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Cancer Registry of Metropolitan Area of Milan Profile Page
Cancer Registry of Metropolitan Area of Milan
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Epidemiology Unit
Agency for Health Protection of Metropolitan Area of Milan
Corso Italia 19
Milan
20122
Italy
Dr. Antonio Giapiero Russo

Description

Registration area

The Milano Cancer Registry covers the city of Milan, which is the largest metropolitan city in northern Italy and is the capital of both the province of Milan and the Lombardy region. The city covers a total area of 182 km2. At the 2011 census, the population was 1.3 million, with 6826 residents/km2. A single local health authority serves the entire registration area.

Cancer care facilities

There are 29 hospitals in the registration area, each of which provides the registry with full access to case information.

Registry structure and methods

The registry was established in May 2002 and is located within the epidemiology unit of the Local Health Authority of Milan. Its staff consists of three medical epidemiologists, two statisticians, and five nurses working as cancer registrars. The registry uses automated cancer registration methods. The population roster, death certificates, hospital discharge records, and pathology reports are fed into the registry’s information system, and underlying causes of death and hospital admission diagnoses are coded using ICD-9. Incidence topography is coded using ICD-10, and morphology is coded using ICD-O-3. Cases are followed up annually to determine survival using consolidated record linkage between the registry database and the municipal census office.

Interpreting the results

There are breast and colorectal cancer screening programmes in the registration area.

Use of the data

Policy-makers use registry data to evaluate health care and treatment policies and to plan prevention activities. Registry data are also used to study differential cancer risks within the population (which includes a relatively high proportion of immigrants) and to plan differential preventive actions accordingly. The registry supports etiological research, and registry data are used to evaluate the city’s screening programmes.

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