1990年至2019年全球、区域和国家各级脑和中枢神经系统癌症负担和趋势

Yang Fan, Xian Zhang, Chao Gao, Shuai Jiang, Haoze Wu, Zhanhui Liu, Taotao Dou
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引用次数: 24

摘要

背景:定期更新脑和中枢神经系统(CNS)癌症负担的流行病学数据对于确定研究的优先次序和资源分配非常重要。该研究旨在调查1990年至2019年间脑癌和中枢神经系统癌的发病率、死亡率、致残率和趋势。方法:使用全球健康数据交换(GHDx)查询工具检索和提取按地区、国家、性别和年龄组分层的流行病学数据,包括癌症发病率、死亡率、残疾调整生命年(DALYs)、年龄标准化发病率(ASIR)、年龄标准化死亡率(ASMR)和年龄标准化DALY率(每10万人)。结果:2019年,全球脑癌和中枢神经系统癌病例347992例(262084 - 388896例),较1990年至2019年显著增加(94.35%)。2019年全球ASIR为4.34(3.27-4.86)/ 10万人口,1990-2019年呈上升趋势(13.82%[-27.27-32.83])。2019年,全球有246253人(185642 - 270930人)死于脑癌和中枢神经系统癌,在研究期间显着增加(76.36%)。2019年全球ASMR为3.05(2.29-3.36)/ 10万人口,在研究期间无显著变化(-1.19%[-36.79-13.86])。2019年,DALYs为8,659,871个,比1990年增长109.04%。同样,在1990-2019年期间,年龄标准化的DALY率下降了10.39%。此外,脑部和中枢神经系统癌症的76.60%的发病病例、72.98%的死亡病例和65.16%的DALYs发生在高收入和中高收入地区。结论:总之,脑癌和中枢神经系统癌仍然是一个主要的公共卫生负担,特别是在高收入地区。从1990年到2019年,脑癌和中枢神经系统癌的全球发病率、死亡率和DALYs显着增加。过去30年,全球ASIR持续稳步上升,而ASMR和年龄标准化DALY率则呈下降趋势。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Burden and trends of brain and central nervous system cancer from 1990 to 2019 at the global, regional, and country levels.

Background: Regularly updated epidemiological data on the burden of brain and central nervous system (CNS) cancers are important in the prioritization of research and the allocation of resources. This study aimed to investigate incidence, mortality, disability, and trends in brain and CNS cancers between 1990 and 2019.

Methods: Epidemiological data, including the cancer incidence, mortality, disability-adjusted life years(DALYs), age-standardized incidence rate (ASIR), age-standardized mortality rate (ASMR), and age-standardized DALY rate (per 100,000 population) stratified by region, country, sex, and age group were retrieved and extracted using the Global Health Data Exchange (GHDx) query tool.

Results: In 2019, there were 347,992(262,084-388,896) global cases of brain and CNS cancers, which showed a significant increase (94.35%) from the period between 1990 to 2019. The global ASIR in 2019 was 4.34 (3.27-4.86) per 100, 000 population, which showed an increasing trend for the years 1990-2019 (13.82% [-27.27-32.83]). In 2019, there were 246,253 (185,642-270,930) global deaths caused by brain and CNS cancers, which showed a significant increase (76.36%) during the study period. The global ASMR in 2019 was 3.05(2.29-3.36) per 100, 000 population, which did not change significantly over the study period (-1.19% [-36.79-13.86]). In 2019, there were 8,659,871 DALYs, which was a 109.04% increase compared with 1990. Similarly, during 1990-2019, the age-standardized DALY rate decreased by 10.39%. Additionally, 76.60% of the incident cases, 72.98% of the deaths, and 65.16% of the DALYs due to brain and CNS cancers occurred in the high-income and upper-middle-income regions.

Conclusions: In conclusion, brain and CNS cancers remain a major public health burden, particularly in high-income regions. The global incidence, deaths, and DALYs of brain and CNS cancers were shown to have increased significantly from 1990 to 2019. The global ASIR kept rising steadily, while the ASMR and age-standardized DALY rate declined over the past three decades.

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