Expansion of the quality of care index on breast cancer and its risk factors using the global burden of disease study 2019
Abstract Background Breast cancer (BC), as the top neoplasm in prevalence and mortality in females, imposes a heavy burden on health systems. Evaluation of quality of care and management of patients with BC and its responsible risk factors was the aim of this study. Methods We retrieved epidemiologi...
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Wiley
2023-01-01
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Series: | Cancer Medicine |
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Online Access: | https://doi.org/10.1002/cam4.4951 |
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author | Sina Azadnajafabad Sahar Saeedi Moghaddam Mohammad Keykhaei Parnian Shobeiri Negar Rezaei Erfan Ghasemi Esmaeil Mohammadi Naser Ahmadi Azin Ghamari Sarvenaz Shahin Nazila Rezaei Mahdi Aghili Ahmad Kaviani Bagher Larijani Farshad Farzadfar |
author_facet | Sina Azadnajafabad Sahar Saeedi Moghaddam Mohammad Keykhaei Parnian Shobeiri Negar Rezaei Erfan Ghasemi Esmaeil Mohammadi Naser Ahmadi Azin Ghamari Sarvenaz Shahin Nazila Rezaei Mahdi Aghili Ahmad Kaviani Bagher Larijani Farshad Farzadfar |
author_sort | Sina Azadnajafabad |
collection | DOAJ |
description | Abstract Background Breast cancer (BC), as the top neoplasm in prevalence and mortality in females, imposes a heavy burden on health systems. Evaluation of quality of care and management of patients with BC and its responsible risk factors was the aim of this study. Methods We retrieved epidemiologic data of BC from the Global Burden of Disease (GBD) 1990–2019 database. Epidemiology and burden of BC and its risk factors were explored besides the Quality of Care Index (QCI) introduced before, to assess the provided care for patients with BC in various scales. Provided care for BC risk factors was investigated by their impact on years of life lost and years lived with disability by a novel risk factor quality index (rQCI). We used the socio‐demographic index (SDI) to compare results in different socio‐economic levels. Results In 2019, 1,977,212 (95% UI: 1,807,615–2,145,215) new cases of BC in females and 25,143 (22,231–27,786) in males was diagnosed and this major cancer caused 688,562 (635,323–739,571) deaths in females and 12,098 (10,693–13,322) deaths in males, globally. The all‐age number of deaths and disability‐adjusted life years attributed to BC risk factors in females had an increasing pattern, with a more prominent pattern in metabolic risks. The global estimated age‐standardized QCI for BC in females in 2019 was 78.7. The estimated QCI was highest in high SDI regions (95.7). The top countries with the highest calculated QCI in 2019 were Iceland (100), Japan (99.8), and Finland (98.8), and the bottom countries were Mozambique (16.0), Somalia (8.2), and Central African Republic (5.3). The global estimated age‐standardized rQCI for females was 82.2 in 2019. Conclusion In spite of the partially restrained burden of BC in recent years, the attributable burden to risk factors has increased remarkably. Countries with higher SDI provided better care regarding both the condition and its responsible risk factors. |
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id | doaj.art-8692dab93701461288b0814311d8107c |
institution | Directory Open Access Journal |
issn | 2045-7634 |
language | English |
last_indexed | 2024-04-10T19:51:50Z |
publishDate | 2023-01-01 |
publisher | Wiley |
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series | Cancer Medicine |
spelling | doaj.art-8692dab93701461288b0814311d8107c2023-01-28T05:30:05ZengWileyCancer Medicine2045-76342023-01-011221729174310.1002/cam4.4951Expansion of the quality of care index on breast cancer and its risk factors using the global burden of disease study 2019Sina Azadnajafabad0Sahar Saeedi Moghaddam1Mohammad Keykhaei2Parnian Shobeiri3Negar Rezaei4Erfan Ghasemi5Esmaeil Mohammadi6Naser Ahmadi7Azin Ghamari8Sarvenaz Shahin9Nazila Rezaei10Mahdi Aghili11Ahmad Kaviani12Bagher Larijani13Farshad Farzadfar14Non‐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 IranFeinberg Cardiovascular and Renal Research Institute Northwestern University School of Medicine Chicago USANon‐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 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 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 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 IranRadiation Oncology Research Center Tehran University of Medical Sciences Tehran IranBreast Disease Research Center 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 IranAbstract Background Breast cancer (BC), as the top neoplasm in prevalence and mortality in females, imposes a heavy burden on health systems. Evaluation of quality of care and management of patients with BC and its responsible risk factors was the aim of this study. Methods We retrieved epidemiologic data of BC from the Global Burden of Disease (GBD) 1990–2019 database. Epidemiology and burden of BC and its risk factors were explored besides the Quality of Care Index (QCI) introduced before, to assess the provided care for patients with BC in various scales. Provided care for BC risk factors was investigated by their impact on years of life lost and years lived with disability by a novel risk factor quality index (rQCI). We used the socio‐demographic index (SDI) to compare results in different socio‐economic levels. Results In 2019, 1,977,212 (95% UI: 1,807,615–2,145,215) new cases of BC in females and 25,143 (22,231–27,786) in males was diagnosed and this major cancer caused 688,562 (635,323–739,571) deaths in females and 12,098 (10,693–13,322) deaths in males, globally. The all‐age number of deaths and disability‐adjusted life years attributed to BC risk factors in females had an increasing pattern, with a more prominent pattern in metabolic risks. The global estimated age‐standardized QCI for BC in females in 2019 was 78.7. The estimated QCI was highest in high SDI regions (95.7). The top countries with the highest calculated QCI in 2019 were Iceland (100), Japan (99.8), and Finland (98.8), and the bottom countries were Mozambique (16.0), Somalia (8.2), and Central African Republic (5.3). The global estimated age‐standardized rQCI for females was 82.2 in 2019. Conclusion In spite of the partially restrained burden of BC in recent years, the attributable burden to risk factors has increased remarkably. Countries with higher SDI provided better care regarding both the condition and its responsible risk factors.https://doi.org/10.1002/cam4.4951breast cancerglobal burden of diseasehealth care qualityquality of care indexrisk factors |
spellingShingle | Sina Azadnajafabad Sahar Saeedi Moghaddam Mohammad Keykhaei Parnian Shobeiri Negar Rezaei Erfan Ghasemi Esmaeil Mohammadi Naser Ahmadi Azin Ghamari Sarvenaz Shahin Nazila Rezaei Mahdi Aghili Ahmad Kaviani Bagher Larijani Farshad Farzadfar Expansion of the quality of care index on breast cancer and its risk factors using the global burden of disease study 2019 Cancer Medicine breast cancer global burden of disease health care quality quality of care index risk factors |
title | Expansion of the quality of care index on breast cancer and its risk factors using the global burden of disease study 2019 |
title_full | Expansion of the quality of care index on breast cancer and its risk factors using the global burden of disease study 2019 |
title_fullStr | Expansion of the quality of care index on breast cancer and its risk factors using the global burden of disease study 2019 |
title_full_unstemmed | Expansion of the quality of care index on breast cancer and its risk factors using the global burden of disease study 2019 |
title_short | Expansion of the quality of care index on breast cancer and its risk factors using the global burden of disease study 2019 |
title_sort | expansion of the quality of care index on breast cancer and its risk factors using the global burden of disease study 2019 |
topic | breast cancer global burden of disease health care quality quality of care index risk factors |
url | https://doi.org/10.1002/cam4.4951 |
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