Temporal patterns of cancer burden in Asia, 1990–2019: a systematic examination for the Global Burden of Disease 2019 study

Temporal patterns of cancer burden in Asia, 1990–2019: a systematic examination for the Global Burden of Disease 2019 study

BackgroundCancers represent a challenging public health threat in Asia. This study examines the temporal patterns of incidence, mortality, disability and risk factors of 29 cancers in Asia in the last three decades. MethodsThe age, sex and year-wise estimates of incidence, mortality, and disability-...

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Main Author: Rajesh, Sharma (author)
Other Authors: Abbastabar, Hedayat (author), Abdulah, Deldar Morad (author), Abidi, Hassan (author), Abolhassani, Hassan (author), Abrehdari-Tafreshi, Zahra (author), Absalan, Abdorrahim (author), Ali, Hiwa Abubaker (author), Abu-Gharbieh, Eman (author), Acuna, Juan Manuel (author), Adib, Nasrin (author), Sakilah Adnani, Qorinah Estiningtyas (author), Aghaei, Abbas (author), Ahmad, Aqeel (author), Ahmad, Sajjad (author), Ahmadi, Ali (author), Ahmadi, Sepideh (author), Ahmed, Luai A. (author), Ajami, Marjan (author), Al Hamad, Hanadi (author), Al Hasan, Syed Mahfuz (author), Alanezi, Fahad Mashhour (author), Saeed Al-Gheethi, Adel Ali (author), Al-Hanawi, Mohammed Khaled (author), Ali, Abid (author), Ali, Beriwan Abdulqadir (author), Alimohamadi, Yousef (author), Aljunid, Syed Mohamed (author), Ali Al-Maweri, Sadeq Ali (author), Alqahatni, Saleh A. (author), AlQudah, Mohammad (author), Al-Raddadi, Rajaa M. (author), Al-Tammemi, Ala'a B. (author), Ansari-Moghaddam, Alireza (author), Anwar, Sumadi Lukman (author), Anwer, Razique (author), Aqeel, Muhammad (author), Arabloo, Jalal (author), Arab-Zozani, Morteza (author), Ariffin, Hany (author), Artaman, Al (author), Arulappan, Judie (author), Ashraf, Tahira (author), Askari, Elaheh (author), Athar, Mohammad (author), Wahbi Atout, Maha Moh'd (author), Azadnajafabad, Sina (author), Badar, Muhammad (author), Badiye, Ashish D. (author), Baghcheghi, Nayereh (author), Bagherieh, Sara (author), Bai, Ruhai (author), Bajbouj, Khuloud (author), Baliga, Shrikala (author), Bardhan, Mainak (author), Bashiri, Azadeh (author), Baskaran, Pritish (author), Basu, Saurav (author), Belgaumi, Uzma Iqbal (author), Nazer C Bermudez, Amiel (author), Bhandari, Bharti (author), Bhardwaj, Nikha (author), Bhat, Ajay Nagesh (author), Bitaraf, Saeid (author), Boloor, Archith (author), Hashemi, Milad Bonakdar (author), Butt, Zahid A. (author), Chadwick, Joshua (author), Kai Chan, Jeffrey Shi (author), Chattu, Vijay Kumar (author), Chaturvedi, Pankaj (author), Cho, William C.S. (author), Darwesh, Aso Mohammad (author), Dash, Nihar Ranjan (author), Dehghan, Amin (author), Dhali, Arkadeep (author), Dianatinasab, Mostafa (author), Dibas, Mahmoud (author), Dixit, Abhinav (author), Dixit, Shilpi Gupta (author), Dorostkar, Fariba (author), Dsouza, Haneil Larson (author), Elbarazi, Iffat (author), Elemam, Noha Mousaad (author), El-Huneidi, Waseem (author), Elkord, Eyad (author), Abdou Elmeligy, Omar Abdelsadek (author), Emamian, Mohammad Hassan (author), Erkhembayar, Ryenchindorj (author), Ezzeddini, Rana (author), Fadoo, Zehra (author), Faiz, Razana (author), Fakhradiyev, Ildar Ravisovich (author), Fallahzadeh, Aida (author), Faris, MoezAlIslam Ezzat Mahmoud (author), Farrokhpour, Hossein (author), Fatehizadeh, Ali (author), Fattahi, Hamed (author), Fekadu, Ginenus (author), Fukumoto, Takeshi (author), Gaidhane, Abhay Motiramji (author), Galehdar, Nasrin (author), Garg, Priyanka (author), Ghadirian, Fataneh (author), Ghafourifard, Mansour (author), Ghasemi, MohammadReza (author), Nour, Mohammad Ghasemi (author), Ghassemi, Fariba (author), Gholamalizadeh, Maryam (author), Gholamian, Asadollah (author), Ghotbi, Elena (author), Golechha, Mahaveer (author), Goleij, Pouya (author), Goyal, Sahil (author), Mohialdeen Gubari, Mohammed Ibrahim (author), Gunasekera, D Sanjeeva (author), Gunawardane, Damitha Asanga (author), Gupta, Sapna (author), Habibzadeh, Parham (author), Haeri Boroojeni, Helia Sadat (author), Halboub, Esam S. (author), Hamadeh, Randah R. (author), Hamoudi, Rifat (author), Harorani, Mehdi (author), Hasanian, Mohammad (author), Hassan, Treska S. (author), Hay, Simon I. (author), Heidari, Mohammad (author), Heidari-Foroozan, Mahsa (author), Hessami, Kamran (author), Hezam, Kamal (author), Hiraike, Yuta (author), Holla, Ramesh (author), Hoseini, Mohammad (author), Hossain, Md Mahbub (author), Hossain, Sahadat (author), Hsieh, Vivian Chia-rong (author), Huang, Junjie (author), Hussein, Nawfal R. (author), Hwang, Bing-Fang (author), Iravanpour, Farideh (author), Ismail, Nahlah Elkudssiah (author), Iwagami, Masao (author), Merin J, Linda (author), Jadidi-Niaragh, Farhad (author), Jafarinia, Morteza (author), Jahani, Mohammad Ali (author), Jahrami, Haitham (author), Jaiswal, Abhishek (author), Jakovljevic, Mihajlo (author), Jalili, Mahsa (author), Jamshidi, Elham (author), Jayarajah, Umesh (author), Jayaram, Shubha (author), Jha, Sweety Suman (author), Jokar, Mohammad (author), Joseph, Nitin (author), Kabir, Ali (author), Kabir, Md. Awal (author), Kadir, Dler Hussein (author), Kakodkar, Pradnya Vishal (author), Kalankesh, Laleh R. (author), Kalankesh, Leila R. (author), Kalhor, Rohollah (author), Kaliyadan, Feroze (author), Kamal, Vineet Kumar (author), Kamal, Zul (author), Kamath, Ashwin (author), Kar, Sitanshu Sekhar (author), Karimi, Hanie (author), Kaur, Navjot (author), Keikavoosi-Arani, Leila (author), Keykhaei, Mohammad (author), Khader, Yousef Saleh (author), Khajuria, Himanshu (author), Khan, Ejaz Ahmad (author), Khan, M Nuruzzaman (author), Khan, Maseer (author), Khan, Moien A.B. (author), Khan, Yusra H. (author), Khanmohammadi, Shaghayegh (author), Khatatbeh, Moawiah Mohammad (author), Khateri, Sorour (author), Khayamzadeh, Maryam (author), Khayat Kashani, Hamid Reza (author), Kim, Min Seo (author), Kompani, Farzad (author), Koohestani, Hamid Reza (author), Koulmane Laxminarayana, Sindhura Lakshmi (author), Krishan, Kewal (author), Kumar, Narinder (author), Kumar, Naveen (author), Kutluk, Tezer (author), Kuttikkattu, Ambily (author), Ching Lai, Daphne Teck (author), Lal, Dharmesh Kumar (author), Lami, Faris Hasan (author), Lasrado, Savita (author), Lee, Sang-Woong (author), Lee, Seung Won (author), Lee, Yeong Yeh (author), Lee, Yo Han (author), Leong, Elvynna (author), Li, Ming-Chieh (author), Liu, Jue (author), Madadizadeh, Farzan (author), Mafi, Ahmad R. (author), Mahjoub, Soleiman (author), Malekzadeh, Reza (author), Malik, Ahmad Azam (author), Malik, Iram (author), Mallhi, Tauqeer Hussain (author), Mansournia, Mohammad Ali (author), Martini, Santi (author), Mathews, Elezebeth (author), Mathur, Manu Raj (author), Meena, Jitendra Kumar (author), Menezes, Ritesh G. (author), Mirfakhraie, Reza (author), Mirinezhad, Seyed Kazem (author), Mirza-Aghazadeh-Attari, Mohammad (author), Mithra, Prasanna (author), Mohamadkhani, Ashraf (author), Mohammadi, Soheil (author), Mohammadzadeh, Maryam (author), Mohan, Syam (author), Mokdad, Ali H. (author), Al Montasir, Ahmed (author), Montazeri, Fateme (author), Moradi, Maryam (author), Sarabi, Mostafa Moradi (author), Moradpour, Farhad (author), Moradzadeh, Maliheh (author), Moraga, Paula (author), Mosapour, Abbas (author), Motaghinejad, Majid (author), Mubarik, Sumaira (author), Muhammad, Jibran Sualeh (author), Murray, Christopher J.L. (author), Nagarajan, Ahamarshan Jayaraman (author), Naghavi, Mohsen (author), Nargus, Shumaila (author), Natto, Zuhair S. (author), Nayak, Biswa Prakash (author), Nejadghaderi, Seyed Aria (author), Nguyen, Phuong The (author), Niazi, Robina Khan (author), Noroozi, Nafise (author), Okati-Aliabad, Hassan (author), Okekunle, Akinkunmi Paul (author), Ong, Sokking (author), Oommen, Anu Mary (author), Padubidri, Jagadish Rao (author), Pandey, Ashok (author), Park, Eun-Kee (author), Park, Seoyeon (author), Pati, Siddhartha (author), Patil, Shankargouda (author), Paudel, Rajan (author), Paudel, Uttam (author), Pirestani, Majid (author), Podder, Indrashis (author), Pourali, Ghazaleh (author), Pourjafar, Mona (author), Pourshams, Akram (author), Syed, Zahiruddin Quazi (author), Radhakrishnan, Raghu Anekal (author), Radhakrishnan, Venkatraman (author), Rahman, Mosiur (author), Rahmani, Shayan (author), Rahmanian, Vahid (author), Ramesh, Pushkal Sinduvadi (author), Rana, Juwel (author), Rao, Indu Ramachandra (author), Rao, Sowmya J. (author), Rashedi, Sina (author), Rashidi, Mohammad-Mahdi (author), Rezaei, Nazila (author), Rezaei, Negar (author), Rezaei, Nima (author), Rezaei, Saeid (author), Rezaeian, Mohsen (author), Roshandel, Gholamreza (author), Chandan, S.N. (author), Saber-Ayad, Maha Mohamed (author), Sabour, Siamak (author), Sabzmakan, Leila (author), Saddik, Basema (author), Saeed, Umar (author), Safi, Sher Zaman (author), Sharif-Askari, Fatemeh Saheb (author), Sahebkar, Amirhossein (author), Sahoo, Harihar (author), Sajedi, Seyed Aidin (author), Sajid, Mirza Rizwan (author), Salehi, Mohammad Amin (author), Farrokhi, Amir Salek (author), Sarasmita, Made Ary (author), Sargazi, Saman (author), Sarode, Gargi Sachin (author), Sarode, Sachin C. (author), Sathian, Brijesh (author), Satpathy, Maheswar (author), Semwal, Prabhakar (author), Senthilkumaran, Subramanian (author), Sepanlou, Sadaf G. (author), Shafeghat, Melika (author), Shahabi, Saeed (author), Shahbandi, Ataollah (author), Shahraki-Sanavi, Fariba (author), Shaikh, Masood Ali (author), Shannawaz, Mohammed (author), Sheikhi, Rahim Ali (author), Shobeiri, Parnian (author), Shorofi, Seyed Afshin (author), Shrestha, Sunil (author), Siabani, Soraya (author), Singh, Garima (author), Singh, Paramdeep (author), Singh, Surjit (author), Sinha, Dhirendra Narain (author), Siwal, Samarjeet Singh (author), Sreeram, Saraswathy (author), Suleman, Muhammad (author), Abdulkader, Rizwan Suliankatchi (author), Sultan, Iyad (author), Sultana, Abida (author), Tabish, Mohammad (author), Tabuchi, Takahiro (author), Taheri, Majid (author), Talaat, Iman M. (author), Tehrani-Banihashemi, Arash (author), Temsah, Mohamad-Hani (author), Thangaraju, Pugazhenthan (author), Thomas, Nihal (author), Thomas, Nikhil Kenny (author), Tiyuri, Amir (author), Tobe-Gai, Ruoyan (author), Toghroli, Razie (author), Tovani-Palone, Marcos Roberto (author), Ullah, Sana (author), Unnikrishnan, Bhaskaran (author), Upadhyay, Era (author), Tahbaz, Sahel Valadan (author), Valizadeh, Rohollah (author), Varthya, Shoban Babu (author), Waheed, Yasir (author), Wang, Song (author), Wickramasinghe, Dakshitha Praneeth (author), Wickramasinghe, Nuwan Darshana (author), Xiao, Hong (author), Yonemoto, Naohiro (author), Younis, Mustafa Z. (author), Yu, Chuanhua (author), Zahir, Mazyar (author), Zaki, Nazar (author), Zamanian, Maryam (author), Zhang, Zhi-Jiang (author), Zhao, Hanqing (author), Zitoun, Osama A. (author), Zoladl, Mohammad (author)
Format: article
Published: 2024
Subjects:
Cancer burden
Asia
Incidence
Mortality
Disability adjusted life years
Global burden of disease
Online Access:http://dx.doi.org/10.1016/j.lansea.2023.100333
https://www.sciencedirect.com/science/article/pii/S2772368223001932
http://hdl.handle.net/10576/60536
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Summary:BackgroundCancers represent a challenging public health threat in Asia. This study examines the temporal patterns of incidence, mortality, disability and risk factors of 29 cancers in Asia in the last three decades. MethodsThe age, sex and year-wise estimates of incidence, mortality, and disability-adjusted life years (DALYs) of 29 cancers for 49 Asian countries from 1990 through 2019 were generated as a part of the Global Burden of Disease, Injuries and Risk Factors 2019 study. Besides incidence, mortality and DALYs, we also examined the cancer burden measured in terms of DALYs and deaths attributable to risk factors, which had evidence of causation with different cancers. The development status of countries was measured using the socio-demographic index. Decomposition analysis was performed to gauge the change in cancer incidence between 1990 and 2019 due to population growth, aging and age-specific incidence rates. FindingsAll cancers combined claimed an estimated 5.6 million [95% uncertainty interval, 5.1–6.0 million] lives in Asia with 9.4 million [8.6–10.2 million] incident cases and 144.7 million [132.7–156.5 million] DALYs in 2019. The age-standardized incidence rate (ASIR) of all cancers combined in Asia was 197.6/100,000 [181.0–214.4] in 2019, varying from 99.2/100,000 [76.1–126.0] in Bangladesh to 330.5/100,000 [298.5–365.8] in Cyprus. The age-standardized mortality rate (ASMR) was 120.6/100,000 [110.1–130.7] in 2019, varying 4-folds across countries from 71.0/100,000 [59.9–83.5] in Kuwait to 284.2/100,000 [229.2–352.3] in Mongolia. The age-standardized DALYs rate was 2970.5/100,000 [2722.6–3206.5] in 2019, varying from 1578.0/100,000 [1341.2–1847.0] in Kuwait to 6574.4/100,000 [5141.7–8333.0] in Mongolia. Between 1990 and 2019, deaths due to 17 of the 29 cancers either doubled or more, and 20 of the 29 cancers underwent an increase of 150% or more in terms of new cases. Tracheal, bronchus, and lung cancer (both sexes), breast cancer (among females), colon and rectum cancer (both sexes), stomach cancer (both sexes) and prostate cancer (among males) were among top-5 cancers in most Asian countries in terms of ASIR and ASMR in 2019 and cancers of liver, stomach, hodgkin lymphoma and esophageal cancer posted the most significant decreases in age-standardized rates between 1990 and 2019. Among the modifiable risk factors, smoking, alcohol use, ambient particulate matter (PM) pollution and unsafe sex remained the dominant risk factors between 1990 and 2019. Cancer DALYs due to ambient PM pollution, high body mass index and fasting plasma glucose has increased most notably between 1990 and 2019. InterpretationWith growing incidence, cancer has become more significant public health threat in Asia, demanding urgent policy attention and guidance. Its heightened risk calls for increased cancer awareness, preventive measures, affordable early-stage detection, and cost-effective therapeutics in Asia. The current study can serve as a useful resource for policymakers and researchers in Asia for devising interventions for cancer management and control. FundingThe GBD study is funded by the Bill and Melinda Gates Foundation.

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