Geographical distribution of hematological malignancies managed at Moi Teaching and Referral hospital

Abstract

Background: Hematological malignancies are cancers that affect the blood, bone marrow, and lymph nodes. The patients with hematological cancers managed at MTRH vary depending on age, sex and geographical distribution. Data accruing from this report can guide policy makers on needs assessment and cancer control interventions in cancer management.

Objective: The main Objective of this report is to describe the age, gender and Geographical distribution of hematological malignancies managed at MTRH

Design: Retrospective review of the Eldoret Cancer registry

Setting: Moi Teaching and Referral hospital

Materials and Methods: A review of data collected by Eldoret Cancer registry on Hematological malignancies managed at MTRH over a 10year period (2008-2017) was performed. Census sampling method was used. The information captured included; registration number that identifies the patient, sex, county of residence and morphological diagnosis of the cancers. Can Reg Version 5 was used to capture and analyze data.

Results: A total of 2,433 patients’ records of confirmed diagnosis of hematological malignancies seen at MTRH during the 10 year period (2008-2017) were examined .The patients were males 58% and 42% females with a ratio of 1.3:1. The commonest Hematological malignancy were; Non-Hodgkin’s Lymphoma 840(33%), Acute Lymphoblastic Leukemia 396(16%) and Chronic Myeloid Leukemia 12%.The Counties with highest incidence of Hematological cancers included: Uasin Gishu 29% and Bungoma 8.4% counties.

Conclusion: The patients with hematological cancers managed at MTRH vary depending on age, sex, geographical distribution and type of Hematological malignancy. Non-Hodgkin’s Lymphoma was the commonest Hematological malignancy.