Diversities of disability caused by lung cancer in the 66 Belt and Road initiative countries: a secondary analysis from the Global Burden of Disease Study 2019

ObjectivesDue to the increase in life expectancy and the aging of the global population, the “Belt and Road” (“B&R”) countries are faced with varying degrees of lung cancer threat. The purpose of this study is to analyze the differences in the burden and trend of lung cancer disability in th...

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Main Authors: Zhenfeng Zhu, Wenjing Ye, Li Zhang, Wenchang Jia, Binghong Chen, Qizhe Wang, Xuelin Cheng, Shijia Yang, Zhaoyu Zhang, Yibo Ding, Xiaopan Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-11-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1247006/full
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author Zhenfeng Zhu
Wenjing Ye
Li Zhang
Wenchang Jia
Wenchang Jia
Binghong Chen
Binghong Chen
Qizhe Wang
Xuelin Cheng
Shijia Yang
Zhaoyu Zhang
Yibo Ding
Xiaopan Li
author_facet Zhenfeng Zhu
Wenjing Ye
Li Zhang
Wenchang Jia
Wenchang Jia
Binghong Chen
Binghong Chen
Qizhe Wang
Xuelin Cheng
Shijia Yang
Zhaoyu Zhang
Yibo Ding
Xiaopan Li
author_sort Zhenfeng Zhu
collection DOAJ
description ObjectivesDue to the increase in life expectancy and the aging of the global population, the “Belt and Road” (“B&R”) countries are faced with varying degrees of lung cancer threat. The purpose of this study is to analyze the differences in the burden and trend of lung cancer disability in the “B&R” countries from 1990 to 2019 so as to provide an analytical strategic basis to build a healthy “B&R”.MethodsData were derived from the Global Burden of Disease 2019 (GBD 2019). Incidence, mortality, prevalence, the years lived with disability (YLDs), and disability-adjusted life years (DALYs) of lung cancer and those attributable to different risk factors were measured from 1990 to 2019. Trends of disease burden were estimated by using the average annual percent change (AAPC), and the 95% uncertainty interval (UI) was reported.ResultsChina, India, and the Russian Federation were the three countries with the highest burden of lung cancer in 2019. From 1990 to 2019, the AAPC of incidence, prevalence, mortality, and DALYs generally showed a downward trend in Central Asia (except Georgia) and Eastern Europe, while in China, South Asia (except Bangladesh), most countries in North Africa, and the Middle East, the trend was mainly upward. The AAPC of age-standardized incidence was 1.33% (1.15%–1.50%); the AAPC of prevalence, mortality, and DALYs from lung cancer in China increased by 24% (2.10%–2.38%), 0.94% (0.74%–1.14%), and 0.42% (0.25%–0.59%), respectively. A downward trend of the AAPC values of age-standardized YLD rate in men was shown in the vast majority of “B&R” countries, but for women, most countries had an upward trend. For adults aged 75 years or older, the age-standardized YLD rate showed an increasing trend in most of the “B&R” countries. Except for the DALY rate of lung cancer attributable to metabolic risks, a downward trend of the DALY rate attributable to all risk factors, behavioral risks, and environmental/occupational risks was shown in the vast majority of “B&R” countries.ConclusionThe burden of lung cancer in “B&R” countries varied significantly between regions, genders, and risk factors. Strengthening health cooperation among the “B&R” countries will help to jointly build a community with a shared future for mankind.
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spelling doaj.art-d2efeda67cf54ee989e097e6e0b5021d2023-11-13T12:27:21ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-11-011310.3389/fonc.2023.12470061247006Diversities of disability caused by lung cancer in the 66 Belt and Road initiative countries: a secondary analysis from the Global Burden of Disease Study 2019Zhenfeng Zhu0Wenjing Ye1Li Zhang2Wenchang Jia3Wenchang Jia4Binghong Chen5Binghong Chen6Qizhe Wang7Xuelin Cheng8Shijia Yang9Zhaoyu Zhang10Yibo Ding11Xiaopan Li12Department of Integrative Medicine, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Respiratory Medicine, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Cancer Prevention, Centers for Disease Control and Prevention, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, ChinaDepartment of Health Management Center, Zhongshan Hospital, Fudan University, Shanghai, ChinaSchool of Public Health, Fudan University, Shanghai, ChinaDepartment of Health Management Center, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Health Management Center, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Health Management Center, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Health Management Center, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Health Management Center, Zhongshan Hospital, Fudan University, Shanghai, ChinaDepartment of Epidemiology, Naval Medical University, Shanghai, ChinaDepartment of Health Management Center, Zhongshan Hospital, Fudan University, Shanghai, ChinaObjectivesDue to the increase in life expectancy and the aging of the global population, the “Belt and Road” (“B&R”) countries are faced with varying degrees of lung cancer threat. The purpose of this study is to analyze the differences in the burden and trend of lung cancer disability in the “B&R” countries from 1990 to 2019 so as to provide an analytical strategic basis to build a healthy “B&R”.MethodsData were derived from the Global Burden of Disease 2019 (GBD 2019). Incidence, mortality, prevalence, the years lived with disability (YLDs), and disability-adjusted life years (DALYs) of lung cancer and those attributable to different risk factors were measured from 1990 to 2019. Trends of disease burden were estimated by using the average annual percent change (AAPC), and the 95% uncertainty interval (UI) was reported.ResultsChina, India, and the Russian Federation were the three countries with the highest burden of lung cancer in 2019. From 1990 to 2019, the AAPC of incidence, prevalence, mortality, and DALYs generally showed a downward trend in Central Asia (except Georgia) and Eastern Europe, while in China, South Asia (except Bangladesh), most countries in North Africa, and the Middle East, the trend was mainly upward. The AAPC of age-standardized incidence was 1.33% (1.15%–1.50%); the AAPC of prevalence, mortality, and DALYs from lung cancer in China increased by 24% (2.10%–2.38%), 0.94% (0.74%–1.14%), and 0.42% (0.25%–0.59%), respectively. A downward trend of the AAPC values of age-standardized YLD rate in men was shown in the vast majority of “B&R” countries, but for women, most countries had an upward trend. For adults aged 75 years or older, the age-standardized YLD rate showed an increasing trend in most of the “B&R” countries. Except for the DALY rate of lung cancer attributable to metabolic risks, a downward trend of the DALY rate attributable to all risk factors, behavioral risks, and environmental/occupational risks was shown in the vast majority of “B&R” countries.ConclusionThe burden of lung cancer in “B&R” countries varied significantly between regions, genders, and risk factors. Strengthening health cooperation among the “B&R” countries will help to jointly build a community with a shared future for mankind.https://www.frontiersin.org/articles/10.3389/fonc.2023.1247006/full“B&R” countrieslung cancerburden of diseaserisk factorsaverage annual percent changeyears lived with disability (YLDs)
spellingShingle Zhenfeng Zhu
Wenjing Ye
Li Zhang
Wenchang Jia
Wenchang Jia
Binghong Chen
Binghong Chen
Qizhe Wang
Xuelin Cheng
Shijia Yang
Zhaoyu Zhang
Yibo Ding
Xiaopan Li
Diversities of disability caused by lung cancer in the 66 Belt and Road initiative countries: a secondary analysis from the Global Burden of Disease Study 2019
Frontiers in Oncology
“B&R” countries
lung cancer
burden of disease
risk factors
average annual percent change
years lived with disability (YLDs)
title Diversities of disability caused by lung cancer in the 66 Belt and Road initiative countries: a secondary analysis from the Global Burden of Disease Study 2019
title_full Diversities of disability caused by lung cancer in the 66 Belt and Road initiative countries: a secondary analysis from the Global Burden of Disease Study 2019
title_fullStr Diversities of disability caused by lung cancer in the 66 Belt and Road initiative countries: a secondary analysis from the Global Burden of Disease Study 2019
title_full_unstemmed Diversities of disability caused by lung cancer in the 66 Belt and Road initiative countries: a secondary analysis from the Global Burden of Disease Study 2019
title_short Diversities of disability caused by lung cancer in the 66 Belt and Road initiative countries: a secondary analysis from the Global Burden of Disease Study 2019
title_sort diversities of disability caused by lung cancer in the 66 belt and road initiative countries a secondary analysis from the global burden of disease study 2019
topic “B&R” countries
lung cancer
burden of disease
risk factors
average annual percent change
years lived with disability (YLDs)
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1247006/full
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