Global, regional, and national quality of care index of cervical and ovarian cancer: a systematic analysis for the global burden of disease study 1990–2019
Abstract Background and objective Cervical cancer is the most preventable and ovarian cancer is the most lethal gynecological cancer. However, in the world, there are disparities in health care performances resulting in differences in the burden of these cancers. The objective of this study was to c...
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| Format: | Article |
| Language: | English |
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BMC
2024-01-01
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| Series: | BMC Women's Health |
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| Online Access: | https://doi.org/10.1186/s12905-024-02884-9 |
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| author | Mohammadreza Azangou-Khyavy Erfan Ghasemi Negar Rezaei Javad Khanali Ali-Asghar Kolahi Mohammad-Reza Malekpour Mahsa Heidari‐Foroozan Maryam Nasserinejad Esmaeil Mohammadi Mohsen Abbasi-Kangevari Seyyed-Hadi Ghamari Narges Ebrahimi Sogol Koolaji Mina Khosravifar Sahar Mohammadi Fateh Bagher Larijani Farshad Farzadfar |
| author_facet | Mohammadreza Azangou-Khyavy Erfan Ghasemi Negar Rezaei Javad Khanali Ali-Asghar Kolahi Mohammad-Reza Malekpour Mahsa Heidari‐Foroozan Maryam Nasserinejad Esmaeil Mohammadi Mohsen Abbasi-Kangevari Seyyed-Hadi Ghamari Narges Ebrahimi Sogol Koolaji Mina Khosravifar Sahar Mohammadi Fateh Bagher Larijani Farshad Farzadfar |
| author_sort | Mohammadreza Azangou-Khyavy |
| collection | DOAJ |
| description | Abstract Background and objective Cervical cancer is the most preventable and ovarian cancer is the most lethal gynecological cancer. However, in the world, there are disparities in health care performances resulting in differences in the burden of these cancers. The objective of this study was to compare the health-system quality of care and inequities for these cancers using the Quality of Care Index (QCI). Material and methods The 1990–2019 data of the Global Burden of Disease (GBD) was analyzed to extract rates of incidence, prevalence, mortality, Disability-Adjusted Life Years (DALYs), Years of Life Lost (YLL), and Years of healthy life lost due to disability (YLD) of cervical and ovarian cancer. Four indices were developed as a proxy for the quality of care using the above-mentioned rates. Thereafter, a Principal Components Analysis (PCA) was applied to construct the Quality of Care Index (QCI) as a summary measure of the developed indices. Results The incidence of cervical cancer decreased from 1990 to 2019, whereas the incidence of ovarian cancer increased between these years. However, the mortality rate of both cancers decreased in this interval. The global age-standardized QCI for cervical cancer and ovarian cancer were 43.1 and 48.5 in 1990 and increased to 58.5 and 58.4 in 2019, respectively. QCI for cervical cancer and ovarian cancer generally decreased with aging, and different age groups had inequitable QCIs. Higher-income countries generally had higher QCIs for both cancers, but exceptions were also observed. Conclusions Uncovering disparities in cervical and ovarian cancer care across locations, Socio-Demographic Index levels, and age groups necessitate urgent improvements in healthcare systems for equitable care. These findings underscore the need for targeted interventions and prompt future research to explore root causes and effective strategies for narrowing these gaps. |
| first_indexed | 2024-03-07T15:27:12Z |
| format | Article |
| id | doaj.art-d869631a0c88414ea5ee0491c36422d5 |
| institution | Directory Open Access Journal |
| issn | 1472-6874 |
| language | English |
| last_indexed | 2024-03-07T15:27:12Z |
| publishDate | 2024-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Women's Health |
| spelling | doaj.art-d869631a0c88414ea5ee0491c36422d52024-03-05T16:41:12ZengBMCBMC Women's Health1472-68742024-01-0124111210.1186/s12905-024-02884-9Global, regional, and national quality of care index of cervical and ovarian cancer: a systematic analysis for the global burden of disease study 1990–2019Mohammadreza Azangou-Khyavy0Erfan Ghasemi1Negar Rezaei2Javad Khanali3Ali-Asghar Kolahi4Mohammad-Reza Malekpour5Mahsa Heidari‐Foroozan6Maryam Nasserinejad7Esmaeil Mohammadi8Mohsen Abbasi-Kangevari9Seyyed-Hadi Ghamari10Narges Ebrahimi11Sogol Koolaji12Mina Khosravifar13Sahar Mohammadi Fateh14Bagher Larijani15Farshad Farzadfar16Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesSocial Determinants of Health Research Center, Shahid Beheshti University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical SciencesNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical SciencesAbstract Background and objective Cervical cancer is the most preventable and ovarian cancer is the most lethal gynecological cancer. However, in the world, there are disparities in health care performances resulting in differences in the burden of these cancers. The objective of this study was to compare the health-system quality of care and inequities for these cancers using the Quality of Care Index (QCI). Material and methods The 1990–2019 data of the Global Burden of Disease (GBD) was analyzed to extract rates of incidence, prevalence, mortality, Disability-Adjusted Life Years (DALYs), Years of Life Lost (YLL), and Years of healthy life lost due to disability (YLD) of cervical and ovarian cancer. Four indices were developed as a proxy for the quality of care using the above-mentioned rates. Thereafter, a Principal Components Analysis (PCA) was applied to construct the Quality of Care Index (QCI) as a summary measure of the developed indices. Results The incidence of cervical cancer decreased from 1990 to 2019, whereas the incidence of ovarian cancer increased between these years. However, the mortality rate of both cancers decreased in this interval. The global age-standardized QCI for cervical cancer and ovarian cancer were 43.1 and 48.5 in 1990 and increased to 58.5 and 58.4 in 2019, respectively. QCI for cervical cancer and ovarian cancer generally decreased with aging, and different age groups had inequitable QCIs. Higher-income countries generally had higher QCIs for both cancers, but exceptions were also observed. Conclusions Uncovering disparities in cervical and ovarian cancer care across locations, Socio-Demographic Index levels, and age groups necessitate urgent improvements in healthcare systems for equitable care. These findings underscore the need for targeted interventions and prompt future research to explore root causes and effective strategies for narrowing these gaps.https://doi.org/10.1186/s12905-024-02884-9Cervical cancerOvarian cancerHealthcare quality improvementPrimary component analysisGlobal burden of diseaseSocio-demographic index |
| spellingShingle | Mohammadreza Azangou-Khyavy Erfan Ghasemi Negar Rezaei Javad Khanali Ali-Asghar Kolahi Mohammad-Reza Malekpour Mahsa Heidari‐Foroozan Maryam Nasserinejad Esmaeil Mohammadi Mohsen Abbasi-Kangevari Seyyed-Hadi Ghamari Narges Ebrahimi Sogol Koolaji Mina Khosravifar Sahar Mohammadi Fateh Bagher Larijani Farshad Farzadfar Global, regional, and national quality of care index of cervical and ovarian cancer: a systematic analysis for the global burden of disease study 1990–2019 BMC Women's Health Cervical cancer Ovarian cancer Healthcare quality improvement Primary component analysis Global burden of disease Socio-demographic index |
| title | Global, regional, and national quality of care index of cervical and ovarian cancer: a systematic analysis for the global burden of disease study 1990–2019 |
| title_full | Global, regional, and national quality of care index of cervical and ovarian cancer: a systematic analysis for the global burden of disease study 1990–2019 |
| title_fullStr | Global, regional, and national quality of care index of cervical and ovarian cancer: a systematic analysis for the global burden of disease study 1990–2019 |
| title_full_unstemmed | Global, regional, and national quality of care index of cervical and ovarian cancer: a systematic analysis for the global burden of disease study 1990–2019 |
| title_short | Global, regional, and national quality of care index of cervical and ovarian cancer: a systematic analysis for the global burden of disease study 1990–2019 |
| title_sort | global regional and national quality of care index of cervical and ovarian cancer a systematic analysis for the global burden of disease study 1990 2019 |
| topic | Cervical cancer Ovarian cancer Healthcare quality improvement Primary component analysis Global burden of disease Socio-demographic index |
| url | https://doi.org/10.1186/s12905-024-02884-9 |
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