Disease Burden, Risk Factors, and Trends of Leukaemia: A Global Analysis

Leukaemia accounted for approximately 2.5% of all new cancer incidence and 3.1% of cancer-related mortality. The investigation of its risk factors and epidemiologic trends could help describe the geographical distribution and identify high-risk population groups. This study aimed to evaluate the glo...

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Main Authors: Junjie Huang, Sze Chai Chan, Chun Ho Ngai, Veeleah Lok, Lin Zhang, Don Eliseo Lucero-Prisno, Wanghong Xu, Zhi-Jie Zheng, Edmar Elcarte, Mellissa Withers, Martin C. S. Wong
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2022.904292/full
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author Junjie Huang
Sze Chai Chan
Chun Ho Ngai
Veeleah Lok
Lin Zhang
Lin Zhang
Don Eliseo Lucero-Prisno
Wanghong Xu
Zhi-Jie Zheng
Edmar Elcarte
Mellissa Withers
Martin C. S. Wong
Martin C. S. Wong
Martin C. S. Wong
author_facet Junjie Huang
Sze Chai Chan
Chun Ho Ngai
Veeleah Lok
Lin Zhang
Lin Zhang
Don Eliseo Lucero-Prisno
Wanghong Xu
Zhi-Jie Zheng
Edmar Elcarte
Mellissa Withers
Martin C. S. Wong
Martin C. S. Wong
Martin C. S. Wong
author_sort Junjie Huang
collection DOAJ
description Leukaemia accounted for approximately 2.5% of all new cancer incidence and 3.1% of cancer-related mortality. The investigation of its risk factors and epidemiologic trends could help describe the geographical distribution and identify high-risk population groups. This study aimed to evaluate the global incidence, mortality, associated risk factors, and temporal trends of leukaemia by sex, age, and country. We extracted incidence and mortality of leukaemia from GLOBOCAN, CI5, WHO mortality database, NORDCAN, and SEER. We searched the WHO Global Health Observatory data repository for the age-standardised prevalence of lifestyle and metabolic risk factors. We tested the trends by calculating Average Annual Percentage Change (AAPC) from Joinpoint regression. The age-standardized rate of incidence and mortality were 5.4 and 3.3 per 100,000 globally. The incidence and mortality of leukaemia were associated with Human Development Index, Gross Domestics Products per capita, prevalence of smoking, physical activity, overweight, obesity, and hypercholesterolaemia at the country level. Overall, more countries were showing decreasing trends than increasing trends in incidence and mortality. However, an increasing trend of leukaemia incidence was found in Germany, Korea, Japan, Canada and the United Kingdom (AAPC, 2.32-0.98) while its mortality increased in the Philippines, Ecuador, Belarus, and Thailand (AAPC, 2.49-1.23). There was a decreasing trend of leukaemia for the past decade while an increase in incidence and mortality was observed in some populations. More intensive lifestyle modifications should be implemented to control the increasing trends of leukaemia in regions with these trends. Future studies may explore the reasons behind these epidemiological transitions.
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spelling doaj.art-077993bbe4414f008213f3c46ab3bc3d2022-12-22T01:29:07ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-07-011210.3389/fonc.2022.904292904292Disease Burden, Risk Factors, and Trends of Leukaemia: A Global AnalysisJunjie Huang0Sze Chai Chan1Chun Ho Ngai2Veeleah Lok3Lin Zhang4Lin Zhang5Don Eliseo Lucero-Prisno6Wanghong Xu7Zhi-Jie Zheng8Edmar Elcarte9Mellissa Withers10Martin C. S. Wong11Martin C. S. Wong12Martin C. S. Wong13The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaThe Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaThe Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaDepartment of Global Public Health, Karolinska Institute, Karolinska University Hospital, Stockholm, SwedenSchool of Population and Global Health, The University of Melbourne, Carlton, VIC, AustraliaSchool of Public Health, The Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Global Health and Development, London School of Hygiene and Tropical Medicine, London, United KingdomSchool of Public Health, Fudan University, Shanghai, ChinaDepartment of Global Health, School of Public Health, Peking University, Beijing, ChinaCollege of Nursing, University of the Philippines, Manila, PhilippinesDepartment of Preventive Medicine, Institute for Global Health, University of Southern California, Los Angeles, CA, United StatesThe Jockey Club School of Public Health and Primary Care, Faculty of Medicine, Chinese University of Hong Kong, Hong Kong, Hong Kong SAR, ChinaSchool of Public Health, The Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Global Health, School of Public Health, Peking University, Beijing, ChinaLeukaemia accounted for approximately 2.5% of all new cancer incidence and 3.1% of cancer-related mortality. The investigation of its risk factors and epidemiologic trends could help describe the geographical distribution and identify high-risk population groups. This study aimed to evaluate the global incidence, mortality, associated risk factors, and temporal trends of leukaemia by sex, age, and country. We extracted incidence and mortality of leukaemia from GLOBOCAN, CI5, WHO mortality database, NORDCAN, and SEER. We searched the WHO Global Health Observatory data repository for the age-standardised prevalence of lifestyle and metabolic risk factors. We tested the trends by calculating Average Annual Percentage Change (AAPC) from Joinpoint regression. The age-standardized rate of incidence and mortality were 5.4 and 3.3 per 100,000 globally. The incidence and mortality of leukaemia were associated with Human Development Index, Gross Domestics Products per capita, prevalence of smoking, physical activity, overweight, obesity, and hypercholesterolaemia at the country level. Overall, more countries were showing decreasing trends than increasing trends in incidence and mortality. However, an increasing trend of leukaemia incidence was found in Germany, Korea, Japan, Canada and the United Kingdom (AAPC, 2.32-0.98) while its mortality increased in the Philippines, Ecuador, Belarus, and Thailand (AAPC, 2.49-1.23). There was a decreasing trend of leukaemia for the past decade while an increase in incidence and mortality was observed in some populations. More intensive lifestyle modifications should be implemented to control the increasing trends of leukaemia in regions with these trends. Future studies may explore the reasons behind these epidemiological transitions.https://www.frontiersin.org/articles/10.3389/fonc.2022.904292/fullLeukaemiaincidencemortalityrisk factorstemporal trend
spellingShingle Junjie Huang
Sze Chai Chan
Chun Ho Ngai
Veeleah Lok
Lin Zhang
Lin Zhang
Don Eliseo Lucero-Prisno
Wanghong Xu
Zhi-Jie Zheng
Edmar Elcarte
Mellissa Withers
Martin C. S. Wong
Martin C. S. Wong
Martin C. S. Wong
Disease Burden, Risk Factors, and Trends of Leukaemia: A Global Analysis
Frontiers in Oncology
Leukaemia
incidence
mortality
risk factors
temporal trend
title Disease Burden, Risk Factors, and Trends of Leukaemia: A Global Analysis
title_full Disease Burden, Risk Factors, and Trends of Leukaemia: A Global Analysis
title_fullStr Disease Burden, Risk Factors, and Trends of Leukaemia: A Global Analysis
title_full_unstemmed Disease Burden, Risk Factors, and Trends of Leukaemia: A Global Analysis
title_short Disease Burden, Risk Factors, and Trends of Leukaemia: A Global Analysis
title_sort disease burden risk factors and trends of leukaemia a global analysis
topic Leukaemia
incidence
mortality
risk factors
temporal trend
url https://www.frontiersin.org/articles/10.3389/fonc.2022.904292/full
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