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Yarney J, Ohene Oti NO, Calys-Tagoe BNL, Gyasi RK, Agyeman Duah I, Akoto-Aidoo C, McGuire V, Hsing JC, Parkin M, Tettey Y, Hsing AW. Establishing a Cancer Registry in a Resource-Constrained Region: Process Experience From Ghana. JCO Glob Oncol 2021; 6:610-616. [PMID: 32302237 PMCID: PMC7193799 DOI: 10.1200/jgo.19.00387] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022] Open
Abstract
PURPOSE In a review of cancer incidence across continents (GLOBOCAN 2012), data sources from Ghana were classified as Frequencies, the lowest classification for inclusion, signifying the worst data quality for inclusion in the analysis. Recognizing this deficiency, the establishment of a population-based cancer registry was proposed as part of a broader cancer control plan. METHODS The registry was examined under the following headings: policy, data source, and administrative structure; external support and training; and definition of geographic coverage. RESULTS The registry was set up based on the Ghana policy document on the strategy for cancer control. The paradigm shift ensured subscription to one data collection software (CanReg 5) in the country. The current approach consists of trained registrars based in the registry who conduct active data abstraction at the departments and units of the hospital and pathologic services. To ensure good governance, an administrative structure was created, including an advisory board, a technical committee, and registry staff. External support for the establishment of the Accra Cancer Registry has come mainly from Stanford University and the African Cancer Registry Network, in collaboration with the University of Ghana. Unlike previous attempts, this registry has a well-defined population made up of nine municipal districts. CONCLUSION The Accra Cancer Registry was established as a result of the lessons learned from failed previous attempts and aim to provide a model for setting up other cancer registries in Ghana. It will eventually be the focal point where all the national data can be collated.
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Affiliation(s)
- Joel Yarney
- Accra Cancer Registry, Accra, Ghana.,National Centre for Radiotherapy and Nuclear Medicine, Accra, Ghana
| | - Naomi O Ohene Oti
- Accra Cancer Registry, Accra, Ghana.,National Centre for Radiotherapy and Nuclear Medicine, Accra, Ghana
| | - Benedict N L Calys-Tagoe
- Accra Cancer Registry, Accra, Ghana.,Department of Community Health, University of Ghana School of Public Health, Accra, Ghana
| | - Richard K Gyasi
- Accra Cancer Registry, Accra, Ghana.,Department of Pathology, University of Ghana, Accra, Ghana
| | - Isaac Agyeman Duah
- Accra Cancer Registry, Accra, Ghana.,National Centre for Radiotherapy and Nuclear Medicine, Accra, Ghana
| | - Charles Akoto-Aidoo
- Accra Cancer Registry, Accra, Ghana.,National Centre for Radiotherapy and Nuclear Medicine, Accra, Ghana
| | - Valerie McGuire
- Department of Health Policy and Research, Stanford University School of Medicine, Stanford, CA
| | - Julianna C Hsing
- Department of Health Policy and Research, Stanford University School of Medicine, Stanford, CA
| | - Max Parkin
- Nuffield Department of Population Health, Oxford University, Oxford, United Kingdom.,African Cancer Registry Network, Oxford, United Kingdom
| | - Yao Tettey
- Department of Pathology, University of Ghana, Accra, Ghana
| | - Ann W Hsing
- Department of Pediatrics, Center of Policy, Outcomes, and Prevention, Stanford University School of Medicine, Stanford, CA
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