The Journal of Community Health Management


A study of demographic profile of carcinoma gall bladder in a Teaching Hospital, Varanasi


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Author Details: Sajendra Kumar, VK Singhal, SC Mohapatra, Priyanka Sachdeva, VK Shukla

Volume : 3

Issue : 4

Online ISSN : 2394-2738

Print ISSN : 2394-272X

Article First Page : 165

Article End Page : 171


Abstract

Introduction: Carcinoma of gall bladder is fifth most common malignancy of gastrointestinal tract. It accounts for 0.76% to 1.2% of all carcinomas and 5% of all carcinomas discovered at autopsy1. It is more commonly seen in seventh decade of life and 90% cases occur above the age of 50. Females are at 4-5 times higher risk than males to develop this malignancy.  In view of the high occurrence of carcinoma gall bladder in Varanasi and its adjoining areas to the tune of 0.76% to 1.2%,(2)  the investigators decided to carry out “A Clinico-epidemiological Study of Gall Bladder Carcinoma in SS Hospital, Varanasi.”
Materials and Methods: A case-control Design was undertaken for the study, Seventy nine cases of gall bladder carcinoma matched in age and sex, preferably of the same family as control, were selected from one of the surgical unit of SS Hospital on the basis of snow ball sampling technique. It was decided to observe the personal and family profile of gall bladder carcinoma cases attending SS Hospital, Banaras Hindu University, Varanasi. It was objectified, to record the clinical features and presenting pattern of gall bladder carcinoma in SS Hospital, Banaras Hindu University, Varanasi and to compare the characteristics of gall bladder carcinoma to their matched control in the study area. The questionnaire cum interview technique was administered to collect the required information. The 24 hours food intake was recorded on the basis of recall method using Standardized Utensil Technique. Laboratory and histo-pathological investigations were carried out with the help of standard techniques employed for the same purpose. Statistical analysis was done as required using SPSS 16 version.
Observations: The Mean age ± SD of the cases was observed as 50.19±09.45 as compared to the control as 50.44±08.89 (t = 0.171; DF = 15.6; P >0.05, NS). The sex ratio of cases was observed as Male: Female Ratio was almost 1:5. Education wise there was no difference between cases and controls. Cases to the tune of 69.62 % were domestic workers and illiterate. Hindus accounted for 88.61% with a higher group from the General caste (57.53 %) category in both cases and controls. In the cases 62.03% were rural dwellers, 74.68 % had a monthly income between 500 t0 1500 only, 54.43% were treated by modern medicine followed by quacks (43.04%), 45.57 % did not have any food fads or choice of taste, while age at menarche, age at first birth or age at first pregnancy, no of child birth or any Pregnancy related factors, did not show any significant difference in women patients.