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Description
This Charity Hospital Tumor Registry monograph covers the period 1948 through 1975, and includes all patients with a diagnosis of cancer who were seen at Charity Hospital of Louisiana at New Orleans. A total of 45,493 cases were abstracted of which 41,049 are described in the monograph. This Registry includes skin cancer and all in situ cancers as well as 189 benign mixed tumors of the salivary gland, 262 meningiomas of the brain, 191 carcinoid tumors of the intestine, and 58 granulosa cell tumors of the ovary. Excluded from analysis were 4,444 cases because of lack of histologic confirmation or too few histologic types for adequate analysis, e.g. lung cancer was divided into squamous and adenocarcinoma; 397 cases were excluded because of no histolog ic confirmation and 289 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 the 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. squamous cell carcinoma of the lung and adenocarcinoma 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 when available, followed by a general discussion. Treatment by radiation therapy, surgery and drug therapy described in the text reflects the standard practice at the time of writing the monograph. Treatment experience of patients described reflects the standard treatment at the time of their diagnosis. 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 has participated in the End Results Program of the National Cancer Institute since its inception 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 patientpopulation of Charity Hospital. The first occurred with full integrationin 1957 followed by Medicare in 1965 with subsequent reductionin hospital bed capacity.
Publication Date
1-1-1979
Disciplines
Public Health
Recommended Citation
Registry, Louisiana Tumor; Correa, Pelayo; Gottlieb, Marise S.; Krementz, Edward T.; Roberts, Jane D.; and Weilbaecher, Robert G., "Tumor Registry 1949-1975" (1979). Policy & Position Papers. 124.
https://digitalscholar.lsuhsc.edu/soph_wp/124