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Global, Regional, and National Cancer Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and Disability-Adjusted Life-Years for 29 Cancer Groups, 1990 to 2016

Christina FitzmauriceDivision of Hematology, Department of Medicine, University of Washington, SeattleTomi AkinyemijuDepartment of Epidemiology, University of Alabama at BirminghamFaris LamiBaghdad College of Medicine, Baghdad, Baghdad, IraqShazia AlamInstitute for Health Metrics and Evaluation, University of Washington, SeattleReza Alizadeh‐NavaeiGastrointestinal Cancer Research Center, Mazandaran University of Medical Sciences, Sari, IranChristine A. AllenInstitute for Health Metrics and Evaluation, University of Washington, SeattleUbai AlsharifCharite University Medicine Berlin, Charité Universitätsmedizin, Berlin, Berlin, GermanyNelson Alvis‐GuzmánALZAK Foundation–Universidad de la Costa, Universidad de Cartagena, Universidad de Cartagena, Cartagena de Indias, ColombiaErfan AminiEndocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranBenjamin O. AndersonUniversity of Washington, SeattleOlatunde AremuBirmingham City, University Department of Public Health and Therapies, Birmingham, EnglandAl ArtamanUniversity of Manitoba, Winnipeg, Manitoba, CanadaSolomon Weldegebreal AsgedomMekelle University, Mekelle, EthiopiaReza AssadiMashhad University of Medical Sciences, Mashhad, IranTesfay Mehari AteyMekelle University, Mekelle, EthiopiaLeticia Ávila‐BurgosNational Institute of Public Health, Cuernavaca, Morelos, MexicoAshish AwasthiIndian Institute of Public Health, Gandhinagar, Gujarat, IndiaHuda Omer Ba SaleemFaculty of Medicine and Health Sciences, Aden University, Aden, YemenAleksandra BaraćFaculty of Medicine, University of Belgrade, Belgrade, Belgrade, SerbiaJames R. BennettInstitute for Health Metrics and Evaluation, University of Washington, SeattleIsabela M. BenseñorUniversity of São Paulo, São Paulo, São Paulo, BrazilNickhill BhaktaSt Jude Children’s Research Hospital, Memphis, TennesseeHermann BrennerGerman Cancer Research Center, Heidelberg, GermanyLucero Cahuana-HurtadoNational Institute of Public Health, Cuernavaca, Morelos, MexicoCarlos A Castañeda-OrjuelaColombian National Health Observatory, Instituto Nacional de Salud, Bogota, Bogota, DC, ColombiaFerrán Catalá-LópezClinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, CanadaJee-Young J ChoiSeoul National University Hospital, Seoul, South KoreaDevasahayam Jesudas ChristopherChristian Medical College, Vellore, Tamilnadu, IndiaSheng‐Chia ChungThe Farr Institute of Health Informatics Research, Institute of Health Informatics, University College London, London, EnglandMaría Paula CuradoAccamargo Cancer Center, Sao Paulo, Sao Paulo, BrazilLalit DandonaInstitute for Health Metrics and Evaluation, University of Washington, SeattleRakhi DandonaInstitute for Health Metrics and Evaluation, University of Washington, SeattleJosé das NevesINEB–Instituto de Engenharia Biomédica, University of Porto, Porto, PortugalSubhojit DeyIndian Institute of Public Health, Delhi, IndiaSamath Dhamminda DharmaratneDepartment of Community Medicine, Faculty of Medicine, University of Peradeniya, Peradeniya, Sri LankaDavid Teye DokuUniversity of Cape Coast, Cape Coast, GhanaTim DriscollSydney School of Public Health, University of Sydney, Sydney, New South Wales, AustraliaManisha DubeyInternational Institute for Population Sciences, Mumbai, Maharashtra, IndiaHedyeh EbrahimiEndocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranDumessa EdessaHaramaya University, Harar, EthiopiaZiad El‐KhatibDepartment of Global Health and Social Medicine, Harvard Medical School, Kigali, RwandaAman Yesuf EndriesArba Minch University, Arba Minch, SNNPR, EthiopiaFlorian FischerSchool of Public Health, Bielefeld University, Bielefeld, North Rhine-Westphalia, GermanyLisa M ForceSt Jude Children’s Research Hospital, Memphis, TennesseeKyle J ForemanImperial College London, London, EnglandSolomon Weldemariam GebrehiwotCollege of Health Sciences, Mekelle University, Mekelle, EthiopiaSameer Vali GopalaniDepartment of Health and Social Affairs, Government of the Federated States of Micronesia, Palikir, Pohnpei, Federated States of MicronesiaGiuseppe GrossoNNEdPro Global Centre for Nutrition and Health, Cambridge, EnglandRahul GuptaWest Virginia Bureau for Public Health, CharlestonBishal GyawaliAarhus University, Aarhus, DenmarkRandah R HamadehArabian Gulf University, Manama, BahrainSamer HamidiHaan Bin Mohammed Smart University, Dubai, United Arab EmiratesJames HarveyInstitute for Health Metrics and Evaluation, University of Washington, SeattleHamid Yimam HassenMizan Tepi University, Mizan Teferi, EthiopiaRoderick J. HayInternational Foundation for Dermatology, London, EnglandSimon I HayInstitute for Health Metrics and Evaluation, University of Washington, SeattleBehzad HeibatiAir Pollution Research Center, Iran University of Medical Sciences, Tehran, IranMolla Kahssay HilufSamara University, Samara, EthiopiaNobuyuki HoritaDepartment of Pulmonology, Yokohama City University Graduate School of Medicine, Yokohama, Kanagawa, JapanHung Chak HoAlbert Einstein College of Medicine, Bronx, New York, USAOlayinka Stephen IlesanmiNational Public Health Institute, Monrovia, Monserrado County, LiberiaKaire InnosNational Institute for Health Development, Tallinn, EstoniaFarhad IslamiSurveillance and Health Services Research, American Cancer Society, Atlanta, GeorgiaMihajlo JakovljevićCenter for Health Trends and Forecasts, University of Washington, SeattleSarah Charlotte JohnsonInstitute for Health Metrics and Evaluation, University of Washington, SeattleJost B JonasDepartment of Ophthalmology, Medical Faculty Mannheim, Ruprecht-Karls-University Heidelberg, Mannheim, GermanyAmir KasaeianHematologic Malignancies Research Center, Tehran University of Medical Sciences, Tehran, IranTesfaye KassaMekelle University, Mekelle, EthiopiaYousef KhaderDepartment of Community Medicine, Public Health and Family Medicine, Jordan University of Science and Technology, Irbid, JordanEjaz Ahmad KhanHealth Services Academy, Islamabad, Punjab, PakistanGulfaraz KhanDepartment of Microbiology and Immunology, College of Medicine & Health Sciences, United Arab Emirates University, Al Ain, Abu Dhabi, United Arab EmiratesYoung‐Ho KhangDepartment of Health Policy and Management, Seoul National University College of Medicine, Seoul, South KoreaMohammad Hossein KhosraviBaqiyatallah University of Medical Sciences, Tehran, IranJagdish KhubchandaniDepartment of Nutrition and Health Science, Ball State University, Muncie, IndianaJacek A KopecUniversity of British Columbia, Vancouver, British Columbia, CanadaG Anil KumarPublic Health Foundation of India, Gurugram, National Capital Region, IndiaMichael KutzInstitute for Health Metrics and Evaluation, University of Washington, SeattleDeepesh LadPost Graduate Institute of Medical Education and Research, Chandigarh, IndiaAlessandra LafranconiUniversity of Milano Bicocca, Monza, MB, ItalyQing LanNational Cancer Institute, Rockville, MarylandYirga LegesseMekelle University, Mekelle, EthiopiaJames LeighUniversity of Sydney, Sydney, New South Wales, AustraliaShai LinnUniversity of Haifa, Haifa, IsraelRaimundas LunevičiusAintree University Hospital National Health Service Foundation Trust, Liverpool, EnglandAzeem MajeedDepartment of Primary Care & Public Health, Imperial College London, London, EnglandReza MalekzadehDigestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, IranDéborah Carvalho MaltaUniversidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, BrazilLG MantovaniUniversity of Milano Bicocca, Monza, MB, ItalyBrian J. McMahonAlaska Native Tribal Health Consortium, AnchorageToni MeierCompetence Cluster for Nutrition and Cardiovascular Health (nutriCARD), Martin Luther University Halle-Wittenberg, Saale, GermanyYohannes Adama MelakuSchool of Medicine, University of Adelaide, Adelaide, South Australia, AustraliaMulugeta MelkuUniversity of Gondar, Gondar, EthiopiaPeter MemiahUniversity of West Florida, Pensacola, FloridaWalter MendozaTuomo J MeretojaComprehensive Cancer Center, Breast Surgery Unit, Helsinki University Hospital, Helsinki, FinlandHaftay Berhane MezgebeMekelle University, Mekelle, EthiopiaTed R. MillerPacific Institute for Research & Evaluation, Calverton, MarylandShafiu MohammedHealth Systems and Policy Research Unit, Ahmadu Bello University, Zaria, NigeriaAli H. MokdadInstitute for Health Metrics and Evaluation, University of Washington, SeattleMahmood MoosazadehHealth Science Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
JAMA Oncologyjournal2018en
ABI

Аннотация

Importance: The increasing burden due to cancer and other noncommunicable diseases poses a threat to human development, which has resulted in global political commitments reflected in the Sustainable Development Goals as well as the World Health Organization (WHO) Global Action Plan on Non-Communicable Diseases. To determine if these commitments have resulted in improved cancer control, quantitative assessments of the cancer burden are required. Objective: To assess the burden for 29 cancer groups over time to provide a framework for policy discussion, resource allocation, and research focus. Evidence Review: Cancer incidence, mortality, years lived with disability, years of life lost, and disability-adjusted life-years (DALYs) were evaluated for 195 countries and territories by age and sex using the Global Burden of Disease study estimation methods. Levels and trends were analyzed over time, as well as by the Sociodemographic Index (SDI). Changes in incident cases were categorized by changes due to epidemiological vs demographic transition. Findings: In 2016, there were 17.2 million cancer cases worldwide and 8.9 million deaths. Cancer cases increased by 28% between 2006 and 2016. The smallest increase was seen in high SDI countries. Globally, population aging contributed 17%; population growth, 12%; and changes in age-specific rates, -1% to this change. The most common incident cancer globally for men was prostate cancer (1.4 million cases). The leading cause of cancer deaths and DALYs was tracheal, bronchus, and lung cancer (1.2 million deaths and 25.4 million DALYs). For women, the most common incident cancer and the leading cause of cancer deaths and DALYs was breast cancer (1.7 million incident cases, 535 000 deaths, and 14.9 million DALYs). In 2016, cancer caused 213.2 million DALYs globally for both sexes combined. Between 2006 and 2016, the average annual age-standardized incidence rates for all cancers combined increased in 130 of 195 countries or territories, and the average annual age-standardized death rates decreased within that timeframe in 143 of 195 countries or territories. Conclusions and Relevance: Large disparities exist between countries in cancer incidence, deaths, and associated disability. Scaling up cancer prevention and ensuring universal access to cancer care are required for health equity and to fulfill the global commitments for noncommunicable disease and cancer control.

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