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National Cancer Registry (NCR)

 

Name (Abbreviation)

National Cancer Registry
(NCR)

Established since:

2002

Contact person:

Sister Tom Asiah, NCR Registry Manager

Address:

2nd Floor, MMA House
124, Jalan Pahang
50286 Kuala Lumpur
Malaysia

Phone:

603-40455928

Fax:

603-40451252

Email:

ncr@acrm.org.my  

Sponsor, Funding and Governance:

Sponsor:

Department of Radiotherapy & Oncology, Kuala Lumpur Hospital, Ministry of Health (MOH)

Funding:

MOH is the sponsor of the registry.
The CRC of the MOH provides technical support in the form of clinical epidemiology expertise, and biostatistical and ICT services.
The NCR receives some funding from the medical device and pharmaceutical industries from time to time, and it also raises funds through its publication

Advisory Committee:

An Advisory Committee is established to govern the NCR. The Ministry of Health, various professional bodies, Non-Governmental Organisations including National Cancer Council (MAKNA) and providers of cancer related services (Radiotherapy and Oncology, Haematology, Paediatric Oncology, Pathology, Palliative care, and others) from all sectors are represented on this committee to ensure that the NCR stays focused on its objectives, and to assure its continuing relevance and justification.
Dr. Gerard Lim Chin Chye and Dr. Halimah Yahaya are the current co-chairpersons of the Advisory Committee.

Objectives:

The objectives of NCR are to:

  1. Determine the disease burden attributable to cancer by quantifying the magnitude of cancer morbidity and mortality, and its geographic and temporal trends in Malaysia.

  2. Identify subgroups in the population at high risk of cancer to whom cancer prevention effort should be targeted.

  3. Identify potential risk factors involved in cancer.

  4. Evaluate cancer treatment, control and prevention programmes.

  5. Stimulate and facilitate epidemiological research on cancer, eg generating hypotheses on cancer aetiology

Scope and Content:

The NCR is intended to be a truly national population-based disease registry. It therefore seeks the participation from all providers of cancer related services such as Oncology, Radiotherapy, Pathology, Palliative care, Radiology, selected surgical and medical disciplines in all sectors (public, NGO and Private) throughout the country.
Participation rate has been consistently high (There were 174 data providers that submitted data to the NCR in 2003 and 191 data providers in 2004).
 

Given the large number of cancer notifications each year, to minimize the burden to source data providers (SDPs) as well as to ensure completeness of case ascertainment which has overriding priority, the NCR collects only minimal data for each notified case. These are Patient’s name, IC, age, sex, ethnicity, cancer site or primary organ or biopsy specimen, and cancer histopathology if known.

Data collection and transfer:

The NCR presently is still collecting data using paper-based instruments. Data is collected in the form of a monthly return to NCR of all cases encountered in a month. The NCR registry office actively tracks data returns and prompts SDPs to submit data whenever they fall behind schedule in reporting data.

NCR has introduced a web application, called eCancer, to enable individual SDPs to securely download data they have submitted to NCR as well as to download confidential communication where required.
Given the trend, NCR will no doubt employ electronic data capture (EDC) via the internet in the near future for purpose of cancer notification.

Record linkage:

There is a plan for NCR’s database to be linked to the Jabatan Pendaftaran Negara’s database to ascertain mortality outcome.
There is also a plan to link the NRR to the National Operative Procedure register and the MOH’s Health Management Information System (HMIS) to determine morbidity events when these two databases are properly established.

Reports & Publications:

The NCR has been publishing an annual statistical report since 2003 (the Third Report will be due in early 2006).
Several research projects based in part on cancer registry data are ongoing.
Visit NCR’s website to download these reports

Resources:

Registry operations:

The day-to-day operations of the NCR are undertaken by NCR’s staff, which comprises a full-time registry manager and 2 full-time assistants. They work from a purpose designed registry office.

Epidemiology:

The Clinical Research Centre of the MOH provides clinical epidemiology expertise for the registry.

Biostatistics:

This is outsourced to Biostat Consulting Sdn Bhd.

ICT support:

These are outsourced to various IT companies including NTT (data centre service), MIMOS and KSM (hardware), Datamed Clinical Computing Sdn Bhd (databases and applications), SecureTangent (information security), and variety of specialty software providers (IBM/Ascential, SAS, STATA, WHO/MedDRA, etc)

Date updated:

12/01/2006

 
 
 
 
 
 

 
 

 

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