Situation of colorectal cancer in the national health security system, Thailand fiscal year 2004-2021

Abstract

This study was a part of the program to develop evaluation capacity of the National Health Security Office (NHSO)’s staff by assigning personal from various strategic groups and regional offices working together in agile teams and colorectal cancer was chosen for the study. Data from NHSO database were analyzed in terms of situations on epidemiology, results of treatment focusing survival rate, and service provisions. The study was performed during August - September B.E.2565. The study reveals colorectal cases were continuously increase. There were 5,245 new cases in fiscal year 2547 and rose to 12,998 cases in fiscal year 2564. Incidence rates during fiscal year 2560-2564 increased from 21.83 to 27.41 cases per 100,000 population. Survival rates at year 1 and year 2 were 67.42 and 54.02% respectively and year 5 was 37.53%. Data concerning treatment with chemotherapy, radiation or surgery indicated that there was no data of such treatment in 54.74-62.89 % of cases, and among cases with existed data, 83.37-87.33 of cases diagnosed during fiscal year 2560-2564 received such treatment initially within 3 months after diagnosis. In addition, number of cases receiving any kind of services rose from 12,732 to 82,680 times during fiscal year 2547 to 2564, while number of treatments with chemotherapy, radiation or surgery rose from 2,041 to 9,626 times during the same period. This study points out that colorectal cancer cases were increasing alarmingly. Researches should be conducted to explore the causes and guide formulation of more effective interventions for further prevention and control. Further health care system should be developed and resources should be prepared to accommodate expected higher number of cases in the future.