Abstract
Lung cancer epidemiology varies widely across countries, yet local data remain scarce. This study analyzed 882 lung cancer cases registered in the Addis Ababa population-based cancer registry from 2012 to 2023 to characterize patient profiles, incidence rates, and trends. We used descriptive statistics, binary and multinomial logistic regression, Poisson regression, and joinpoint regression. We found the crude median age at diagnosis was 56 years (adjusted: 60 years), with one in four patients diagnosed before 45. Adenocarcinoma was the most common histological subtype (34.8%), significantly associated with females (AOR: 1.64, 95% CI: 1.21–2.21), followed by squamous cell carcinoma (8.8%). Carcinoma not otherwise specified (NOS) accounted for 45.2% of cases. Alarmingly, 93% of patients were diagnosed at a late stage. The age-standardized incidence rate (ASIR) was 3.1 per 100,000 (3.3 for males, 2.8 for females), with a male-to-female incidence rate ratio (IRR) of 1.13, showing a nonsignificant decline over time. The incidence rate increased with age and varied significantly across sub-cities (1.5–2.9 per 100,000). While the overall ASIR trend remained stable, sex-specific trends showed a 3% annual increase in female crude incidence rates, whereas male rates remained unchanged significantly. These findings highlight the urgent need for targeted lung cancer prevention, early detection, and treatment strategies tailored to local epidemiological patterns.
Data availability
The manuscript and its supporting materials encompass all relevant information. Upon reasonable request, the corresponding author provides the raw data used in the study with consent from the Addis Ababa Cancer Registry.
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Acknowledgements
We express our gratitude to the Addis Ababa Cancer Registry staff for their collaboration. We also thank the American Cancer Society and Martin Luther University of Halle, Germany, for their financial support of the registry. Special thanks go to Mathiwos Wondu-YeEthiopia Cancer Society, the lead implementer, and the Ethiopian Thoracic Society (ETS), which carried out the research component of Ethiopia’s multinational lung cancer diagnosis and control project.
Funding
This is part of Ethiopia’s multinational lung cancer diagnosis and control project, with data collection costs covered by Addis Ababa University and the Bristol Myers Squibb Foundation. We used secondary data for this study. The study’s design, data collection and analysis, article preparation, and publication decision were all done independently of the funders.
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N.E. conceptualization, data curation, software, formal analysis, investigation, methodology, writing the original draft and review, and visualization. G.E. and N.D. participated in the conceptualization, methodology, supervision, validation, and revision of the original draft. A.A., T.H.G., H.Y., M.A., and S.A. participated in the draft manuscript’s supervision, validation, review, and editing. A.J. participated in the draft manuscript’s validation, review, and editing. All the authors have read and approved the final manuscript.
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Estifanos, N., Egata, G., Addissie, A. et al. Patient profiles, incidence and trends of lung cancer in Ethiopia from 2012 to 2023 using a cancer registry. Sci Rep (2026). https://doi.org/10.1038/s41598-026-36944-x
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DOI: https://doi.org/10.1038/s41598-026-36944-x