Monograph on Lung Cancer

Lung Cancer Registry Data of 2009-2017

Abstract

Abstract

Background

Lung cancer is the second-most commonly diagnosed malignancy and is also the leading cause of cancer-related deaths.  Continuous advancement in diagnostic and treatment modalities aims to improve this trend.

Objective

To present the demographic and clinical profile, diagnosis, management and in-hospital outcomes of lung cancer patients seen at the Lung Center of the Philippines between 2009 to 2017

Methods

This was a retrospective cohort review among all patients with lung cancer registered at the Lung Center of the Philippines between January 1, 2009 to December 31, 2017.  The data were extracted from the medical records of lung cancer patients and recorded in the Lung Cancer Registry forms.  The data recorded in the Lung Cancer Registry data collection forms were encoded using the EPI INFO data entry.

Results

A total of 3,969 lung cancer patients were included in the study. The majority were males (65.96%, n=2,618), 60 years old and above (59.01%, n=2,331), came from National Capital Region (45.2%), with a smoking history (63.16%, n=2,507), Stage IV (66%), non-small cell carcinoma (NSCLC) (89.3%, n=3, 586), adenocarcinoma as dominant sub-type (62.7%, n=225), and underwent diagnostic and staging procedures (75.7%) during the year of first admission: Supportive care 56.6%, surgery 17.8%, radiotherapy 5.7%, and chemotherapy 7.5%.  Among the patients included in the study, 719 (18.2%) patients had in-hospital deaths during first admission based on hospital records. However, the mortality data among patients whose deaths which may have occurred outside the hospital were not available.

Conclusion

In this cohort from 2009 to 2017, 3,969 patients with lung cancer were included, similar to the number of patients with lung cancer included in the previous 2000 to 2008 cohort.  Majority are caught in their late stage, offered with supportive therapy, and with notable in-hospital mortality on admission.