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Bulgarian National Cancer Registry Profile Page
Bulgarian National Cancer Registry

Contact Info

National Oncological Hospital
6, Plovdivsko Pole Street
Prof. Zdravka Valerianova


Registration area

The Bulgarian National Cancer Registry (BNCR) covers the population of Bulgaria. The country is divided into 28 districts, whose populations differ in terms of size, age structure, urban and rural proportions, and ethnic and religious compositions. About 70% of the population lives in urban areas. Approximately 83% of residents are Bulgarian, and 17% are Turkish, Romani, Armenian, Jewish, Greek, or of other ethnicities. Eastern Orthodox Christianity is the most common religion.

Cancer care facilities

Cancer care is provided by the National Hospital of Oncology (NHO), regional oncology centres (ROCs), university hospitals, and some municipal hospitals where facilities for complex treatment are available. A state-run, socially oriented, mandatory health insurance system was introduced in 2000. The Minister of Health defines a guaranteed medical services package and supervises its provision.

Registry structure and methods

The Bulgarian Ministry of Health mandated the registration of malignant neoplasms through national instructions issued in 1964 and national orders issued in 1990 and 2011. Cancer registration is funded by the ministry. There have been no changes in coverage. The BNCR and 13 regional cancer registries (RCRs) were established in 1952. The BNCR is part of the NHO, and each RCR is part of an ROC. The registries are certified by the Bulgarian Commission for Personal Data Protection, which was established by a parliamentary decision in 2002. The BNCR staff consists of a physician, a statistician, a database specialist, and five registrars. The staff of each RCR includes a physician and two or three registrars who collect information from all data sources in their region using active and passive methods. Quality control procedures are regularly performed at the BNCR, and the registry uses international classifications and standards. The ICD-10 coding system was adopted by the BNCR in 2005.

Interpreting the results

Opportunistic screening for breast and cervical cancers has been available in Bulgaria since 2000 and is covered by the National Health Insurance Fund.

Use of the data

The BNCR publishes annual reports on cancer incidence, prevalence, and regional distributions, as well as patient age and disease stage. The data are accessed by researchers, policy-makers, patients, etc., and are used for epidemiological studies, reports, communications, and planning and evaluation of health services.


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