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Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life Years for 29 Cancer Groups From 2010 to 2019: A Systematic Analysis for the Global Burden of Disease Study 2019

  • Global Burden of Disease 2019 Cancer Collaboration
  • Eastern Washington University
  • University of Massachusetts Boston
  • Pathology and Laboratory Medicine Institute
  • Shahid Beheshti University of Medical Sciences
  • Tehran University of Medical Sciences
  • Tanta University
  • Jahrom University of Medical Sciences
  • University of Southern California
  • Yasouj University
  • Pediatric Allergy and Pulmonology Unit at Astrid Lindgren Children's Hospital, Karolinska University Hospital, Stockholm, Sweden.
  • Olabisi Onabanjo University
  • Karya Husada Institute of Health Sciences
  • Terasaki Institute for Biomedical Innovation
  • University of Management and Technology
  • Qom University of Medical Sciences
  • University of Technology Sydney
  • Foundation University Islamabad
  • Southeast Missouri State University
  • Shahrekord University of Medical Sciences
  • University of Kurdistan Hewler
  • Sulaimani Polytechnic University
  • St Paul's Hospital Millennium Medical College
  • Arba Minch University
  • Management and Science University, Malaysia
  • Philadelphia Department of Public Health
  • Geriatric and Long-Term Care Department
  • Mayo Evidence-Based Practice Center
  • Washington University St. Louis
  • Sultan Qaboos University
  • Iran University of Medical Sciences
  • Kuwait University
  • Department of Internal Medicine, Máxima Medical Centre Eindhoven, Eindhoven, The Netherlands; Department of Internal Medicine, Division of General Internal Medicine, Maastricht University Medical Centre+, Maastricht, The Netherlands; Department of Health Services Research, CAPHRI School for Public Health and Primary Care, Maastricht University Medical Centre+, Maastricht, The Netherlands.
  • Arak University of Medical Sciences
  • Al-Zaytoonah University of Jordan
  • Qatar University
  • Alfaisal University
  • University of São Paulo School of Medicine
  • Research Group in Hospital Management and Health Policies
  • Muhimbili University of Health and Allied Sciences

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Importance: The Global Burden of Diseases, Injuries, and Risk Factors Study 2019 (GBD 2019) provided systematic estimates of incidence, morbidity, and mortality to inform local and international efforts toward reducing cancer burden.

Objective: To estimate cancer burden and trends globally for 204 countries and territories and by Sociodemographic Index (SDI) quintiles from 2010 to 2019.

Evidence Review: The GBD 2019 estimation methods were used to describe cancer incidence, mortality, years lived with disability, years of life lost, and disability-adjusted life years (DALYs) in 2019 and over the past decade. Estimates are also provided by quintiles of the SDI, a composite measure of educational attainment, income per capita, and total fertility rate for those younger than 25 years. Estimates include 95% uncertainty intervals (UIs).

Findings: In 2019, there were an estimated 23.6 million (95% UI, 22.2-24.9 million) new cancer cases (17.2 million when excluding nonmelanoma skin cancer) and 10.0 million (95% UI, 9.36-10.6 million) cancer deaths globally, with an estimated 250 million (235-264 million) DALYs due to cancer. Since 2010, these represented a 26.3% (95% UI, 20.3%-32.3%) increase in new cases, a 20.9% (95% UI, 14.2%-27.6%) increase in deaths, and a 16.0% (95% UI, 9.3%-22.8%) increase in DALYs. Among 22 groups of diseases and injuries in the GBD 2019 study, cancer was second only to cardiovascular diseases for the number of deaths, years of life lost, and DALYs globally in 2019. Cancer burden differed across SDI quintiles. The proportion of years lived with disability that contributed to DALYs increased with SDI, ranging from 1.4% (1.1%-1.8%) in the low SDI quintile to 5.7% (4.2%-7.1%) in the high SDI quintile. While the high SDI quintile had the highest number of new cases in 2019, the middle SDI quintile had the highest number of cancer deaths and DALYs. From 2010 to 2019, the largest percentage increase in the numbers of cases and deaths occurred in the low and low-middle SDI quintiles.

Conclusions and Relevance: The results of this systematic analysis suggest that the global burden of cancer is substantial and growing, with burden differing by SDI. These results provide comprehensive and comparable estimates that can potentially inform efforts toward equitable cancer control around the world.

Original languageEnglish
Pages (from-to)420-444
JournalJAMA Oncology
Volume8
Issue number3
Early online date30 Dec 2021
DOIs
Publication statusPublished - 2022

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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