Burden of Tracheal, Bronchus, and Lung Cancer Attributable to High Fasting Plasma Glucose.

IF 1 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL
Jingyi Zhou, Chenglong Xi, Zhiyu Luan, Lufeng Mao, Shiliang Ling
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Abstract

Background: We aimed to evaluate the situation and change trends in the tracheal, bronchus, and lung (TBL) cancer burden attributable to high fasting plasma glucose (HFPG) stratified by gender, age, region, country, and sociodemographic index (SDI).

Methods: We evaluated the age-standardized death rate (ASDR) and disability-adjusted life years (DALYs) rate of TBL cancer attributable to HFPG and their corresponding estimated annual percentage change (EAPC) trends in 204 countries and 21 regions.

Results: Globally from 1990 to 2019, the ASDR (EAPC=0.98; 95% confidence interval [CI]: 0.82-1.15) and age-standardized DALY rate (EAPC=0.68; 95% CI: 0.55-0.82) of TBL cancer attributable to HFPG trended upward. Furthermore, the steepest increment in age-standardized death and DALY rates were noted in low-SDI regions (EAPC=1.32; EAPC=1.35) and the North Africa/Middle East region (EAPC=2.66, ESPC=2.56) among all five SDI regions and 21 global geographic regions, respectively. Among the 204 countries, the highest growth rate in the ASDR was found in Georgia (EAPC=4.33, 95% CI: 3.66-5.00), and the highest growth rate in the age-standardized DALY rate occurred in Egypt (EAPC=4.34, 95% CI: 4.22-4.47). The highest ASDR and age-standardized DALY rate occurred in people over the age of 65 years, and in the 21 geographic regions, SDIs were negatively correlated with ASDRs and EAPCs in DALYs.

Conclusion: The global burden of TBL cancer attributable to HFPG trended upward. The most significant increase in burden was observed in low-SDI regions and countries.

Abstract Image

Abstract Image

Abstract Image

高空腹血糖引起的气管、支气管和肺癌负担。
背景:我们的目的是评估由高空腹血糖(HFPG)引起的气管、支气管和肺(TBL)癌症负担的情况和变化趋势,并按性别、年龄、地区、国家和社会人口指数(SDI)分层。方法:我们评估了204个国家和21个地区因HFPG导致的TBL癌的年龄标准化死亡率(ASDR)和残疾调整生命年(DALYs)率及其相应的估计年百分比变化(EAPC)趋势。结果:1990 - 2019年全球范围内,ASDR (EAPC=0.98;95%可信区间[CI]: 0.82-1.15)和年龄标准化DALY率(EAPC=0.68;95% CI: 0.55-0.82), HFPG导致的TBL癌呈上升趋势。此外,低sdi地区的年龄标准化死亡率和DALY率增幅最大(EAPC=1.32;在所有5个SDI区域和21个全球地理区域中,EAPC=1.35)和北非/中东地区(EAPC=2.66, ESPC=2.56)。在204个国家中,格鲁吉亚的ASDR增长率最高(EAPC=4.33, 95% CI: 3.66-5.00),埃及的年龄标准化DALY增长率最高(EAPC=4.34, 95% CI: 4.22-4.47)。最高的ASDR和年龄标准化DALY发生率发生在65岁以上的人群中,在21个地理区域中,sdi与DALY中的ASDR和EAPCs呈负相关。结论:HFPG导致的全球TBL癌症负担呈上升趋势。在低sdi地区和国家观察到最显著的负担增加。
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来源期刊
Archives of Iranian Medicine
Archives of Iranian Medicine 医学-医学:内科
CiteScore
4.20
自引率
0.00%
发文量
67
审稿时长
3-8 weeks
期刊介绍: Aim and Scope: The Archives of Iranian Medicine (AIM) is a monthly peer-reviewed multidisciplinary medical publication. The journal welcomes contributions particularly relevant to the Middle-East region and publishes biomedical experiences and clinical investigations on prevalent diseases in the region as well as analyses of factors that may modulate the incidence, course, and management of diseases and pertinent medical problems. Manuscripts with didactic orientation and subjects exclusively of local interest will not be considered for publication.The 2016 Impact Factor of "Archives of Iranian Medicine" is 1.20.
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