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Radiation Oncology

The Regional Cancer Centre at Hospital continues its fight against cancer control in the region, including Uttar Pradesh, North & western Bihar and Madhya Pradesh and adjoining regions. The dedication of team KNMH has resulted in more patients seeking cure at the centre.
Substantive achievements have been made in the fields of cancer awareness, prevention, early detection, management, follow up, palliative care, pain relief, and cancer research. Brachytherapy wing has independent operation theater and HDR treatment facilities. Optimized interstitial and intracavitary HDR treatment available with full utilization of the Unit with patient benefit.

ONGOING PROJECTS

Hospital Based Cancer Registry (HBCR)

Monitoring cancer incidence and Cancer Treatment practices are important for planning, implementing and evaluating cancer control programmes. A Hospital Based Cancer Registry (HCR) is a system of proper coding, compilation and analysis of information on cancer cases seen in the RCC. The HCR ensures that all cases passing through the cancer Hospital are captured and coded systematically. Repeat admissions and follow up information is also included. The HBCR is the focal point for many activities and have helped to generate good data on the case load, resources etc.

All the cases have been completely coded as per the ICDO-3 guidelines from the last five years and the data prevalence to cancer. The details are given in Table I a & I b for male and female cancer patients separately.

Population Based Cancer Registry (PBCR)

In coordination with National Centre for Disease Informatics & Research (Indian Council of Medical Research) National Cancer Registry Programme, Bengaluru, RCC KNMH signed agreement to start Population Based Cancer Registry.

PBCRs collect a complete summary of the patient’s history, diagnosis, treatment, and status for every cancer patient in the defined region. These are useful for knowledge on cancer burden, etiological studies, and effectiveness of cancer control activities.

The Project was launched on 10th March 2018, at Regional Cancer Centre, KNMH Allahabad. A meeting of Government, Private Hospitals, Diagnostic and Pathological centres was held at RCC, KNMH on 10th March 2018. The prominent participants of the meeting were Principal, MLN Medical College and Heads of departments of Medical College, District Hospital, T.B. Hospital, and Nazreth Hospital. The Private Hospitals, Diagnostic and Pathology centres of Allahabad district were also participated in the meeting. The objective of the meeting was to brief participants about the programme and their cooperation in sharing of the data of cancer patients reporting in their centres to the project PBCR.

A workshop for staff employed under the above project held on 21st – 22nd March 2018 at NCDIR-NCRP. The training focused on cancer registration, cancer terminologies and coding as per ICD-O-3 and methods of data collection including hands on exercises. Participants actively involved in all the interactions. The software team explained, clarified the common data entry errors & doubts by software demonstration.

Patterns of Care and Survival Studies

Indian Council of Medical Research supported Project on patterns of care & survival study started in the year 2014 with HBCR. The data from HBCRs of India has shown that Cancer of Cervix (28%) and Breast (16%) in women are most common and cancer of Head and Neck region constitute about 30 % of all cancer in males and females. Realizing the problem of follow-up of cancer patients wherein huge number of patients drops out from regular follow-up visits. ICMR initiated pattern of care and survival studies on three of the most common cancers i.e Cancer of Cervix, cancer of Breast and Head and Neck Cancers.sfusion (53). 50 cases put on palliative care.

Pain & Palliative Care Unit

A Pain & Palliative Care Unit started in December 2011 sponsored by Jiv Daya Foundation. The objective of the Unit is to improve quality of life of the patients at terminal phases. The Unit has one Medical Officer, one Counselor and one Nurse. Total 1069 patients (590 males and 479 females) were enrolled for treatment in the unit. 797 were new cases. 657 patients were from rural areas and 412 from urban areas. Maximum number of patients had head, neck & mouth cancers (120) followed by gall bladder (94), breast (82), lungs (72), and cervix (61), and tongue (60). 243 patients were given Morphine tablets, 119 were new patients.

Paediatric Cancer Initiative

A Paediatric Cancer Unit started at RCC from May 2013 sponsored by Jiv Daya Foundation. The unit has Medical Officer, one Counselor and one data entry operator. Total 1718 patients (812 boys and 906 girls) were enrolled for treatment in the unit. 268 were new cases. 899 were from rural and 819 from urban areas. Maximum number of cases had Acute Lymphoid leukemia (233), Hodgkins lymphoma (82), Ewings Sarcoma (59) and non hodgkins lymphoma (52). Parents were counselled for hygiene, care & support, nutrition, wound care, infection control, tube feeding. 08 cases referred for surgery. Treatment included chemotherapy (883), radiotherapy (67), and blood transfusion

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RCC Performance