Survival and Mortality of Cancer (SAMOC) v1

Résumé

Indicators of cancer mortality are essential for public health planning. In Tunisia, significant progress has been made in cancer management, including enhanced screening, treatment availability, and reimbursement through the National Health Insurance Fund. The Survival And Mortality Of Cancer (SAMOC) study is a prospective observational protocol designed to assess the impact of these advances on patient outcomes by estimating cancer-specific survival and mortality. SAMOC includes all patients diagnosed with cancer in a Tunisian governorate between 2002 and 2014. Data were obtained from the Cancer Registry of Central Tunisia and cross-verified with the Regional Register of Hospital Morbidity and oncology departments. Mortality status was ascertained through a multi-step process using hospital records and national death registries in collaboration with the Ministry of Social Affairs and municipalities with access to the national mortality database. This updated protocol refines data linkage, verification steps, and integration of multiple data sources to maximize completeness and accuracy. The study will provide robust estimates of cancer survival, mortality, and trends, informing targeted primary and secondary cancer prevention strategies in Tunisia and comparable settings.

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