Burden of breast cancer and attributable risk factors in the North Africa and Middle East region, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019

BackgroundBreast cancer (BC) is the most common cancer in women globally. The North Africa and Middle East (NAME) region is coping hard with the burden of BC. We aimed to present the latest epidemiology of BC and its risk factors in this region.MethodsWe retrieved the data on BC burden and risk fact...

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Main Authors: Sina Azadnajafabad, Sahar Saeedi Moghaddam, Esmaeil Mohammadi, Negar Rezaei, Mohammad-Mahdi Rashidi, Nazila Rezaei, Ali H. Mokdad, Mohsen Naghavi, Christopher J. L. Murray, Bagher Larijani, Farshad Farzadfar, GBD 2019 NAME Breast Cancer Collaborators, Sahar Saeed Moghaddam, Mohsen Abbasi-Kangevari, Zeinab Abbasi-Kangevari, Hedayat Abbastabar, Hassan Abidi, Hassan Abolhassani, Hiwa Abubaker Ali, Eman Abu-Gharbieh, Juan Manuel Acuna, Sima Afrashteh, Muhammad Sohail Afzal, Sajjad Ahmad, Ali Ahmadi, Sepideh Ahmadi, Haroon Ahmed, Luai A. Ahmed, Tarik Ahmed Rashid, Marjan Ajami, Mostafa Akbarzadeh-Khiavi, Hanadi Al Hamad, Mohammed Khaled Al-Hanawi, Beriwan Abdulqadir Ali, Yousef Alimohamadi, Sadaf Alipour, Syed Mohamed Aljunid, Sami Almustanyir, Rajaa M Al-Raddadi, Saba Alvand, Jalal Arabloo, Morteza Arab-Zozani, Armin Aryannejad, Tahira Ashra, Seyyed Shamsadin Athari, Amirhossein Azari Jafari, Nader Bagheri, Sara Bagherieh, Saeed Bahadory, Mohammad Behnammoghadam, Akshaya Srikanth Bhagavathula, Somayeh Bohlouli, Wolfram Manuel Wolfram Brück, Aso Mohammad Darwesh, Mostafa Dianatinasab, Fariba Dorostkar, Ebrahim Eini, Iffat Elbarazi, Muhammed Elhadi, Iman El Sayed, Maysaa El Sayed Zaki, Sharareh Eskandarieh, Ibtihal Fadhil, Fatemeh Farahmand, Pawan Sirwan Faris, Nasrin Galehdar, Mansour Ghafourifard, Seyyed-Hadi Ghamari, Azin Ghamari, Ahmad Ghashghaee, Maryam Gholamalizadeh, Kimiya Gohari, Goleij Goleij, Golitaleb Golitaleb, Mohammed Ibrahim Mohialdeen Gubari, Nima Hafezi-Nejad, Rabih Halwani, Randah R Hamadeh, Samer Hamidi, Asif Hanif, Shafiul Haque, Soheil Hassanipour, Khezar Hayat, Mohammad Heidar, Zahra Heidarymeybodi, Mohammad-Salar Hosseini, Mehdi Hosseinzadeh, Mohamed Hsairi, Elham Jamshidi, Amirreza Javadi Mamaghani, Tahereh Javaheri, Ali Kabir, Leila R Kalankesh, Leila Keikavoosi-Arani, Yousef Saleh Khader, Ejaz Ahmad Khan, Gulfaraz Khan, Maryam Khayamzadeh, Behzad Kiani, Hamid Reza Koohestani, Sang-woong Lee, Mozhgan Letafat-nezhad, Somayeh Livani, Farzan Madadizadeh, Ahmad R Mafi, Soleiman Mahjoub, Ata Mahmoodpoor, Marzieh Mahmoudimanesh, Mohammad-Reza Malekpour, Ahmad Azam Malik, Fariborz Mansour-Ghanaei, Mohammad Ali Mansournia, Seyedeh Zahra Masoumi, Entezar Mehrabi Nasab, Seyyedmohammadsadeq Mirmoeeni, Yousef Mohammad, Karzan Abdulmuhsin Mohammad, Mokhtar Mohammadi, Ari f Mohammed, Sara Momtazmanesh, Abdolvahab Sara, Paula Moraga, Abbas Mosapour, Atta Abbas Naqvi, Zuhair S Natto, Seyed Aria Nejadghaderi, Marzieh Nojomi, Maryam Noori, Hassan Okati-Aliabad, Reza Pakzad, Hamidreza Pazoki Toroudi, Zahra Zahid Piracha, Naeimeh Pourtaheri, Fakher Rahim, Shahram Rahimi-Dehgolan, Amir Masoud Rahmani, Vahid Rahmanian, Mahsa Rashidi, Amirfarzan Rashidi, Reza Rawassizadeh, Mohammad Sadegh Razeghinia, Nima Rezaei, Siamak Sabour, Basema Saddik, Umar Saeed, Maryam Sahebazzamani, Amirhossein Sahebkar, Abdallah M Samy, Muhammad Arif Nadeem Saqib, Brijesh Sathian, Sayed Mohammad Shafiee, Saeed Shahabi, Fariba Shahraki-Sanavi, Masood Ali Shaikh, Ali Sheidaei, Rahim Ali Sheikhi, Reza Shirkoohi, Parnian Shobeiri, Mohammad Sadegh Soltani-Zangbar, Elnaz Tabibian, Majid Taheri, Moslem Taheri Soodejani, Mohamad-Hani Temsah, Amir Tiyuri, Irfan Ullah, Sana Ullah, Sahel Valadan Tahbaz, Rohollah Valizadeh, Bay Vo, Yasir Waheed, Seyed Hossein Yahyazadeh Jabbari, Fereshteh Yazdanpanah, Deniz Yuce, Nazar Zaki, Iman Zare, Mohammad Zoladl, Ali H Mokdad, Christopher J L Murray
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1132816/full
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author Sina Azadnajafabad
Sahar Saeedi Moghaddam
Sahar Saeedi Moghaddam
Esmaeil Mohammadi
Esmaeil Mohammadi
Negar Rezaei
Negar Rezaei
Mohammad-Mahdi Rashidi
Nazila Rezaei
Ali H. Mokdad
Ali H. Mokdad
Mohsen Naghavi
Mohsen Naghavi
Christopher J. L. Murray
Christopher J. L. Murray
Bagher Larijani
Farshad Farzadfar
Farshad Farzadfar
GBD 2019 NAME Breast Cancer Collaborators
Sina Azadnajafabad
Sahar Saeed Moghaddam
Esmaeil Mohammadi
Negar Rezaei
Mohammad-Mahdi Rashidi
Nazila Rezaei
Mohsen Abbasi-Kangevari
Zeinab Abbasi-Kangevari,
Hedayat Abbastabar
Hassan Abidi
Hassan Abolhassani
Hiwa Abubaker Ali
Eman Abu-Gharbieh
Juan Manuel Acuna
Sima Afrashteh
Muhammad Sohail Afzal
Sajjad Ahmad
Ali Ahmadi
Sepideh Ahmadi
Haroon Ahmed
Luai A. Ahmed
Tarik Ahmed Rashid
Marjan Ajami
Mostafa Akbarzadeh-Khiavi
Hanadi Al Hamad
Mohammed Khaled Al-Hanawi
Beriwan Abdulqadir Ali
Yousef Alimohamadi
Sadaf Alipour
Syed Mohamed Aljunid
Sami Almustanyir
Rajaa M Al-Raddadi
Saba Alvand
Jalal Arabloo
Morteza Arab-Zozani
Armin Aryannejad
Tahira Ashra
Seyyed Shamsadin Athari
Amirhossein Azari Jafari
Nader Bagheri
Sara Bagherieh
Saeed Bahadory
Mohammad Behnammoghadam
Akshaya Srikanth Bhagavathula
Somayeh Bohlouli
Wolfram Manuel Wolfram Brück
Aso Mohammad Darwesh
Mostafa Dianatinasab
Fariba Dorostkar
Ebrahim Eini
Iffat Elbarazi
Muhammed Elhadi
Iman El Sayed
Maysaa El Sayed Zaki
Sharareh Eskandarieh
Ibtihal Fadhil
Fatemeh Farahmand
Pawan Sirwan Faris
Nasrin Galehdar
Mansour Ghafourifard
Seyyed-Hadi Ghamari
Azin Ghamari
Ahmad Ghashghaee
Maryam Gholamalizadeh
Kimiya Gohari
Goleij Goleij
Golitaleb Golitaleb
Mohammed Ibrahim Mohialdeen Gubari
Nima Hafezi-Nejad
Rabih Halwani
Randah R Hamadeh
Samer Hamidi
Asif Hanif
Shafiul Haque
Soheil Hassanipour
Khezar Hayat
Mohammad Heidar
Zahra Heidarymeybodi
Mohammad-Salar Hosseini
Mehdi Hosseinzadeh
Mohamed Hsairi
Elham Jamshidi
Amirreza Javadi Mamaghani
Tahereh Javaheri
Ali Kabir
Leila R Kalankesh
Leila Keikavoosi-Arani
Yousef Saleh Khader
Ejaz Ahmad Khan
Gulfaraz Khan
Maryam Khayamzadeh
Behzad Kiani
Hamid Reza Koohestani
Sang-woong Lee
Mozhgan Letafat-nezhad
Somayeh Livani
Farzan Madadizadeh
Ahmad R Mafi
Soleiman Mahjoub
Ata Mahmoodpoor
Marzieh Mahmoudimanesh
Mohammad-Reza Malekpour
Ahmad Azam Malik
Fariborz Mansour-Ghanaei
Mohammad Ali Mansournia
Seyedeh Zahra Masoumi
Entezar Mehrabi Nasab
Seyyedmohammadsadeq Mirmoeeni
Yousef Mohammad
Karzan Abdulmuhsin Mohammad
Mokhtar Mohammadi
Ari f Mohammed
Sara Momtazmanesh
Abdolvahab Sara
Paula Moraga
Abbas Mosapour
Atta Abbas Naqvi
Zuhair S Natto
Seyed Aria Nejadghaderi
Marzieh Nojomi
Maryam Noori
Hassan Okati-Aliabad
Reza Pakzad
Hamidreza Pazoki Toroudi
Zahra Zahid Piracha
Naeimeh Pourtaheri
Fakher Rahim
Shahram Rahimi-Dehgolan
Amir Masoud Rahmani
Vahid Rahmanian
Mahsa Rashidi
Amirfarzan Rashidi
Reza Rawassizadeh
Mohammad Sadegh Razeghinia
Nima Rezaei
Siamak Sabour
Basema Saddik
Umar Saeed
Maryam Sahebazzamani
Amirhossein Sahebkar
Abdallah M Samy
Muhammad Arif Nadeem Saqib
Brijesh Sathian
Sayed Mohammad Shafiee
Saeed Shahabi
Fariba Shahraki-Sanavi
Masood Ali Shaikh
Ali Sheidaei
Rahim Ali Sheikhi
Reza Shirkoohi
Parnian Shobeiri
Mohammad Sadegh Soltani-Zangbar
Elnaz Tabibian
Majid Taheri
Moslem Taheri Soodejani
Mohamad-Hani Temsah
Amir Tiyuri
Irfan Ullah
Sana Ullah
Sahel Valadan Tahbaz
Rohollah Valizadeh
Bay Vo
Yasir Waheed
Seyed Hossein Yahyazadeh Jabbari
Fereshteh Yazdanpanah
Deniz Yuce
Nazar Zaki
Iman Zare
Mohammad Zoladl
Ali H Mokdad
Mohsen Naghavi
Christopher J L Murray
Bagher Larijani
Farshad Farzadfar
author_facet Sina Azadnajafabad
Sahar Saeedi Moghaddam
Sahar Saeedi Moghaddam
Esmaeil Mohammadi
Esmaeil Mohammadi
Negar Rezaei
Negar Rezaei
Mohammad-Mahdi Rashidi
Nazila Rezaei
Ali H. Mokdad
Ali H. Mokdad
Mohsen Naghavi
Mohsen Naghavi
Christopher J. L. Murray
Christopher J. L. Murray
Bagher Larijani
Farshad Farzadfar
Farshad Farzadfar
GBD 2019 NAME Breast Cancer Collaborators
Sina Azadnajafabad
Sahar Saeed Moghaddam
Esmaeil Mohammadi
Negar Rezaei
Mohammad-Mahdi Rashidi
Nazila Rezaei
Mohsen Abbasi-Kangevari
Zeinab Abbasi-Kangevari,
Hedayat Abbastabar
Hassan Abidi
Hassan Abolhassani
Hiwa Abubaker Ali
Eman Abu-Gharbieh
Juan Manuel Acuna
Sima Afrashteh
Muhammad Sohail Afzal
Sajjad Ahmad
Ali Ahmadi
Sepideh Ahmadi
Haroon Ahmed
Luai A. Ahmed
Tarik Ahmed Rashid
Marjan Ajami
Mostafa Akbarzadeh-Khiavi
Hanadi Al Hamad
Mohammed Khaled Al-Hanawi
Beriwan Abdulqadir Ali
Yousef Alimohamadi
Sadaf Alipour
Syed Mohamed Aljunid
Sami Almustanyir
Rajaa M Al-Raddadi
Saba Alvand
Jalal Arabloo
Morteza Arab-Zozani
Armin Aryannejad
Tahira Ashra
Seyyed Shamsadin Athari
Amirhossein Azari Jafari
Nader Bagheri
Sara Bagherieh
Saeed Bahadory
Mohammad Behnammoghadam
Akshaya Srikanth Bhagavathula
Somayeh Bohlouli
Wolfram Manuel Wolfram Brück
Aso Mohammad Darwesh
Mostafa Dianatinasab
Fariba Dorostkar
Ebrahim Eini
Iffat Elbarazi
Muhammed Elhadi
Iman El Sayed
Maysaa El Sayed Zaki
Sharareh Eskandarieh
Ibtihal Fadhil
Fatemeh Farahmand
Pawan Sirwan Faris
Nasrin Galehdar
Mansour Ghafourifard
Seyyed-Hadi Ghamari
Azin Ghamari
Ahmad Ghashghaee
Maryam Gholamalizadeh
Kimiya Gohari
Goleij Goleij
Golitaleb Golitaleb
Mohammed Ibrahim Mohialdeen Gubari
Nima Hafezi-Nejad
Rabih Halwani
Randah R Hamadeh
Samer Hamidi
Asif Hanif
Shafiul Haque
Soheil Hassanipour
Khezar Hayat
Mohammad Heidar
Zahra Heidarymeybodi
Mohammad-Salar Hosseini
Mehdi Hosseinzadeh
Mohamed Hsairi
Elham Jamshidi
Amirreza Javadi Mamaghani
Tahereh Javaheri
Ali Kabir
Leila R Kalankesh
Leila Keikavoosi-Arani
Yousef Saleh Khader
Ejaz Ahmad Khan
Gulfaraz Khan
Maryam Khayamzadeh
Behzad Kiani
Hamid Reza Koohestani
Sang-woong Lee
Mozhgan Letafat-nezhad
Somayeh Livani
Farzan Madadizadeh
Ahmad R Mafi
Soleiman Mahjoub
Ata Mahmoodpoor
Marzieh Mahmoudimanesh
Mohammad-Reza Malekpour
Ahmad Azam Malik
Fariborz Mansour-Ghanaei
Mohammad Ali Mansournia
Seyedeh Zahra Masoumi
Entezar Mehrabi Nasab
Seyyedmohammadsadeq Mirmoeeni
Yousef Mohammad
Karzan Abdulmuhsin Mohammad
Mokhtar Mohammadi
Ari f Mohammed
Sara Momtazmanesh
Abdolvahab Sara
Paula Moraga
Abbas Mosapour
Atta Abbas Naqvi
Zuhair S Natto
Seyed Aria Nejadghaderi
Marzieh Nojomi
Maryam Noori
Hassan Okati-Aliabad
Reza Pakzad
Hamidreza Pazoki Toroudi
Zahra Zahid Piracha
Naeimeh Pourtaheri
Fakher Rahim
Shahram Rahimi-Dehgolan
Amir Masoud Rahmani
Vahid Rahmanian
Mahsa Rashidi
Amirfarzan Rashidi
Reza Rawassizadeh
Mohammad Sadegh Razeghinia
Nima Rezaei
Siamak Sabour
Basema Saddik
Umar Saeed
Maryam Sahebazzamani
Amirhossein Sahebkar
Abdallah M Samy
Muhammad Arif Nadeem Saqib
Brijesh Sathian
Sayed Mohammad Shafiee
Saeed Shahabi
Fariba Shahraki-Sanavi
Masood Ali Shaikh
Ali Sheidaei
Rahim Ali Sheikhi
Reza Shirkoohi
Parnian Shobeiri
Mohammad Sadegh Soltani-Zangbar
Elnaz Tabibian
Majid Taheri
Moslem Taheri Soodejani
Mohamad-Hani Temsah
Amir Tiyuri
Irfan Ullah
Sana Ullah
Sahel Valadan Tahbaz
Rohollah Valizadeh
Bay Vo
Yasir Waheed
Seyed Hossein Yahyazadeh Jabbari
Fereshteh Yazdanpanah
Deniz Yuce
Nazar Zaki
Iman Zare
Mohammad Zoladl
Ali H Mokdad
Mohsen Naghavi
Christopher J L Murray
Bagher Larijani
Farshad Farzadfar
author_sort Sina Azadnajafabad
collection DOAJ
description BackgroundBreast cancer (BC) is the most common cancer in women globally. The North Africa and Middle East (NAME) region is coping hard with the burden of BC. We aimed to present the latest epidemiology of BC and its risk factors in this region.MethodsWe retrieved the data on BC burden and risk factors from the Global Burden of Disease Study 2019 to describe BC status in the 21 countries of the NAME region from 1990 to 2019. We explored BC incidence, prevalence, deaths, disability-adjusted life years (DALYs), and attributable burden to seven risk factors of female BC, namely, alcohol use, diet high in red meat, low physical activity, smoking, secondhand smoke, high body mass index, and high fasting plasma glucose. Decomposition analysis on BC incidence trend was done to find out the contributing factors to this cancer’s growth.ResultsIn 2019, there were 835,576 (95% uncertainty interval: 741,968 to 944,851) female and 10,938 (9,030 to 13,256) male prevalent cases of BC in the NAME region. This number leads to 35,405 (30,676 to 40,571) deaths among female patients and 809 (654 to 1,002) deaths in male patients this year. BC was responsible for 1,222,835 (1,053,073 to 1,411,009) DALYs among female patients in 2019, with a greater proportion (94.9%) of burden in years of life lost (YLLs). The major contributor to female BC incidence increase in the past three decades was found to be increase in age-specific incidence rates of BC (227.5%), compared to population growth (73.8%) and aging (81.8%). The behavioral risk factors were responsible for majority of attributable female BC burden (DALYs: 106,026 [66,614 to 144,247]). High fasting plasma glucose was found to be the risk factor with the largest effect (DALYs: 84,912 [17,377 to 192,838]) on female BC burden.ConclusionThe increasing incidence and burden of BC in the NAME region is remarkable, especially when considering limited resources in the developing countries of this region. Proper policies like expanding screening programs and careful resource management are needed to effectively manage BC burden.
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spelling doaj.art-7e45c9e58824480884b7e9d0bbd195aa2023-08-01T15:45:29ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-08-011310.3389/fonc.2023.11328161132816Burden of breast cancer and attributable risk factors in the North Africa and Middle East region, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019Sina Azadnajafabad0Sahar Saeedi Moghaddam1Sahar Saeedi Moghaddam2Esmaeil Mohammadi3Esmaeil Mohammadi4Negar Rezaei5Negar Rezaei6Mohammad-Mahdi Rashidi7Nazila Rezaei8Ali H. Mokdad9Ali H. Mokdad10Mohsen Naghavi11Mohsen Naghavi12Christopher J. L. Murray13Christopher J. L. Murray14Bagher Larijani15Farshad Farzadfar16Farshad Farzadfar17GBD 2019 NAME Breast Cancer CollaboratorsSina AzadnajafabadSahar Saeed MoghaddamEsmaeil MohammadiNegar RezaeiMohammad-Mahdi RashidiNazila RezaeiMohsen Abbasi-KangevariZeinab Abbasi-Kangevari,Hedayat AbbastabarHassan AbidiHassan AbolhassaniHiwa Abubaker AliEman Abu-GharbiehJuan Manuel AcunaSima AfrashtehMuhammad Sohail AfzalSajjad AhmadAli AhmadiSepideh AhmadiHaroon AhmedLuai A. AhmedTarik Ahmed RashidMarjan AjamiMostafa Akbarzadeh-KhiaviHanadi Al HamadMohammed Khaled Al-HanawiBeriwan Abdulqadir AliYousef AlimohamadiSadaf AlipourSyed Mohamed AljunidSami AlmustanyirRajaa M Al-RaddadiSaba AlvandJalal ArablooMorteza Arab-ZozaniArmin AryannejadTahira AshraSeyyed Shamsadin AthariAmirhossein Azari JafariNader BagheriSara BagheriehSaeed BahadoryMohammad BehnammoghadamAkshaya Srikanth BhagavathulaSomayeh BohlouliWolfram Manuel Wolfram BrückAso Mohammad DarweshMostafa DianatinasabFariba DorostkarEbrahim EiniIffat ElbaraziMuhammed ElhadiIman El SayedMaysaa El Sayed ZakiSharareh EskandariehIbtihal FadhilFatemeh FarahmandPawan Sirwan FarisNasrin GalehdarMansour GhafourifardSeyyed-Hadi GhamariAzin GhamariAhmad GhashghaeeMaryam GholamalizadehKimiya GohariGoleij GoleijGolitaleb GolitalebMohammed Ibrahim Mohialdeen GubariNima Hafezi-NejadRabih HalwaniRandah R HamadehSamer HamidiAsif HanifShafiul HaqueSoheil HassanipourKhezar HayatMohammad HeidarZahra HeidarymeybodiMohammad-Salar HosseiniMehdi HosseinzadehMohamed HsairiElham JamshidiAmirreza Javadi MamaghaniTahereh JavaheriAli KabirLeila R KalankeshLeila Keikavoosi-AraniYousef Saleh KhaderEjaz Ahmad KhanGulfaraz KhanMaryam KhayamzadehBehzad KianiHamid Reza KoohestaniSang-woong LeeMozhgan Letafat-nezhadSomayeh LivaniFarzan MadadizadehAhmad R MafiSoleiman MahjoubAta MahmoodpoorMarzieh MahmoudimaneshMohammad-Reza MalekpourAhmad Azam MalikFariborz Mansour-GhanaeiMohammad Ali MansourniaSeyedeh Zahra MasoumiEntezar Mehrabi NasabSeyyedmohammadsadeq MirmoeeniYousef MohammadKarzan Abdulmuhsin MohammadMokhtar MohammadiAri f MohammedSara MomtazmaneshAbdolvahab SaraPaula MoragaAbbas MosapourAtta Abbas NaqviZuhair S NattoSeyed Aria NejadghaderiMarzieh NojomiMaryam NooriHassan Okati-AliabadReza PakzadHamidreza Pazoki ToroudiZahra Zahid PirachaNaeimeh PourtaheriFakher RahimShahram Rahimi-DehgolanAmir Masoud RahmaniVahid RahmanianMahsa RashidiAmirfarzan RashidiReza RawassizadehMohammad Sadegh RazeghiniaNima RezaeiSiamak SabourBasema SaddikUmar SaeedMaryam SahebazzamaniAmirhossein SahebkarAbdallah M SamyMuhammad Arif Nadeem SaqibBrijesh SathianSayed Mohammad ShafieeSaeed ShahabiFariba Shahraki-SanaviMasood Ali ShaikhAli SheidaeiRahim Ali SheikhiReza ShirkoohiParnian ShobeiriMohammad Sadegh Soltani-ZangbarElnaz TabibianMajid TaheriMoslem Taheri SoodejaniMohamad-Hani TemsahAmir TiyuriIrfan UllahSana UllahSahel Valadan TahbazRohollah ValizadehBay VoYasir WaheedSeyed Hossein Yahyazadeh JabbariFereshteh YazdanpanahDeniz YuceNazar ZakiIman ZareMohammad ZoladlAli H MokdadMohsen NaghaviChristopher J L MurrayBagher LarijaniFarshad FarzadfarNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranKiel Institute for the World Economy, Kiel, GermanyNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranSchool of Medicine, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesDepartment of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United StatesInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesDepartment of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United StatesInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United StatesDepartment of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United StatesEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranBackgroundBreast cancer (BC) is the most common cancer in women globally. The North Africa and Middle East (NAME) region is coping hard with the burden of BC. We aimed to present the latest epidemiology of BC and its risk factors in this region.MethodsWe retrieved the data on BC burden and risk factors from the Global Burden of Disease Study 2019 to describe BC status in the 21 countries of the NAME region from 1990 to 2019. We explored BC incidence, prevalence, deaths, disability-adjusted life years (DALYs), and attributable burden to seven risk factors of female BC, namely, alcohol use, diet high in red meat, low physical activity, smoking, secondhand smoke, high body mass index, and high fasting plasma glucose. Decomposition analysis on BC incidence trend was done to find out the contributing factors to this cancer’s growth.ResultsIn 2019, there were 835,576 (95% uncertainty interval: 741,968 to 944,851) female and 10,938 (9,030 to 13,256) male prevalent cases of BC in the NAME region. This number leads to 35,405 (30,676 to 40,571) deaths among female patients and 809 (654 to 1,002) deaths in male patients this year. BC was responsible for 1,222,835 (1,053,073 to 1,411,009) DALYs among female patients in 2019, with a greater proportion (94.9%) of burden in years of life lost (YLLs). The major contributor to female BC incidence increase in the past three decades was found to be increase in age-specific incidence rates of BC (227.5%), compared to population growth (73.8%) and aging (81.8%). The behavioral risk factors were responsible for majority of attributable female BC burden (DALYs: 106,026 [66,614 to 144,247]). High fasting plasma glucose was found to be the risk factor with the largest effect (DALYs: 84,912 [17,377 to 192,838]) on female BC burden.ConclusionThe increasing incidence and burden of BC in the NAME region is remarkable, especially when considering limited resources in the developing countries of this region. Proper policies like expanding screening programs and careful resource management are needed to effectively manage BC burden.https://www.frontiersin.org/articles/10.3389/fonc.2023.1132816/fullbreast cancerepidemiologyrisk factorGlobal Burden of DiseaseMiddle EastNorth Africa
spellingShingle Sina Azadnajafabad
Sahar Saeedi Moghaddam
Sahar Saeedi Moghaddam
Esmaeil Mohammadi
Esmaeil Mohammadi
Negar Rezaei
Negar Rezaei
Mohammad-Mahdi Rashidi
Nazila Rezaei
Ali H. Mokdad
Ali H. Mokdad
Mohsen Naghavi
Mohsen Naghavi
Christopher J. L. Murray
Christopher J. L. Murray
Bagher Larijani
Farshad Farzadfar
Farshad Farzadfar
GBD 2019 NAME Breast Cancer Collaborators
Sina Azadnajafabad
Sahar Saeed Moghaddam
Esmaeil Mohammadi
Negar Rezaei
Mohammad-Mahdi Rashidi
Nazila Rezaei
Mohsen Abbasi-Kangevari
Zeinab Abbasi-Kangevari,
Hedayat Abbastabar
Hassan Abidi
Hassan Abolhassani
Hiwa Abubaker Ali
Eman Abu-Gharbieh
Juan Manuel Acuna
Sima Afrashteh
Muhammad Sohail Afzal
Sajjad Ahmad
Ali Ahmadi
Sepideh Ahmadi
Haroon Ahmed
Luai A. Ahmed
Tarik Ahmed Rashid
Marjan Ajami
Mostafa Akbarzadeh-Khiavi
Hanadi Al Hamad
Mohammed Khaled Al-Hanawi
Beriwan Abdulqadir Ali
Yousef Alimohamadi
Sadaf Alipour
Syed Mohamed Aljunid
Sami Almustanyir
Rajaa M Al-Raddadi
Saba Alvand
Jalal Arabloo
Morteza Arab-Zozani
Armin Aryannejad
Tahira Ashra
Seyyed Shamsadin Athari
Amirhossein Azari Jafari
Nader Bagheri
Sara Bagherieh
Saeed Bahadory
Mohammad Behnammoghadam
Akshaya Srikanth Bhagavathula
Somayeh Bohlouli
Wolfram Manuel Wolfram Brück
Aso Mohammad Darwesh
Mostafa Dianatinasab
Fariba Dorostkar
Ebrahim Eini
Iffat Elbarazi
Muhammed Elhadi
Iman El Sayed
Maysaa El Sayed Zaki
Sharareh Eskandarieh
Ibtihal Fadhil
Fatemeh Farahmand
Pawan Sirwan Faris
Nasrin Galehdar
Mansour Ghafourifard
Seyyed-Hadi Ghamari
Azin Ghamari
Ahmad Ghashghaee
Maryam Gholamalizadeh
Kimiya Gohari
Goleij Goleij
Golitaleb Golitaleb
Mohammed Ibrahim Mohialdeen Gubari
Nima Hafezi-Nejad
Rabih Halwani
Randah R Hamadeh
Samer Hamidi
Asif Hanif
Shafiul Haque
Soheil Hassanipour
Khezar Hayat
Mohammad Heidar
Zahra Heidarymeybodi
Mohammad-Salar Hosseini
Mehdi Hosseinzadeh
Mohamed Hsairi
Elham Jamshidi
Amirreza Javadi Mamaghani
Tahereh Javaheri
Ali Kabir
Leila R Kalankesh
Leila Keikavoosi-Arani
Yousef Saleh Khader
Ejaz Ahmad Khan
Gulfaraz Khan
Maryam Khayamzadeh
Behzad Kiani
Hamid Reza Koohestani
Sang-woong Lee
Mozhgan Letafat-nezhad
Somayeh Livani
Farzan Madadizadeh
Ahmad R Mafi
Soleiman Mahjoub
Ata Mahmoodpoor
Marzieh Mahmoudimanesh
Mohammad-Reza Malekpour
Ahmad Azam Malik
Fariborz Mansour-Ghanaei
Mohammad Ali Mansournia
Seyedeh Zahra Masoumi
Entezar Mehrabi Nasab
Seyyedmohammadsadeq Mirmoeeni
Yousef Mohammad
Karzan Abdulmuhsin Mohammad
Mokhtar Mohammadi
Ari f Mohammed
Sara Momtazmanesh
Abdolvahab Sara
Paula Moraga
Abbas Mosapour
Atta Abbas Naqvi
Zuhair S Natto
Seyed Aria Nejadghaderi
Marzieh Nojomi
Maryam Noori
Hassan Okati-Aliabad
Reza Pakzad
Hamidreza Pazoki Toroudi
Zahra Zahid Piracha
Naeimeh Pourtaheri
Fakher Rahim
Shahram Rahimi-Dehgolan
Amir Masoud Rahmani
Vahid Rahmanian
Mahsa Rashidi
Amirfarzan Rashidi
Reza Rawassizadeh
Mohammad Sadegh Razeghinia
Nima Rezaei
Siamak Sabour
Basema Saddik
Umar Saeed
Maryam Sahebazzamani
Amirhossein Sahebkar
Abdallah M Samy
Muhammad Arif Nadeem Saqib
Brijesh Sathian
Sayed Mohammad Shafiee
Saeed Shahabi
Fariba Shahraki-Sanavi
Masood Ali Shaikh
Ali Sheidaei
Rahim Ali Sheikhi
Reza Shirkoohi
Parnian Shobeiri
Mohammad Sadegh Soltani-Zangbar
Elnaz Tabibian
Majid Taheri
Moslem Taheri Soodejani
Mohamad-Hani Temsah
Amir Tiyuri
Irfan Ullah
Sana Ullah
Sahel Valadan Tahbaz
Rohollah Valizadeh
Bay Vo
Yasir Waheed
Seyed Hossein Yahyazadeh Jabbari
Fereshteh Yazdanpanah
Deniz Yuce
Nazar Zaki
Iman Zare
Mohammad Zoladl
Ali H Mokdad
Mohsen Naghavi
Christopher J L Murray
Bagher Larijani
Farshad Farzadfar
Burden of breast cancer and attributable risk factors in the North Africa and Middle East region, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
Frontiers in Oncology
breast cancer
epidemiology
risk factor
Global Burden of Disease
Middle East
North Africa
title Burden of breast cancer and attributable risk factors in the North Africa and Middle East region, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
title_full Burden of breast cancer and attributable risk factors in the North Africa and Middle East region, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
title_fullStr Burden of breast cancer and attributable risk factors in the North Africa and Middle East region, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
title_full_unstemmed Burden of breast cancer and attributable risk factors in the North Africa and Middle East region, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
title_short Burden of breast cancer and attributable risk factors in the North Africa and Middle East region, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
title_sort burden of breast cancer and attributable risk factors in the north africa and middle east region 1990 2019 a systematic analysis for the global burden of disease study 2019
topic breast cancer
epidemiology
risk factor
Global Burden of Disease
Middle East
North Africa
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1132816/full
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AT yousefmohammad burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT karzanabdulmuhsinmohammad burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT mokhtarmohammadi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT arifmohammed burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT saramomtazmanesh burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT abdolvahabsara burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT paulamoraga burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT abbasmosapour burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT attaabbasnaqvi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT zuhairsnatto burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT seyedarianejadghaderi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT marziehnojomi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT maryamnoori burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT hassanokatialiabad burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT rezapakzad burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT hamidrezapazokitoroudi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT zahrazahidpiracha burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT naeimehpourtaheri burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT fakherrahim burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT shahramrahimidehgolan burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT amirmasoudrahmani burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT vahidrahmanian burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT mahsarashidi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT amirfarzanrashidi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT rezarawassizadeh burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT mohammadsadeghrazeghinia burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT nimarezaei burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT siamaksabour burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT basemasaddik burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT umarsaeed burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT maryamsahebazzamani burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT amirhosseinsahebkar burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT abdallahmsamy burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT muhammadarifnadeemsaqib burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT brijeshsathian burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT sayedmohammadshafiee burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT saeedshahabi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT faribashahrakisanavi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT masoodalishaikh burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT alisheidaei burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT rahimalisheikhi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT rezashirkoohi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT parnianshobeiri burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT mohammadsadeghsoltanizangbar burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT elnaztabibian burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT majidtaheri burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT moslemtaherisoodejani burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT mohamadhanitemsah burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT amirtiyuri burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT irfanullah burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT sanaullah burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT sahelvaladantahbaz burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT rohollahvalizadeh burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT bayvo burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT yasirwaheed burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT seyedhosseinyahyazadehjabbari burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT fereshtehyazdanpanah burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT denizyuce burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT nazarzaki burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT imanzare burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT mohammadzoladl burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT alihmokdad burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT mohsennaghavi burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT christopherjlmurray burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT bagherlarijani burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019
AT farshadfarzadfar burdenofbreastcancerandattributableriskfactorsinthenorthafricaandmiddleeastregion19902019asystematicanalysisfortheglobalburdenofdiseasestudy2019