1990-2021年全球、地区和国家骨与关节软骨恶性肿瘤负担与趋势分析:2021 年全球疾病负担研究》的系统分析。

IF 3.5 2区 医学 Q2 ENDOCRINOLOGY & METABOLISM
Bone Pub Date : 2024-07-24 DOI:10.1016/j.bone.2024.117212
Jianqiang Lai, Xianmin Li, Wei Liu, Qian Liufu, Chengfan Zhong
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引用次数: 0

摘要

背景:骨与关节软骨恶性肿瘤(MNBAC)是导致全球癌症相关死亡的原因之一。迄今为止,还缺乏关于骨与关节软骨恶性肿瘤疾病负担的详细研究:方法:我们从全球疾病负担研究(Global Burden of Disease study)中获得了 1990 年至 2021 年期间 MNBAC 的发病率、死亡率和残疾调整生命年(DALYs)数据。我们按地区、国家和社会发展指数计算了年龄标准化发病率的估计年度百分比变化(EAPC),以此估算了MNBAC负担的趋势:从全球来看,MNBAC 的发病和死亡病例呈显著上升趋势。2021 年,全球 MNBAC 发病率为 91,375.1 例(73,780.4-102,469.7),死亡人数为 66,114.3 例(53,305.4-74,466.9)。年龄标准化发病率、死亡率和残疾调整寿命年数率均呈上升趋势,EAPC 分别为 0.59(0.51 至 0.68)、0.11(0.02 至 0.21)和 0.08(0 至 0.17)。2021 年,中国的发病人数和死亡人数均居首位。15-19岁和65-69岁年龄组的发病和死亡人数出现两个高峰,发病率和死亡率一般随年龄增长而增加,男性高于女性。发病率、死亡率和年龄标准化发病率最高的地区是东亚,而撒哈拉以南非洲东部地区的年龄标准化死亡率和残疾调整寿命年率最高:从 1990 年到 2021 年,MNBAC 的全球负担持续增加,尤其是东亚地区的发病率和死亡人数最高,而撒哈拉以南非洲东部地区的 ASMR 和 ASDR 最高。为减轻这一负担,不同地区应根据各自的流行病学特点制定癌症控制行动,重点关注老年人和青少年,并控制风险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Global, regional, and national burden and trends analysis of malignant neoplasm of bone and articular cartilage from 1990 to 2021: A systematic analysis for the Global Burden of Disease Study 2021

Background

Malignant neoplasm of bone and articular cartilage (MNBAC) is one of the causes of cancer-related deaths worldwide. To date, there is a lack of detailed studies on the disease burden of MNBAC.

Methods

Data on the incidence, mortality, and disability-adjusted life years (DALYs) of MNBAC from 1990 to 2021 were obtained from the Global Burden of Disease study. We estimated the trends in the burden of MNBAC by calculating the estimated annual percentage change (EAPC) in age-standardized rates by region, country, and social development index.

Results

Globally, the cases of incidence and deaths of MNBAC showed a significant upward trend. In 2021, the global incidence cases of MNBAC were 91,375.1 (73,780.4–102,469.7), and the number of deaths was 66,114.3 (53,305.4–74,466.9). The age-standardized incidence, mortality, and DALYs rates were all on the rise, with EAPCs of 0.59 (0.51 to 0.68), 0.11 (0.02 to 0.21), and 0.08 (0 to 0.17), respectively. In 2021, China had the highest number of incidence cases and deaths. Two peaks in incidence cases and deaths were observed in the 15–19 and 65–69 age groups, with incidence rates and death rates generally increasing with age, and higher in males than females. The region with the highest incidence cases, deaths, and age-standardized incidence rate was East Asia, while Eastern Sub-Saharan Africa had the highest age-standardized mortality, and DALYs rates.

Conclusion

From 1990 to 2021, the global burden of MNBAC has continued to increase, particularly in East Asia, which faces the highest number of incidence cases and deaths, while Eastern Sub-Saharan Africa faces the highest ASMR and ASDR. To mitigate this burden, different regions should develop cancer control actions based on their respective epidemiological characteristics, with a focus on the elderly and adolescents, and control of risk factors.

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来源期刊
Bone
Bone 医学-内分泌学与代谢
CiteScore
8.90
自引率
4.90%
发文量
264
审稿时长
30 days
期刊介绍: BONE is an interdisciplinary forum for the rapid publication of original articles and reviews on basic, translational, and clinical aspects of bone and mineral metabolism. The Journal also encourages submissions related to interactions of bone with other organ systems, including cartilage, endocrine, muscle, fat, neural, vascular, gastrointestinal, hematopoietic, and immune systems. Particular attention is placed on the application of experimental studies to clinical practice.
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