Georgian versionNACC

OPEN SOCIETY - GEORGIA FOUNDATION (OSGF)
PUBLIC HEALTH PROGRAM COMPETITION ON
LEARNING OF MODERN EPIDEMIOLOGY AND MEDICAL STATISTICS

Project Title:
Conduction of Postgraduate Training Courses at Georgian Cancer Centers on
Modern Methods of Cancer Epidemiological Research and Medical Statistics.

Project Realizator:
National Cancer Center (NCC-Tbilisi, Georgia);

Project Director: Vasil Tkeshelashvili – Head of Cancer Epidemiology and Control Department of National Cancer Center, President of National Association of Cancer Control (NACC).

Project Beginning: 01.01.01.
Project End: 31.10.01.
Grant Amount requested from OSGF: 5000 US $

Project Aim:Project aims the wide implementation of modern models, principles and planning of Cancer Epidemiological Research and international methods of Medical Statistics due to training courses (cycles of lectures and practical exercise-testing seminars) at Regional Cancer Centers (Tbilisi, Batumi, Kutaisi, Zugdidi, Gori, Telavi), consequently supporting the preparation process for creation of Republican Network of Cancer Registries.

Ways of Project Realization:
Selection and training of lecturers for conduction of training courses, preparation of lectures on methods of Epidemiological Research and Cancer Registration and practical exercise-testing seminars on Medical Statistics.

II. Organization of training courses:
 2.1.Conduction of Postgraduate Training Courses in following Centers:

2.1.1. NCC (Tbilisi) – 3 days duration courses will be conducted for post-graduate researchers, residents, young scientific specialists and medical doctors of NCC, also Tbilisi regional oncologists, post-graduate researchers and residents of Epidemiology and Public Health Departments of Tbilisi Medical Institutes (totally 50 person). Students of different medical universities also could participate in the rank of listeners;

2.1.2. Batumi Cancer Center - 2 days duration courses will be conducted for young medical doctors of Batumi Cancer Center, also Adjarian and Guria regional oncologists, post-graduate researchers and residents of Batumi Medical Institute (totally 30 person). Students of Batumi Medical Institute also could participate in the rank of listeners;

2.1.3.Kutaisi Cancer Center- 2 days duration courses will be conducted for young medical doctors of Kutaisi Cancer Center, also Imereti and Racha-Lechkhumi regional oncologists, post-graduate researchers and residents of Kutaisi Medical Institute (totally 30 person). Students of Kutaisi Medical Institute also could participate in the rank of listeners;

2.1.4. Zugdidi Cancer Center- 2 days duration courses will be conducted for young medical doctors of Zugdidi Cancer Center, also Samegrelo and Svaneti regional oncologists, post-graduate researchers and residents of Zugdidi Medical Institute (totally 30 person). Students of Zugdidi Medical Institute also could participate in the rank of listeners;

2.1.5. Gori Cancer Center- 2 days duration courses will be conducted for young medical doctors of Gori and Tskhinvali Cancer Centers, also Kartli regional oncologists, post-graduate researchers and residents of Gori Medical Institute (totally 30 person). Students of Gori Medical Institute also could participate in the rank of listeners;

2.1.6. Telavi Cancer Center- 2 days duration courses will be conducted for young medical doctors of Telavi Cancer Center, also Kakheti regional oncologists, post-graduate researchers and residents of Telavi Medical Institute (totally 30 person). Students of Telavi Medical Institute also could participate in the rank of listeners;

2.2. All Cancer Centers and Medical Institutes will be preliminary informed, concerning the conduction of training courses. Selection- and registration of course candidates will be performed according to distributed special application forms due to March 1, 2001. 200 course participants will be selected totally.

2.3. After the graduation of each course, every course participant and listener will be given the certificate with the logos of NCC, OSGF and NACC, also the certificate of NACC active member.

III. Supposed items of training courses:
37 lectures and 15 practical exercise-testing seminars will be presented on 6 cycles in 13 days period.
The main themes of Epidemiology Research Methods and Statistical Parameters supposed to be presented on training courses:

  • Descriptive statistic parameters and standardization methods: Crude rate- Cr, Age-specific rate – ai, Age-Standardized Rate – ASR, Age-Standardized Rate according to 95% Confidentiality Interval - CI ASR, Truncated Age-Standardized Rate – TASR, Standardized Rate Ratio- SRR, Standardized Incidence Ratio- SIR, Standardized Incidence Ratio according to 95% Confidentiality Interval - 95% CI SIR, Proportional Incidence Ratio- PIR, Cumulative Rate &

    Cumulative Risk
  • Methods of analytical Epidemiology and statistical parameters: Case-Control Study, Cohort Study, Randomized trial, Relative Risk-RR, Relative Risk according to 95% Confidentiality Interval - 95% CI RR, c 2;

    Confounding, Mantal-Haenszel Method, Attributive Risk- AR, Active and Passive Follow-up, Observed, corrected and relative cumulative survival rates, Kaplan-Meier Method, Cox Regressive Analyses Method, Specificity and sensitivity, Planning of screening, Cause-Result Correlation's,
  • The modern program packages of International Agency on Research of Cancer (IARC, Lyon), brought to Tbilisi in August, 2000 by Dr. Risto Sankila will be presented:
  • GLOBOCAN 1: Cancer Incidence and Mortality Worldwide;

  • EUCAN: Cancer Incidence, Mortality and Prevalence in the European Union;

  • CI5VII: Electronic Database of Cancer Incidence in Five Continents, vol.
  • Participants of practical exercise-testing seminars will be given the exercises on main statistical indicators, provided with ways of decision and correct answers at the end of seminar.
  • Edition of book: "Cancer Epidemiology in Georgia in 1988-1992" Expenses for edition will be ensured by NACC cost-sharing.
  • Edition of book: "Modern methods of Cancer Epidemiological Research"
  • Collected and adapted materials for training courses (lectures, practical seminars) will be edited by NACC cost-sharing as a manual for students. Expected results:
  • Post-graduate researchers, residents, young scientific specialists and medical doctors of NCC and Regional Cancer Centers, also republican regional oncologists, post-graduate researchers and residents and students of Epidemiology and Public Health Departments of Medical Institutes (totally 200 person) will raise their knowledge in:
  • Cancer Epidemiology and Medical Statistics;

  • Population- and Hospital Based Cancer Registration;

  • Gained knowledge on the modern methods of Cancer Epidemiology and Medical Statistics will help selected contingent of young medical specialists (some of whom have already started and some have to start in future their scientific activity) to plan independently their scientific study, chose in a right way the optimal model of Epidemiology study, explore modern methodology of medical statistics and consequently raise the level of scientific research, increase confidential quality of received results and objectiveness of conclusions;

  • Project realization will significantly stimulate the beginning of wide implementation of epidemiological research and modern methods of medical statistics;

  • Project realization will promote the development of primary health care in following directions:
  • As the consequent of training of regional oncologists, the present status of Population Cancer Registry will be improved, accordingly the raise of confidential quality of statistical data will be anticipated at the beginning of new century after the 10 year collapse of registration;

  • Due to the training of regional oncologists on Cancer Registration issues, one more step will be carried out for creation of National Network of Cancer Registry;

  • Due to implementation of Descriptive Epidemiology Studies, monitoring of Cancer Time Trends, detection of main cancer sites, hystotypes and high cumulative risk regions, estimation of Cancer Control prioritized directions and evaluation of their effectiveness will be possible;

  • Due to implementation of Analytical Epidemiology Studies, estimation of cause-result correlation, risk factors (environment, life style, profession and etc.) and formation of high risk groups will be possible;

  • Due to implementation of Epidemiology Studies, evaluation of cancer treatment distant results, effectiveness of diagnostic methods and screening programs (sensitivity, specificity and etc.) will be improved;

    Wide implementation of Epidemiological Research and modern methods of Medical Statistics will be the significant stimuli for development of prevention in Georgia.
    Project budget:
    Budget Item OSGF
    funding (US $)
    I. Honorars of project participant course organizators
  • Project director
    		• 150
  • Consultant-epidemiologist
    		• 150
  • Consultant-oncologist
    		• 150
  • Course coordinator
    		• 100
  • Epidemiologist-statistician
    		• 100
  • Register-operator
    		• 100
  • Translator-redactor (English)
    		• 100
    Total850
    + income taxes (20%)170
    Total for item I1020
    II. Honorars of course lecturers
    1. Lectures (5 regional cities/6 Lectures =30 Lectures + 7 Lectures in Tbilisi 37 Lectures)1480
    2. Practical Seminars (5 regional city /2 Seminars =10 Seminars + 5 Seminars in Tbilisi = 15 Seminars300
    Total1780
    + income taxes (20%)356
    Total for item II2136
    III. Travel Expenses
    1. Travel (Tbilisi-Kutaisi-Gori-Tbilisi;

    Tbilisi-Zugdidi-Batumi-Tbilisi;

    Tbilisi-Telavi- Tbilisi) Expenses (4 person)    		104
    2. Accommodation (5 cities /4 person / 3 day=60 day) 300
    3. Day expenses (60 person / day) 200
    Total for item III604
    IV. Course organization (Tbilisi - Batumi - Kutaisi - Zugdidi-Gori - Telavi)
    1. Expenses for program, materials, printing, typography, certificate printing 180
    2. Expenses for lynch breaks (except the Tbilisi course) (5 course /30 person /2 day =300 person / lunch) 600
    3. Expenses for lunch break on Tbilisi course (1 course /50 person /3 day =150 person/lunch) 300
    4. Expenses for coffee break (5 course /20 person /3 break =300 person + 1 course /50 person /3 break [Tbilisi]=150 person = 1100 person / coffee)110
    Total for item IV1190
    Total for all items4950
    Bank service %50
    Total5000

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