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Of nearly 2,000 people with gallbladder cancer seen at Mumbai's Tata Memorial in four years, six in ten already had spread when they arrived and only one in six could be offered treatment aimed at cure.
Prospective hospital registry of all patients presenting with presumed gallbladder cancer to Tata Memorial Hospital from January 2019 to December 2022: 1,950 patients, of whom 1,441 (73.9 percent) came from the Gangetic belt and a further 209 (10.7 percent) were migrants from it (84.6 percent together); over 55 percent were from lower socioeconomic classes. At presentation 60 percent had metastatic disease; 318 (16.3 percent) were eligible for curative-intent therapy and 132 (6.8 percent) did not complete planned treatment, with dropout linked to male sex and unemployment. After a median follow-up of 38.2 months, median overall survival was 58.2 months for early-stage and 4.2 months for metastatic disease.
The clearest statement of where the burden falls and why late presentation, not drug choice, decides most outcomes in high-incidence regions; it is also the home of the POLCAGB trial.
Shares Risk-targeted ultrasound screening in high-incidence regions, tested against usual care, Gallbladder cancer roadmap: from a chance finding at gallstone surgery to a disease with its own trials, Most of the world has almost no cancer care, Gallbladder cancer and the tag gallbladder-evidence.
Shares Risk-targeted ultrasound screening in high-incidence regions, tested against usual care, Gallbladder cancer roadmap: from a chance finding at gallstone surgery to a disease with its own trials, The hardest cancers are found late, Gallbladder cancer and the tag gallbladder-evidence.
Shares Risk-targeted ultrasound screening in high-incidence regions, tested against usual care, Gallbladder cancer roadmap: from a chance finding at gallstone surgery to a disease with its own trials, Gallbladder cancer and the tag gallbladder-evidence.
Shares Tata Memorial Centre, Gallbladder cancer roadmap: from a chance finding at gallstone surgery to a disease with its own trials, Gallbladder cancer and the tag gallbladder-evidence.
Shares Gallbladder cancer roadmap: from a chance finding at gallstone surgery to a disease with its own trials, Gallbladder cancer and the tag gallbladder-evidence.
Shares Tata Memorial Centre, Gallbladder cancer and the tag gallbladder-evidence.
Shares Gallbladder cancer roadmap: from a chance finding at gallstone surgery to a disease with its own trials, Most of the world has almost no cancer care, Gallbladder cancer and the tag gallbladder-evidence.
Shares Gallbladder cancer roadmap: from a chance finding at gallstone surgery to a disease with its own trials, Gallbladder cancer and the tag gallbladder-evidence.