A global, regional, and national survey on burden and Quality of Care Index (QCI) of bladder cancer: The global burden of disease study 1990-2019.
<h4>Introduction</h4>Bladder cancer (BCa) is the second most common genitourinary cancer and among the leading causes of cancer-related deaths. We aimed to assess BCa quality of care (QOC) utilizing a novel multi-variable quality of care index (QCI).<h4>Materials and methods</h4...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2022-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0275574 |
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| author | Amirali Karimi Parnian Shobeiri Sina Azadnajafabad Masoud Masinaei Negar Rezaei Ali Ghanbari Nazila Rezaei Mahtab Rouhifard Sarvenaz Shahin Mohammad-Mahdi Rashidi Mohammad Keykhaei Ameneh Kazemi Erfan Amini Bagher Larijani Farshad Farzadfar |
| author_facet | Amirali Karimi Parnian Shobeiri Sina Azadnajafabad Masoud Masinaei Negar Rezaei Ali Ghanbari Nazila Rezaei Mahtab Rouhifard Sarvenaz Shahin Mohammad-Mahdi Rashidi Mohammad Keykhaei Ameneh Kazemi Erfan Amini Bagher Larijani Farshad Farzadfar |
| author_sort | Amirali Karimi |
| collection | DOAJ |
| description | <h4>Introduction</h4>Bladder cancer (BCa) is the second most common genitourinary cancer and among the leading causes of cancer-related deaths. We aimed to assess BCa quality of care (QOC) utilizing a novel multi-variable quality of care index (QCI).<h4>Materials and methods</h4>Data were retrieved from the Global Burden of Disease 1990-2019 database. QCI scores were calculated using four indices of prevalence-to-incidence ratio, Disability-Adjusted Life Years-to-prevalence ratio, mortality-to-incidence ratio, and Years of Life Lost-to-Years Lived with Disability ratio. We used principal component analysis to allocate 0-100 QCI scores based on region, age groups, year, and gender.<h4>Results</h4>Global burden of BCa is on the rise with 524,305 (95% UI 475,952-569,434) new BCa cases and 228,735 (95% UI 210743-243193) deaths in 2019, but age-standardized incidence and mortality rates did not increase. Global age-standardized QCI improved from 75.7% in 1990 to 80.9% in 2019. The European and African regions had the highest and lowest age-standardized QCI of 89.7% and 37.6%, respectively. Higher Socio-demographic index (SDI) quintiles had better QCI scores, ranging from 90.1% in high SDI to 30.2% in low SDI countries in 2019; however, 5-year QCI improvements from 2014 to 2019 were 0.0 for high and 4.7 for low SDI countries.<h4>Conclusion</h4>The global QCI increased in the last 30 years, but the gender disparities remained relatively unchanged despite substantial improvements in several regions. Higher SDI quintiles had superior QOC and less gender- and age-based inequalities compared to lower SDI countries. We encourage countries to implement the learned lessons and improve their QOC shortcomings. |
| first_indexed | 2024-04-13T15:45:45Z |
| format | Article |
| id | doaj.art-bc90d821008a44169a4134676619ab62 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-04-13T15:45:45Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-bc90d821008a44169a4134676619ab622022-12-22T02:40:59ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-011710e027557410.1371/journal.pone.0275574A global, regional, and national survey on burden and Quality of Care Index (QCI) of bladder cancer: The global burden of disease study 1990-2019.Amirali KarimiParnian ShobeiriSina AzadnajafabadMasoud MasinaeiNegar RezaeiAli GhanbariNazila RezaeiMahtab RouhifardSarvenaz ShahinMohammad-Mahdi RashidiMohammad KeykhaeiAmeneh KazemiErfan AminiBagher LarijaniFarshad Farzadfar<h4>Introduction</h4>Bladder cancer (BCa) is the second most common genitourinary cancer and among the leading causes of cancer-related deaths. We aimed to assess BCa quality of care (QOC) utilizing a novel multi-variable quality of care index (QCI).<h4>Materials and methods</h4>Data were retrieved from the Global Burden of Disease 1990-2019 database. QCI scores were calculated using four indices of prevalence-to-incidence ratio, Disability-Adjusted Life Years-to-prevalence ratio, mortality-to-incidence ratio, and Years of Life Lost-to-Years Lived with Disability ratio. We used principal component analysis to allocate 0-100 QCI scores based on region, age groups, year, and gender.<h4>Results</h4>Global burden of BCa is on the rise with 524,305 (95% UI 475,952-569,434) new BCa cases and 228,735 (95% UI 210743-243193) deaths in 2019, but age-standardized incidence and mortality rates did not increase. Global age-standardized QCI improved from 75.7% in 1990 to 80.9% in 2019. The European and African regions had the highest and lowest age-standardized QCI of 89.7% and 37.6%, respectively. Higher Socio-demographic index (SDI) quintiles had better QCI scores, ranging from 90.1% in high SDI to 30.2% in low SDI countries in 2019; however, 5-year QCI improvements from 2014 to 2019 were 0.0 for high and 4.7 for low SDI countries.<h4>Conclusion</h4>The global QCI increased in the last 30 years, but the gender disparities remained relatively unchanged despite substantial improvements in several regions. Higher SDI quintiles had superior QOC and less gender- and age-based inequalities compared to lower SDI countries. We encourage countries to implement the learned lessons and improve their QOC shortcomings.https://doi.org/10.1371/journal.pone.0275574 |
| spellingShingle | Amirali Karimi Parnian Shobeiri Sina Azadnajafabad Masoud Masinaei Negar Rezaei Ali Ghanbari Nazila Rezaei Mahtab Rouhifard Sarvenaz Shahin Mohammad-Mahdi Rashidi Mohammad Keykhaei Ameneh Kazemi Erfan Amini Bagher Larijani Farshad Farzadfar A global, regional, and national survey on burden and Quality of Care Index (QCI) of bladder cancer: The global burden of disease study 1990-2019. PLoS ONE |
| title | A global, regional, and national survey on burden and Quality of Care Index (QCI) of bladder cancer: The global burden of disease study 1990-2019. |
| title_full | A global, regional, and national survey on burden and Quality of Care Index (QCI) of bladder cancer: The global burden of disease study 1990-2019. |
| title_fullStr | A global, regional, and national survey on burden and Quality of Care Index (QCI) of bladder cancer: The global burden of disease study 1990-2019. |
| title_full_unstemmed | A global, regional, and national survey on burden and Quality of Care Index (QCI) of bladder cancer: The global burden of disease study 1990-2019. |
| title_short | A global, regional, and national survey on burden and Quality of Care Index (QCI) of bladder cancer: The global burden of disease study 1990-2019. |
| title_sort | global regional and national survey on burden and quality of care index qci of bladder cancer the global burden of disease study 1990 2019 |
| url | https://doi.org/10.1371/journal.pone.0275574 |
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