Epidemiological Trends of GI Cancers in Patients Visiting a Tertiary Care Hospital in Chandigarh, North India

  • Sharma, Munesh K (Government Medical College and Hospital) ;
  • Singh, Tarundeep (Post Graduate Institute of Medical Education and Research) ;
  • Pandey, Avdesh K (Government Medical College and Hospital) ;
  • Kankaria, Ankita (Post Graduate Institute of Medical Education and Research)
  • Published : 2015.04.29


Background: Cancer has become an epidemic disease. Nearly ten million new cancer cases are diagnosed annually in the world and out of these about half are from the developing world. To appropriately plan for treatment, management and prevention of the disease, it becomes necessary to study the trends about morbidity caused by cancers. Materials and Methods: Data for patients diagnosed with any form of gastrointestinal (GI) cancers was extracted from records maintained in the outpatient department registers of the Oncology Department of Government Medical College and Hospital in Chandigarh from 1999 to 2012. Trends were analysed for different categories of GI cancers for the period of 12 years. Results: In present study GI cancers accounted for 23 % of all registered cases (n-9603) of carcinomas. Males predominated for all GI cancers except in the gall bladder. Gastrointestinal cancers as a proportion of total cancers increased from 21% in 1999 to 25.9% in 2012 with a significant increasing trend in our series (${\chi}^2$ for linear trend=9.36, p<0.003). Cancers of the tonsil, oral cavity and pharynx taken together showed an increasing trend over the years (${\chi}^2$ for trend=55.2, p<0.001) whereas cancers of the lower GI (${\chi}^2=19.6$, p<0.0001) and gall bladder (${\chi}^2=19.5$, p<0.0001) showed a declining trend in our series. Conclusions: GI cancers form a significant proportion of all cancers reporting to our data. In depth studies to ascertain the reasons for the changing trends are required to design intervention programs. Further information is necessary from cancer registries and from the hospital records of oncology departments.


Gastrointestinal cancers;epidemiological trends;Chandigarh;North India


  1. A consolidated study of population based registries data, cancer statistics 1990-96, national cancer registry programme, ICMR, New Delhi, 2000.
  2. Ali I, Wani WA, Saleem K (2011).Cancer scenario in India with future perspective. Cancer Therapy, 8, 56-70.
  3. Barbhuiya MA, Singh TD, Gupta S, Srivastava BR, Tiwari PK (2009). Incidence of gallbladder cancer in rural and semiurban population of north central India: a first insight. Int J Epidemiol, 7, 2-5.
  4. Bhattacharya SK, Gosh S, Mukherjee B, Ghosh TK, Ghosh KK (2004). Profile of malignancies-an experience of 5 years at Burdwan medical college, Burdwan. Ind J Prev Soc Med, 35, 168-2.
  5. Das BP (2005). Carcinoma pattern in Haryana. Health Administrator, 17, 29-9.
  6. GLOBOCON, 2012. Available at :
  7. Hussain MA, Pati1 S, Swain S, et al (2011). Pattern and trends of cancer in Odisha, India: a retrospective study. Asian Pac J Cancer Prev, 13, 6333-6.
  8. Jagnnatha G, Hiremath S (2005). Oral cancer prevalence and assessment of various risk factors among oral cancer patients attending Kidwai Memorial Institute of Oncology- An epidemiological study. Retrieved from last accessed on 11-10-2014.
  9. Langer B, Langer R, Gupta R, Bhupinder S (2012). An epidemiological study of malignancies in Jammu province, India: A retrospective study (1999-2003). Global J Med Public Health, 1, 11-6.
  10. Maiti P, Jana U, Ray A, et al (2012). Patterns of cancer occurrence in different regions of west Bengal- a hospital based study. J Indian Med Assoc, 110, 445-8.
  11. Mikov MM, Burany B, Zdrakovic S (1997). Epidemiological characteristics of gastric cancer in Vojvodina. Eur J Epidemiol, 13, 523-5.
  12. Murray CJ, Lopez AD (1996). Global health status in developing countries: global burden of diseases and injuries in SEARO, (Harvard School of Public Health), Vol. 1 & 2.
  13. Murthy NS, Mathew A (2004). Cancer epidemiology, prevention and control. Curr Sci, 86, 518-7.
  14. Murthy NS, Rajaram D, Gautham MS, et al (2011). Risk of cancer development in India. Asian Pac J Cancer Prev, 2, 387-1
  15. National cancer registry programme, ICMR (2009) Time trends in cancer incidence (1982-2005), Banglore, India.
  16. Rao DN, Ganesh B (1998). Estimate of cancer incidence in India in 1991. Indian J Cancer, 35, 10-8.
  17. Schein PS (1992). Gastro-intestinal cancer. A global perspective. Ahlgren J, Mac Donald J (Eds). Gastroent Oncology. JB Lippincott. Philadelphia, pp 3-11.
  18. Sharma MK, Gour N, Pandey A, Wallia D, Kislay D (2012). Epidemiological trends of cancer morbidity at a government medical college hospital, Chandigarh, India. Asian Pac J Cancer Prev, 13, 3061-4.
  19. Reddy K (2010). Cancer epidemiology in South India. Bangalore:department of epidemiology and statistics Banglore cancer registry. Kidwai memorial institute of oncology. retrieved from last accessed on 11-10-2014