Pojsakorn Danpanichkul, Luis Antonio Díaz, Kanokphong Suparan, Primrose Tothanarungroj, Supapitch Sirimangklanurak, Thanida Auttapracha, Hanna L Blaney, Banthoon Sukphutanan, Yanfang Pang, Siwanart Kongarin, Francisco Idalsoaga, Eduardo Fuentes-López, Lorenzo Leggio, Mazen Noureddin, Trenton M White, Alexandre Louvet, Philippe Mathurin, Rohit Loomba, Patrick S Kamath, Jürgen Rehm, Jeffrey V Lazarus, Karn Wijarnpreecha, Juan Pablo Arab
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We aim to assess the global burden of AUD, ALD, and alcohol-attributable primary liver cancer between 2000-2021.</p><p><strong>Methods: </strong>We registered the global and regional trends of AUD, ALD, and alcohol-related liver cancer using data from the Global Burden of Disease 2021 Study, the largest and most up-to-date global epidemiology database. We estimated the annual percent change (APC) and its 95% confidence interval (CI) to assess changes in age-standardized rates over time.</p><p><strong>Results: </strong>In 2021, there were 111.12 million cases of AUD, 3.02 million cases of ALD, and 132,030 cases of alcohol-attributable primary liver cancer. Between 2000 and 2021, there was a 14.66% increase in AUD, a 38.68% increase in ALD, and a 94.12% increase in alcohol-attributable primary liver cancer prevalence. While the age-standardized prevalence rate for liver cancer from alcohol increased (APC: 0.59%, 95% confidence interval [CI] 0.52 to 0.67%) over these years, it decreased for ALD (APC: -0.71%, 95% CI -0.75 to -0.67%) and AUD (APC: -0.90%, 95% CI -0.94 to -0.86%). There was significant variation by region, socioeconomic development level, and sex. 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引用次数: 0
摘要
背景/目的：酒精是世界范围内疾病的主要负担，包括酒精使用障碍（AUD）和酒精相关性肝病（ALD）。我们的目标是评估2000-2021年间AUD、ALD和酒精导致的原发性肝癌的全球负担。方法：我们使用全球疾病负担2021研究（最大和最新的全球流行病学数据库）的数据登记了AUD、ALD和酒精相关肝癌的全球和区域趋势。我们估计了年变化百分比（APC）及其95%置信区间（CI），以评估年龄标准化率随时间的变化。结果：2021年，澳大利亚有1.112亿例AUD， 302万例ALD， 132030例酒精性原发性肝癌。2000年至2021年间，AUD增加了14.66%，ALD增加了38.68%，酒精导致的原发性肝癌患病率增加了94.12%。虽然这些年来酒精导致肝癌的年龄标准化患病率增加了（APC: 0.59%， 95%可信区间[CI] 0.52至0.67%），但ALD （APC: -0.71%, 95% CI -0.75至-0.67%）和AUD （APC: -0.90%, 95% CI -0.94至-0.86%）的患病率下降了。不同地区、社会经济发展水平和性别之间存在显著差异。在过去几年中（2019-2021年），女性ALD的患病率、发病率和死亡率在更大程度上增加。结论：考虑到AUD、ALD和酒精导致的原发性肝癌的高负担，全球和国家层面都需要采取紧急措施来预防它们。
Global Epidemiology of Alcohol-Related Liver Disease, Liver Cancer, and Alcohol Use Disorder, 2000-2021.
Background/aims: Alcohol represents a leading burden of disease worldwide, including alcohol use disorder (AUD) and alcohol-related liver disease (ALD). We aim to assess the global burden of AUD, ALD, and alcohol-attributable primary liver cancer between 2000-2021.
Methods: We registered the global and regional trends of AUD, ALD, and alcohol-related liver cancer using data from the Global Burden of Disease 2021 Study, the largest and most up-to-date global epidemiology database. We estimated the annual percent change (APC) and its 95% confidence interval (CI) to assess changes in age-standardized rates over time.
Results: In 2021, there were 111.12 million cases of AUD, 3.02 million cases of ALD, and 132,030 cases of alcohol-attributable primary liver cancer. Between 2000 and 2021, there was a 14.66% increase in AUD, a 38.68% increase in ALD, and a 94.12% increase in alcohol-attributable primary liver cancer prevalence. While the age-standardized prevalence rate for liver cancer from alcohol increased (APC: 0.59%, 95% confidence interval [CI] 0.52 to 0.67%) over these years, it decreased for ALD (APC: -0.71%, 95% CI -0.75 to -0.67%) and AUD (APC: -0.90%, 95% CI -0.94 to -0.86%). There was significant variation by region, socioeconomic development level, and sex. During the last years (2019-2021), the prevalence, incidence, and death of ALD increased to a greater extent in females.
Conclusions: Given the high burden of AUD, ALD, and alcohol-attributable primary liver cancer, urgent measures are needed to prevent them at both global and national levels.
期刊介绍：
Clinical and Molecular Hepatology is an internationally recognized, peer-reviewed, open-access journal published quarterly in English. Its mission is to disseminate cutting-edge knowledge, trends, and insights into hepatobiliary diseases, fostering an inclusive academic platform for robust debate and discussion among clinical practitioners, translational researchers, and basic scientists. With a multidisciplinary approach, the journal strives to enhance public health, particularly in the resource-limited Asia-Pacific region, which faces significant challenges such as high prevalence of B viral infection and hepatocellular carcinoma. Furthermore, Clinical and Molecular Hepatology prioritizes epidemiological studies of hepatobiliary diseases across diverse regions including East Asia, North Asia, Southeast Asia, Central Asia, South Asia, Southwest Asia, Pacific, Africa, Central Europe, Eastern Europe, Central America, and South America.
The journal publishes a wide range of content, including original research papers, meta-analyses, letters to the editor, case reports, reviews, guidelines, editorials, and liver images and pathology, encompassing all facets of hepatology.
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