cancer in India was high and alarming with about 8,06,000 existing cases by the end of the last century. In view of these facts, the present article describes the status of various types of cancers in the southern part of Odisha.

Methods: A total of 1123 patients were registered in the department of radiotherapy, maharaja krushna chandra gajapati medical college, Odisha, during the period from January to December 2019 and were included for the retrospective analysis.

Results: Females outnumbered males with a ratio of 1.32. Highest number of the patients belong to the age group of 60-69 years. Major cancer sites in females were cervix, breast followed by head and neck. Leading cancer sites in males were head and neck, stomach, rectum and lungs. Most of the cases presented in advanced stage of disease (78%). Squamous cell carcinoma was the most common histopathology (81%). A significant proportion of patients defaulted after undergoing preliminary investigations (27.4%). Out of the total (1123) population 482 patients received radiation and 760 patients received chemotherapy and 425 received supportive care.

Conclusions: The outcome of this study will significantly help us to understand the cancer burden in southern Odisha and its distribution to define region specific strategies for cancer management.


Cancer, Radiotherapy, Burden, Prevalence, Southern Odisha

Full Text:



Ferlay J, Soerjomataram I, Ervik M. Globocan 2012 v1.0, Cancer Incidence and Mortality Worldwide: IARC Cancer Base No. 11. Lyon, France: International Agency for Research on Cancer. 2013. Accessed on 23 December 2013.

Engelgau MM, Karan A, Mahal A. The economic impact of non-communicable diseases on households in India. Global Health. 2012;8:9.

Office of the Registrar General and Census Commissioner, India, Ministry of Home Affairs, Government of India: Causes of death statistics.

Kastor A, Mohanty SK. Disease-specific out-of-pocket and catastrophic health expenditure on hospitalization in India: Do Indian households face distress health financing. PLOS one. 2018;13:0196106.

Rajpal S, Kumar A, Joe W. Economic burden of cancer in India: Evidence from cross-sectional nationally representative household survey 2014. PLOS one. 2018;13:0193320.

Das SK, Ladusingh L. Why is the inpatient cost of dying increasing in India? PLOS one. 2018;13:0203454.

Pearce A, Sharp L, Hanly P. Productivity losses due to premature mortality from cancer in Brazil, Russia, India, China, and South Africa (BRICS): A population-based comparison. Cancer Epidemiol. 2018;53:27-34.

Brayand F, Moller B. Predicting the future burden of cancer. Nat Rev Cancer. 2006;6:63-74.

Nandakumar A. Consolidated report of the population-based cancer registries. National Cancer Registry Programme. Indian Council of Medical Research, New Delhi, India. 1990-96.

Rao DN, Ganesh B. Estimate of cancer incidence in India in 1991. Indian J Cancer. 1998;35:10-8.

Indian Council of Medical Research. National Cancer Registry Program.

Forman D, Bray F, Brewster DH, Mbalawa C, Kohler B, Gombe et al. Cancer incidence in five continents, Vol X (electronic version). Lyon: Int Agency for Res on Cancer.

Medical Council of India. List of colleges teaching postgraduate courses. 2013.

National Board of Examinations.

Atomic Energy Regulatory Board, Goverment of India. List of cancer treatment centres licenced by AERB as on 31-05-2012, Radiotherapy.

Office of the Registrar General and Census Commissioner of India, Ministry of Home Affairs, Government of India. Census of India, 2011.

Hussain MA, Pati S, Swain S. Pattern and trends of cancer in Odisha, India: a retrospective study. Asian Pac J Cancer Prev. 2012;13:6333-6.

Manoharan N, Tyagi BB, Raina V. Cancer incidences in rural Delhi, 2004-2005. Asian Pac J Cancer Prev. 2010;11:73-7.

Mehrotra R, Pandya S, Singhla M, Srivastava D, Singh M. Spectrum of malignancies in Allahabad, North India: a hospital-based study. Asian Pac J Cancer Prev. 2008;9:525-8.

Swaminathan R, Selvakumaran R, Esmy PO. Cancer pattern and survival in a rural district in South India. Cancer Epidemiol. 2009;33:325-31.

Siegel R, Naishadham D, Jemal A. Cancer Statistics. Ca Cancer J Clin. 2013;63:11-3.

Mohanti BK, Nachiappan P, Pandey RM. Analysis of 2167 head and neck cancer patients’ management, treatment compliance and outcomes from a regional cancer centre, Delhi, India. J Laryngol Otol. 2007;121:49-56.

Sarkar M, Konar H, Raut D. Clinico-pathological features of gynecological malignancies in a tertiary care hospital in Eastern India: importance of strengthening primary health care in prevention and early detection. Asian Pac J Cancer Prev. 2013;14:3541-7.