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Description
This Charity Hospital Tumor Registry monograph covers the period 1948 through 1984, and includes all patients with a diagnosis of cancer who were seen at Charity Hospital of Louisiana at New Orleans. A total of 55,384 cases were abstracted of which 49,529 are described in the monograph. This Registry includes skin cancer and all in situ cancers as well as 236 benign mixed tumors of the salivary gland, 340 meningiomas of the brain, 119 carcinoid tumors of the intestine, and 72 granulosa cell tumors of the ovary. Excluded from analysis were 5,855 cases because of lack of histologic confirmation or too few histologic types for analysis, (e.g. lung cancer was divided into epidermoid, adenocarcinoma, alveolar and small cell; 665 cases were excluded because of no histologic confirmation and 214 cases were excluded because of other histologies). The Tumor Registry data is abstracted from Charity Hospital records and includes age, sex, race, residence, primary site, histologic type, extent of spread of disease at diagnosis, date of diagnosis, initial and subsequent treatment, vital status and date of last follow-up. Patients are entered into the registry according to year of initial diagnosis. Initial treatment is considered as any treatment within two months of diagnosis for leukemia and within four months for other cancers. Follow-up is maintained annually. Only 3% of all cases have been lost to follow-up. Relative survival rates are utilized throughout the monograph and represent the proportion of mortality which is directly ascribable to the cancer excluding other causes of death. Descriptions of all sites include: sex and race distribution, age at diagnosis by decade, stage of disease, relative survival rates and treatment experience for selected sites. Many sites have been described separately by histologic type (e.g. epidermoid carcinoma of the lung, adenocarcinoma of the lung, alveolar carcinoma of lung and small cell carcinoma of the lung). In the text the bold print represents Charity Hospital experience. This is followed by the Third National Cancer Survey experience for reference for most sites, SEER 1973-77 study for selected sites, followed by a general discussion. Summary tables of these two studies as well as incidence and mortality rates from Louisiana Tumor Registry and the American Cancer Society 1985 statistics are shown in the appendix. Treatment by radiation therapy, surgery and drug therapy described in the text reflects the standard practice at the time of writing the monograph. This Registry is one of the oldest hospital tumor registries in the United States. Moreover, it uniquely reflects the natural history of cancer in a large black population. This Registry participated in the End Results Program of the National Cancer Institute since its inception until 1977, and contributed 44% of the black cases in their last publication: Cancer Patient Survival Report Number 5. Comparisons of cancer in black and white patients have been made throughout the monograph. There were several major socio-economic shifts in the patient population of Charity Hospital. The first occurred with full integration in 1957 followed by Medicare in 1965 with subsequent reduction in hospital bed capacity.
Publication Date
1-1-1986
Publisher
Louisiana Tumor Registry
Recommended Citation
Carter, R. Davilene; Faddis, David; Krementz, Edward T.; Owens, Sandra L.; Rodriguez, Jane D.; Schlosser, Joseph V.; and Weilbaecher, Robert G., "Tumor Registry: 1948 - 1984" (1986). Cancer in Louisiana. 50.
https://digitalscholar.lsuhsc.edu/soph_cla/50
Comments
The Louisiana Tumor Registry can be reached at LTR-info@lsuhsc.edu