{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:43:28Z","timestamp":1786977808123,"version":"build-2736575974"},"reference-count":26,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T00:00:00Z","timestamp":1742256000000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>Malaysia, like many developing countries, is undergoing epidemiologic transition where non\u2010communicable diseases, including cancer, are emerging as a prevalent health burden. Sarawak is the largest state in Malaysia, located on the island of Borneo. Compiling region\u2010specific cancer statistics is crucial for future planning and implementation of effective cancer management strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study utilized cancer data reported to the Sarawak State Health Department with a cancer notification form. Data was obtained from the State cancer database. Incidence, Age\u2010Standardized Rate, frequency, cumulative rate, and lifetime risk were calculated. The population included Sarawak residents only who were defined as Malaysian citizens as well as permanent residents living in Sarawak at the time of diagnosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between years 2011\u20132015, there were a total of 10,320 cancer cases (47.3% male). The incidence rate was approximately 16.6 persons per 100,000 population per year. An increasing trend was observed in cancer incidence with increasing age. Ethnic distribution reported the highest incidence among the Chinese (male cases:36.2% and female cases:36.4%), followed by the Iban (male cases:26.9% and female cases:24.5%), and Malay (male cases:18.3% and female cases:22.0%). The three most common cancers in male were colorectal (15.4%), nasopharyngeal (14.8%), and trachea, bronchus, lung (14.0%) cancer. In females, the first three common cancers were breast (27.9%), cervix uteri (11.6%), and colorectal (9.8%). There were wide disparities among common cancers across genders, different age groups and ethnic groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The lifetime risk of a Sarawakian to develop cancer by age 75 is 1 in 11 in females and 1 in 10 in males. This present study provided a framework for the status and trend of cancer in Sarawak. These findings will provide additional information to guide strategy and resource planning in improving cancer care in Sarawak.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/hsr2.70290","type":"journal-article","created":{"date-parts":[[2025,3,18]],"date-time":"2025-03-18T05:46:45Z","timestamp":1742276805000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Cancer Burden in Sarawak, Malaysia: Sarawak Cancer Report"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1426-5117","authenticated-orcid":false,"given":"Shirley Siang Ning","family":"Tan","sequence":"first","affiliation":[{"name":"Clinical Research Centre, Institute for Clinical Research, National Institutes of Health, Sarawak General Hospital Ministry of Health Sarawak Malaysia"},{"name":"Department of Pharmacy, Sarawak General Hospital Ministry of Health Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lee Len","family":"Tiong","sequence":"additional","affiliation":[{"name":"Clinical Research Centre, Institute for Clinical Research, National Institutes of Health, Sarawak General Hospital Ministry of Health Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kung Yee","family":"Wong","sequence":"additional","affiliation":[{"name":"Sarawak State Health Department Ministry of Health Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mastulu Binti","family":"Wahab","sequence":"additional","affiliation":[{"name":"Sarawak State Health Department Ministry of Health Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan Yean Yip","family":"Fong","sequence":"additional","affiliation":[{"name":"Clinical Research Centre, Institute for Clinical Research, National Institutes of Health, Sarawak General Hospital Ministry of Health Sarawak Malaysia"},{"name":"Department of Cardiology, Sarawak Heart Centre Ministry of Health Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Choo Huck","family":"Ooi","sequence":"additional","affiliation":[{"name":"Sarawak State Health Department Ministry of Health Sarawak Malaysia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,18]]},"reference":[{"issue":"3","key":"e_1_2_12_2_1","first-page":"209","article-title":"Global Cancer Statistics 2020: Globocan Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries","volume":"71","author":"Sung H.","year":"2021","journal-title":"CA: A Cancer Journal for Clinicians"},{"issue":"10","key":"e_1_2_12_3_1","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0223537","article-title":"Patient Navigation Services for Cancer Care in Low\u2010And Middle\u2010Income Countries: A Scoping Review","volume":"14","author":"Dalton M.","year":"2019","journal-title":"PLoS One"},{"key":"e_1_2_12_4_1","unstructured":"WHO Fact Sheets: Cancer [Internet]2022 [cited June 23 2024]. 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