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Open Access Research article

Incidence rates of the primary brain tumours in Georgia - a population-based study

David Gigineishvili12*, Teimuraz Gigineishvili1, Alexander Tsiskaridze12 and Roman Shakarishvili12

Author Affiliations

1 Department of Neurology & Neurosurgery, Faculty of Medicine, Javakhishvili Tbilisi State University, Tbilisi 0112, Georgia

2 Sarajishvili Institute of Neurology, Tevdore Mgvdlis 13, 3rd floor, Tbilisi 0112, Georgia

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BMC Neurology 2014, 14:29  doi:10.1186/1471-2377-14-29

Published: 14 February 2014

Abstract

Background

To determine the incidence rate and to describe other basic epidemiological data of primary brain tumours in a population-based study in Georgia, performed between March 2009 and March 2011.

Methods

Active case ascertainment was used to identify brain tumour cases by searching neuroradiology scan reports and medical records from all participating medical institutions, covering almost 100% of the neurooncology patients in the country.

Results

A total of 980 new cases were identified during the two-year period. For a population of almost 4.5 million, the overall annual incidence rate was 10.62 per 100,000 person-years, age-standardized to the year 2000 US population (ASR). Non-malignant tumours constituted about 65.5% of all tumours. Males accounted for 44% and females for 56% of the cases. Among classified tumours, age-standardized incidence rates by histology were highest for meningiomas (2.65/100,000), pituitary adenoma (1.23/100,000) and glioblastomas (0.51/100,000). ASR were higher among females than males for all primary brain tumours (10.35 vs. 9.48/100,000) as well as for main histology groups except for neuroepithelial, lymphomas and germ cell tumours.

Conclusions

The annual incidence rate of all primary brain tumours in Georgia, though comparable with some European registry data, is low in comparison with the 2004–2005 Central Brain Tumor Registry of the United States (CBTRUS) database, which may reflect variations in reporting and methodology. The higher percentage of unclassified tumours (37.8%) probably also affects the discrepancies between our and CBTRUS findings. However, the most frequently reported tumour was meningioma with a significant predominance in females, which is consistent with CBTRUS data.

Keywords:
Epidemiology; Incidence; Primary brain tumours; Brain tumour registry; Meningioma; Glioblastoma