Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Global, regional, and national burden of colorectal cancer and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019

Sun Jan 29 18:27:05 2023

(2022) Global, regional, and national burden of colorectal cancer and its risk factors, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet Gastroenterology & Hepatology. pp. 627-647.

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Abstract

Background Colorectal cancer is the third leading cause of cancer deaths worldwide. Given the recent increasing trends in colorectal cancer incidence globally, up-to-date information on the colorectal cancer burden could guide screening, early detection, and treatment strategies, and help effectively allocate resources. We examined the temporal patterns of the global, regional, and national burden of colorectal cancer and its risk factors in 204 countries and territories across the past three decades. Methods Estimates of incidence, mortality, and disability-adjusted life years (DALYs) for colorectal cancer were generated as a part of the Global Burden of Diseases, Injuries and Risk Factors Study (GBD) 2019 by age, sex, and geographical location for the period 1990-2019. Mortality estimates were produced using the cause of death ensemble model. We also calculated DALYs attributable to risk factors that had evidence of causation with colorectal cancer. Findings Globally, between 1990 and 2019, colorectal cancer incident cases more than doubled, from 842 098 (95 uncertainty interval UI 810 408-868 574) to 2.17 million (2.00-2.34), and deaths increased from 518 126 (493 682-537 877) to 1.09 million (1.02-1.15). The global age-standardised incidence rate increased from 22.2 (95% UI 21.3-23.0) per 100 000 to 26.7 (24.6-28.9) per 100 000, whereas the age-standardised mortality rate decreased from 14.3 (13.5-14.9) per 100 000 to 13.7 (12.6-14.5) per 100 000 and the age-standardised DALY rate decreased from 308.5 (294.7-320.7) per 100 000 to 295.5 (275.2-313.0) per 100 000 from 1990 through 2019. Taiwan (province of China; 62.0 48.9-80.0 per 100 000), Monaco (60.7 48.5-73.6 per 100 000), and Andorra (56.6 42.8-71.9 per 100 000) had the highest age-standardised incidence rates, while Greenland (31.4 26.0-37.1 per 100 000), Brunei (30.3 26.6-34.1 per 100 000), and Hungary (28.6 23.6-34.0 per 100 000) had the highest age-standardised mortality rates. From 1990 through 2019, a substantial rise in incidence rates was observed in younger adults (age <50 years), particularly in high Socio-demographic Index (SDI) countries. Globally, a diet low in milk (15.6%), smoking (13.3%), a diet low in calcium (12.9%), and alcohol use (9.9%) were the main contributors to colorectal cancer DALYs in 2019. Interpretation The increase in incidence rates in people younger than 50 years requires vigilance from researchers, clinicians, and policy makers and a possible reconsideration of screening guidelines. The fast-rising burden in low SDI and middle SDI countries in Asia and Africa calls for colorectal cancer prevention approaches, greater awareness, and cost-effective screening and therapeutic options in these regions. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd.

Item Type: Article
Creators:
CreatorsEmail
Sharma, R.UNSPECIFIED
Abbasi-Kangevari, M.UNSPECIFIED
Abd-Rabu, R.UNSPECIFIED
Abidi, H.UNSPECIFIED
Abu-Gharbieh, E.UNSPECIFIED
Acuna, J. M.UNSPECIFIED
Adhikari, S.UNSPECIFIED
Advani, S. M.UNSPECIFIED
Afzal, M. S.UNSPECIFIED
Meybodi, M. A.UNSPECIFIED
Ahinkorah, B. O.UNSPECIFIED
Ahmad, S.UNSPECIFIED
Ahmadi, A.UNSPECIFIED
Ahmadi, S.UNSPECIFIED
Ahmed, H.UNSPECIFIED
Ahmed, L. A.UNSPECIFIED
Ahmed, M. B.UNSPECIFIED
Al Hamad, H.UNSPECIFIED
Alahdab, F.UNSPECIFIED
Alanezi, F. M.UNSPECIFIED
Alanzi, T. M.UNSPECIFIED
Alhalaiqa, F. A. N.UNSPECIFIED
Alimohamadi, Y.UNSPECIFIED
Alipour, V.UNSPECIFIED
Aljunid, S. M.UNSPECIFIED
Alkhayyat, M.UNSPECIFIED
Almustanyir, S.UNSPECIFIED
Al-Raddadi, R. M.UNSPECIFIED
Alvand, S.UNSPECIFIED
Alvis-Guzman, N.UNSPECIFIED
Amini, S.UNSPECIFIED
Ancuceanu, R.UNSPECIFIED
Anoushiravani, A.UNSPECIFIED
Anoushirvani, A. A.UNSPECIFIED
Ansari-Moghaddam, A.UNSPECIFIED
Arabloo, J.UNSPECIFIED
Aryannejad, A.UNSPECIFIED
Jafarabadi, M. A.UNSPECIFIED
Athari, S. S.UNSPECIFIED
Ausloos, F.UNSPECIFIED
Ausloos, M.UNSPECIFIED
Awedew, A. F.UNSPECIFIED
Awoke, M. A.UNSPECIFIED
Ayana, T. M.UNSPECIFIED
Azadnajafabad, S.UNSPECIFIED
Azami, H.UNSPECIFIED
Azangou-Khyavy, M.UNSPECIFIED
Jafari, A. A.UNSPECIFIED
Badiye, A. D.UNSPECIFIED
Bagherieh, S.UNSPECIFIED
Bahadory, S.UNSPECIFIED
Baig, A. A.UNSPECIFIED
Baker, J. L.UNSPECIFIED
Banach, M.UNSPECIFIED
Barrow, A.UNSPECIFIED
Berhie, A. Y.UNSPECIFIED
Besharat, S.UNSPECIFIED
Bhagat, D. S.UNSPECIFIED
Bhagavathula, A. S.UNSPECIFIED
Bhala, N.UNSPECIFIED
Bhattacharyya, K.UNSPECIFIED
Bhojaraja, V. S.UNSPECIFIED
Bibi, S.UNSPECIFIED
Bijani, A.UNSPECIFIED
Biondi, A.UNSPECIFIED
Bjorge, T.UNSPECIFIED
Bodicha, B. B. A.UNSPECIFIED
Braithwaite, D.UNSPECIFIED
Brenner, H.UNSPECIFIED
Calina, D.UNSPECIFIED
Cao, C.UNSPECIFIED
Cao, Y.UNSPECIFIED
Carreras, G.UNSPECIFIED
Carvalho, F.UNSPECIFIED
Cerin, E.UNSPECIFIED
Chakinala, R. C.UNSPECIFIED
Cho, W. C. S.UNSPECIFIED
Chu, D. T.UNSPECIFIED
Conde, J.UNSPECIFIED
Costa, V. M.UNSPECIFIED
Cruz-Martins, N.UNSPECIFIED
Dadras, O.UNSPECIFIED
Dai, X. C.UNSPECIFIED
Dandona, L.UNSPECIFIED
Dandona, R.UNSPECIFIED
Danielewicz, A.UNSPECIFIED
Demeke, F. M.UNSPECIFIED
Demissie, G. D.UNSPECIFIED
Desai, R.UNSPECIFIED
Dhamnetiya, D.UNSPECIFIED
Dianatinasab, M.UNSPECIFIED
Diaz, D.UNSPECIFIED
Didehdar, M.UNSPECIFIED
Doaei, S.UNSPECIFIED
Doan, L. P.UNSPECIFIED
Dodangeh, M.UNSPECIFIED
Eghbalian, F.UNSPECIFIED
Ejeta, D. D.UNSPECIFIED
Ekholuenetale, M.UNSPECIFIED
Ekundayo, T. C.UNSPECIFIED
othersUNSPECIFIED
Keywords: gender disparities hereditary mortality survival impact colon sex Gastroenterology & Hepatology
Divisions:
Page Range: pp. 627-647
Journal or Publication Title: Lancet Gastroenterology & Hepatology
Journal Index: ISI
Volume: 7
Number: 7
Identification Number: https://doi.org/10.1016/s2468-1253(22)00044-9
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/4052

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