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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 2017

Christina FitzmauriceDivision of Hematology, University of Washington, SeattleDegu AbateHaramaya University, Harar, EthiopiaNaghmeh AbbasiDepartment of Clinical Biochemistry, Babol University of Medical Sciences, Babol, IranHedayat AbbastabarIranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, IranFoad Abd-AllahDepartment of Neurology, Cairo University, Cairo, EgyptOmar Abdel‐RahmanDepartment of Oncology, Ain Shams University, Cairo, EgyptAhmed AbdelalimDepartment of Neurology, Cairo University, Cairo, EgyptAmir AbdoliDepartment of Parasitology and Mycology, Jahrom University of Medical Sciences, Jahrom, IranIbrahim AbdollahpourDepartment of Epidemiology, Arak University of Medical Sciences, Arak, IranAbdishakur S. M. AbdullePublic Health Research Center, New York University Abu Dhabi, Abu Dhabi, United Arab EmiratesNebiyu Dereje AbebeDepartment of Public Health, Wachemo University, Hossana, EthiopiaHaftom Niguse AbrahaClinical Pharmacy Unit, Mekelle University, Mekelle, EthiopiaLaith J. Abu‐RaddadDepartment of Healthcare Policy and Research, Weill Cornell Medical College in Qatar, Doha, QatarAhmed AbualhasanDepartment of Neurology, Cairo University, Cairo, EgyptIsaac Akinkunmi AdedejiDepartment of Sociology, Olabisi Onabanjo University, Ago Iwoye, NigeriaShailesh M AdvaniCancer Prevention and Control Program, Georgetown University, Washington, DCMohsen AfaridehEndocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, IranMahdi AfshariZabol University of Medical Sciences, Zabol, IranMohammad AghaaliDepartment of Epidemiology and Biostatistics, Qom University of Medical Sciences, Qom, IranDominic AgiusDepartment of Health, Directorate for Health Information and Research, Pieta, MaltaSutapa AgrawalPublic Health Foundation of India, Gurugram, IndiaAyat AhmadiKnowledge Utilization Research Center, Tehran University of Medical Sciences, Tehran, IranElham AhmadianDepartment of Pharmacology and Toxicology, Tabriz University of Medical Sciences, Tabriz, IranEhsan AhmadpourDepartment of Parasitology and Mycology, Tabriz University of Medical Sciences, Tabriz, IranMuktar Beshir AhmedDepartment of Epidemiology, Jimma University, Jimma, EthiopiaMohammad Esmaeil AkbariCancer Research Center, Shahid Beheshti University of Medical Sciences, Tehran, IranTomi AkinyemijuDepartment of Population Health Sciences, Duke University, Durham, North CarolinaZiyad Al‐AlyClinical Epidemiology Center, VA Saint Louis Health Care System, Department of Veterans Affairs, St Louis, MissouriAssim M. AlAbdulKaderDepartment of Family Medicine and Community Health, Case Western Reserve University, Cleveland, OhioFares AlahdabEvidence-Based Practice Research Center, Mayo Clinic Foundation for Medical Education and Research, Rochester, MinnesotaShazia AlamInstitute for Health Metrics and Evaluation, University of Washington, Seattle,Genet Melak AlameneSchool of Health Sciences, Madda Walabu University, Bale Goba, EthiopiaBirhan AlemnewDepartment of Health Sciences, Woldia University, Woldia, EthiopiaKefyalew Addis AleneInstitute of Public Health, University of Gondar, Gondar, EthiopiaCyrus AliniaDepartment of Health Care Management and Economics, Urmia University of Medical Science, Urmia, IranVahid AlipourDepartment of Health Economics, Iran University of Medical Sciences, Tehran, IranSyed Mohamed AljunidDepartment of Health Policy and Management, Kuwait University, Safat, KuwaitFatemeh Allah BakesheiMajid A. AlmadiDepartment of Gastroenterology and Hepatology, McGill University, Montreal, Québec, CanadaAmir Almasi‐HashianiDepartment of Epidemiology, Arak University of Medical Sciences, Arak, IranUbai AlsharifDepartment of Oral and Maxillofacial Surgery, University Hospital Knappschaftskrankenhaus Bochum, Bochum, GermanyShirina AlsowaidiCollege of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab EmiratesNelson Alvis‐GuzmánResearch Group in Health Economics, Universidad de Cartagena, Cartagena, ColombiaErfan AminiDepartment of Urology, Tehran University of Medical Sciences, Tehran, IranSaeed AminiDepartment of Health Services Management, Arak University of Medical Sciences, Arak, IranYaw Ampem AmoakoDepartment of Internal Medicine, Komfo Anokye Teaching Hospital, Kumasi, GhanaZohreh AnbariDepartment of Health Services Management, Arak University of Medical Sciences, Arak, IranNahla AnberMansoura University, Mansoura, EgyptCătălina Liliana AndreiCarol Davila University of Medicine and Pharmacy, Bucharest, RomaniaMina AnjomshoaSocial Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, IranFereshteh AnsariResearch Center for Evidence Based Medicine, Health Management and Safety Promotion Research Institute, Tabriz University of Medical Sciences, Tabriz, IranAnsariadi AnsariadiSchool of Public Health, Hasanuddin University, Makassar, IndonesiaSeth Christopher Yaw AppiahCenter for International Health, Ludwig Maximilians University, Munich, GermanyMorteza Arab‐ZozaniDepartment of Healthcare Management, Tabriz University of Medical Sciences, Tabriz, IranJalal ArablooHealth Management and Economics Research Center, Iran University of Medical Sciences, Tehran, IranZohreh ArefiDepartment of Health Education and Health Promotion, Tehran University of Medical Sciences, Tehran, IranOlatunde AremuSchool of Health Sciences, Birmingham City University, Birmingham, England, United KingdomHabtamu Abera AreriSchool of Nursing and Midwifery, Addis Ababa University, Addis Ababa, EthiopiaAl ArtamanDepartment of Community Health Sciences, University of Manitoba, Winnipeg, Manitoba, CanadaHamid AsayeshQom University of Medical Sciences, Qom, IranEphrem Tsegay AsfawInstitute of Biomedical Science, Mekelle University, Mekelle, EthiopiaAlebachew Fasil AshagreDepartment of Clinical Chemistry, University of Gondar, Gondar, EthiopiaReza AssadiEducation Development Center, Mashhad University of Medical Sciences, Mashhad, IranBahar AtaeiniaNon-communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, IranHagos Tasew AtalayCollege of Nursing, Aksum University, Aksum, EthiopiaZerihun AtaroDepartment of Medical Laboratory Science, Haramaya University, Harar, EthiopiaSuleman AtiqueCollege ofPublic Health, University of Hail, Hail, Saudi ArabiaMarcel AusloosSchool of Business, University of Leicester, Leicester, England, United KingdomLeticia Ávila‐BurgosCenter for Health Systems Research, National Institute of Public Health, Cuernavaca, MexicoEuripide AvokpahoBénin Clinical Research Institute, Abomey-Calavi, BeninAshish AwasthiIndian Institute of Public Health, Gandhinagar, IndiaNefsu AwokeDepartment of Nursing, Wolaita Sodo University, Sodo, EthiopiaBeatriz Paulina Ayala QuintanillaGeneral Office for Research and Technological Transfer, Peruvian National Institute of Health, Lima, PeruMartin Amogre AyanoreDepartment of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Ho, GhanaHenok Tadesse AyeleDepartment of Epidemiology, Biostatistics, and Occupational Health, McGill University, Montreal, Québec, CanadaEbrahim BabaeePreventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, IranUmar BachaSchool of Health Sciences, University of Management and Technology, Lahore, PakistanAlaa BadawiDepartment of Nutritional Sciences, University of Toronto, Toronto, Ontario, CanadaMojtaba BagherzadehDepartment of Chemistry, Sharif University of Technology, Tehran, IranEleni BagliDepartment of Ophthalmology, University Hospital of Ioannina, Ioannina, GreeceSenthilkumar BalakrishnanDepartment of Medical Microbiology, Haramaya University, Harar, EthiopiaAbbas BalouchiSchool of Nursing and Allied Medicine, Iran University of Medical Sciences, Tehran, IranTill BärnighausenHarvard T. H. Chan School of Public Health, Harvard University, Boston, MassachusettsRobert J. BattistaMasoud BehzadifarHealth Management and Economics Research Center, Iran University of Medical Sciences, Tehran, IranMeysam BehzadifarHealth Management and Economics Research Center, Iran University of Medical Sciences, Tehran, IranBayu Begashaw BekeleInstitute of Public Health, University of Gondar, Gondar, EthiopiaYared Belete BelayAC Environments Foundation, Cuernavaca, MexicoYaschilal Muche BelaynehDepartment of Pharmacy, Wollo University, Dessie, EthiopiaKathleen BerfieldDivision of Cardiothoracic Surgery, University of Washington, Seattle,Adugnaw BerhaneSchool of Public Health, Addis Ababa University, Addis Ababa, EthiopiaEduardo BernabéDental Institute, King’s College London, London, England, United KingdomMircea BeuranEmergency Hospital of Bucharest, Carol Davila University of Medicine and Pharmacy, Bucharest, RomaniaNickhill BhaktaDepartment of Global Pediatric Medicine, St. Jude Children’s Research Hospital, Memphis, TennesseeKrittika BhattacharyyaDepartment of Biostatistics and Bioinformatics, National Institute of Biomedical Genomics, Kalyani, IndiaBelete BiadgoDepartment of Clinical Chemistry, University of Gondar, Gondar, EthiopiaAli BijaniSocial Determinants of Health Research Center, Babol University of Medical Sciences, Babol, IranMuhammad Shahdaat Bin SayeedDepartment of Clinical Pharmacy and Pharmacology, University of Dhaka, Ramna, BangladeshCharles BirungiFast-Track Implementation Department, United Nations Programme on HIV/AIDS, Gaborone, BotswanaCatherine BisignanoInstitute for Health Metrics and Evaluation, University of Washington, Seattle,
JAMA Oncologyjournal2019en
ABI

Аннотация

<h3>Importance</h3> Cancer and other noncommunicable diseases (NCDs) are now widely recognized as a threat to global development. The latest United Nations high-level meeting on NCDs reaffirmed this observation and also highlighted the slow progress in meeting the 2011 Political Declaration on the Prevention and Control of Noncommunicable Diseases and the third Sustainable Development Goal. Lack of situational analyses, priority setting, and budgeting have been identified as major obstacles in achieving these goals. All of these have in common that they require information on the local cancer epidemiology. The Global Burden of Disease (GBD) study is uniquely poised to provide these crucial data. <h3>Objective</h3> To describe cancer burden for 29 cancer groups in 195 countries from 1990 through 2017 to provide data needed for cancer control planning. <h3>Evidence Review</h3> We used the GBD study estimation methods to describe cancer incidence, mortality, years lived with disability, years of life lost, and disability-adjusted life-years (DALYs). Results are presented at the national level as well as by Socio-demographic Index (SDI), a composite indicator of income, educational attainment, and total fertility rate. We also analyzed the influence of the epidemiological vs the demographic transition on cancer incidence. <h3>Findings</h3> In 2017, there were 24.5 million incident cancer cases worldwide (16.8 million without nonmelanoma skin cancer [NMSC]) and 9.6 million cancer deaths. The majority of cancer DALYs came from years of life lost (97%), and only 3% came from years lived with disability. The odds of developing cancer were the lowest in the low SDI quintile (1 in 7) and the highest in the high SDI quintile (1 in 2) for both sexes. In 2017, the most common incident cancers in men were NMSC (4.3 million incident cases); tracheal, bronchus, and lung (TBL) cancer (1.5 million incident cases); and prostate cancer (1.3 million incident cases). The most common causes of cancer deaths and DALYs for men were TBL cancer (1.3 million deaths and 28.4 million DALYs), liver cancer (572 000 deaths and 15.2 million DALYs), and stomach cancer (542 000 deaths and 12.2 million DALYs). For women in 2017, the most common incident cancers were NMSC (3.3 million incident cases), breast cancer (1.9 million incident cases), and colorectal cancer (819 000 incident cases). The leading causes of cancer deaths and DALYs for women were breast cancer (601 000 deaths and 17.4 million DALYs), TBL cancer (596 000 deaths and 12.6 million DALYs), and colorectal cancer (414 000 deaths and 8.3 million DALYs). <h3>Conclusions and Relevance</h3> The national epidemiological profiles of cancer burden in the GBD study show large heterogeneities, which are a reflection of different exposures to risk factors, economic settings, lifestyles, and access to care and screening. The GBD study can be used by policy makers and other stakeholders to develop and improve national and local cancer control in order to achieve the global targets and improve equity in cancer care.

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