Abstract
| Lingua originale | English |
|---|---|
| pagine (da-a) | 627-647 |
| Numero di pagine | 21 |
| Rivista | THE LANCET. GASTROENTEROLOGY & HEPATOLOGY |
| Volume | 7 |
| DOI | |
| Stato di pubblicazione | Pubblicato - 2022 |
Keywords
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In: THE LANCET. GASTROENTEROLOGY & HEPATOLOGY, Vol. 7, 2022, pag. 627-647.
Risultato della ricerca: Contributo in rivista › Articolo in rivista
TY - JOUR
T1 - Global, regional, and national burden of colorectal cancer and its risk factors, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
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AU - Hosseinzadeh, Mehdi
AU - Hostiuc, Mihaela
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AU - Joseph, Nitin
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AU - Jozwiak, Jacek Jerzy
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AU - Kalhor, Rohollah
AU - Kamath, Ashwin
AU - Kapoor, Neeti
AU - Karaye, Ibraheem M.
AU - Karimi, Amirali
AU - Kauppila, Joonas H.
AU - Kazemi, Asma
AU - Keykhaei, Mohammad
AU - Khader, Yousef Saleh
AU - Khajuria, Himanshu
AU - Khalilov, Rovshan
AU - Khanali, Javad
AU - Khayamzadeh, Maryam
AU - Khodadost, Mahmoud
AU - Kim, Hanna
AU - Kim, Min Seo
AU - Kisa, Adnan
AU - Kisa, Sezer
AU - Kolahi, Ali-Asghar
AU - Koohestani, Hamid Reza
AU - Kopec, Jacek A.
AU - Koteeswaran, Rajasekaran
AU - Koyanagi, Ai
AU - Krishnamoorthy, Yuvaraj
AU - Kumar, G. Anil
AU - Kumar, Manoj
AU - Kumar, Vivek
AU - La Vecchia, Carlo
AU - Lami, Faris Hasan
AU - Landires, Iván
AU - Ledda, Caterina
AU - Lee, Sang-Woong
AU - Lee, Wei-Chen
AU - Lee, Yeong Yeh
AU - Leong, Elvynna
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AU - Lobo, Stany W.
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AU - Lunevicius, Raimundas
AU - Madadizadeh, Farzan
AU - Mahmoodpoor, Ata
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AU - Malekpour, Mohammad-Reza
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AU - Malik, Ahmad Azam
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AU - Mantovani, Lorenzo Giovanni
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AU - Mathur, Prashant
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AU - Mentis, Alexios-Fotios A.
AU - Mestrovic, Tomislav
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AU - Mirza-Aghazadeh-Attari, Mohammad
AU - Mirzaei, Hamed
AU - Misra, Sanjeev
AU - Mohammad, Karzan Abdulmuhsin
AU - Mohammadi, Esmaeil
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AU - Mohammadi, Seyyede Momeneh
AU - Mohammadian-Hafshejani, Abdollah
AU - Mohammed, Shafiu
AU - Mohammed, Teroj Abdulrahman
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AU - Mokhtari, Zeinab
AU - Molokhia, Mariam
AU - Momtazmanesh, Sara
AU - Monasta, Lorenzo
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AU - Naimzada, Mukhammad David
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AU - Touvier, Mathilde
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PY - 2022
Y1 - 2022
N2 - Background: Colorectal cancer is the third leading cause of cancer deaths worldwide. Given the recent increasing trends in colorectal cancer incidence globally, up-to-date information on the colorectal cancer burden could guide screening, early detection, and treatment strategies, and help effectively allocate resources. We examined the temporal patterns of the global, regional, and national burden of colorectal cancer and its risk factors in 204 countries and territories across the past three decades. Methods: Estimates of incidence, mortality, and disability-adjusted life years (DALYs) for colorectal cancer were generated as a part of the Global Burden of Diseases, Injuries and Risk Factors Study (GBD) 2019 by age, sex, and geographical location for the period 1990–2019. Mortality estimates were produced using the cause of death ensemble model. We also calculated DALYs attributable to risk factors that had evidence of causation with colorectal cancer. Findings: Globally, between 1990 and 2019, colorectal cancer incident cases more than doubled, from 842 098 (95% uncertainty interval [UI] 810 408–868 574) to 2·17 million (2·00–2·34), and deaths increased from 518 126 (493 682–537 877) to 1·09 million (1·02–1·15). The global age-standardised incidence rate increased from 22·2 (95% UI 21·3–23·0) per 100 000 to 26·7 (24·6–28·9) per 100 000, whereas the age-standardised mortality rate decreased from 14·3 (13·5–14·9) per 100 000 to 13·7 (12·6–14·5) per 100 000 and the age-standardised DALY rate decreased from 308·5 (294·7–320·7) per 100 000 to 295·5 (275·2–313·0) per 100 000 from 1990 through 2019. Taiwan (province of China; 62·0 [48·9–80·0] per 100 000), Monaco (60·7 [48·5–73·6] per 100 000), and Andorra (56·6 [42·8–71·9] per 100 000) had the highest age-standardised incidence rates, while Greenland (31·4 [26·0–37·1] per 100 000), Brunei (30·3 [26·6–34·1] per 100 000), and Hungary (28·6 [23·6–34·0] per 100 000) had the highest age-standardised mortality rates. From 1990 through 2019, a substantial rise in incidence rates was observed in younger adults (age <50 years), particularly in high Socio-demographic Index (SDI) countries. Globally, a diet low in milk (15·6%), smoking (13·3%), a diet low in calcium (12·9%), and alcohol use (9·9%) were the main contributors to colorectal cancer DALYs in 2019. Interpretation: The increase in incidence rates in people younger than 50 years requires vigilance from researchers, clinicians, and policy makers and a possible reconsideration of screening guidelines. The fast-rising burden in low SDI and middle SDI countries in Asia and Africa calls for colorectal cancer prevention approaches, greater awareness, and cost-effective screening and therapeutic options in these regions. Funding: Bill & Melinda Gates Foundation.
AB - Background: Colorectal cancer is the third leading cause of cancer deaths worldwide. Given the recent increasing trends in colorectal cancer incidence globally, up-to-date information on the colorectal cancer burden could guide screening, early detection, and treatment strategies, and help effectively allocate resources. We examined the temporal patterns of the global, regional, and national burden of colorectal cancer and its risk factors in 204 countries and territories across the past three decades. Methods: Estimates of incidence, mortality, and disability-adjusted life years (DALYs) for colorectal cancer were generated as a part of the Global Burden of Diseases, Injuries and Risk Factors Study (GBD) 2019 by age, sex, and geographical location for the period 1990–2019. Mortality estimates were produced using the cause of death ensemble model. We also calculated DALYs attributable to risk factors that had evidence of causation with colorectal cancer. Findings: Globally, between 1990 and 2019, colorectal cancer incident cases more than doubled, from 842 098 (95% uncertainty interval [UI] 810 408–868 574) to 2·17 million (2·00–2·34), and deaths increased from 518 126 (493 682–537 877) to 1·09 million (1·02–1·15). The global age-standardised incidence rate increased from 22·2 (95% UI 21·3–23·0) per 100 000 to 26·7 (24·6–28·9) per 100 000, whereas the age-standardised mortality rate decreased from 14·3 (13·5–14·9) per 100 000 to 13·7 (12·6–14·5) per 100 000 and the age-standardised DALY rate decreased from 308·5 (294·7–320·7) per 100 000 to 295·5 (275·2–313·0) per 100 000 from 1990 through 2019. Taiwan (province of China; 62·0 [48·9–80·0] per 100 000), Monaco (60·7 [48·5–73·6] per 100 000), and Andorra (56·6 [42·8–71·9] per 100 000) had the highest age-standardised incidence rates, while Greenland (31·4 [26·0–37·1] per 100 000), Brunei (30·3 [26·6–34·1] per 100 000), and Hungary (28·6 [23·6–34·0] per 100 000) had the highest age-standardised mortality rates. From 1990 through 2019, a substantial rise in incidence rates was observed in younger adults (age <50 years), particularly in high Socio-demographic Index (SDI) countries. Globally, a diet low in milk (15·6%), smoking (13·3%), a diet low in calcium (12·9%), and alcohol use (9·9%) were the main contributors to colorectal cancer DALYs in 2019. Interpretation: The increase in incidence rates in people younger than 50 years requires vigilance from researchers, clinicians, and policy makers and a possible reconsideration of screening guidelines. The fast-rising burden in low SDI and middle SDI countries in Asia and Africa calls for colorectal cancer prevention approaches, greater awareness, and cost-effective screening and therapeutic options in these regions. Funding: Bill & Melinda Gates Foundation.
KW - risk
KW - risk
UR - http://hdl.handle.net/10807/312349
U2 - 10.1016/S2468-1253(22)00044-9
DO - 10.1016/S2468-1253(22)00044-9
M3 - Article
SN - 2468-1253
VL - 7
SP - 627
EP - 647
JO - THE LANCET. GASTROENTEROLOGY & HEPATOLOGY
JF - THE LANCET. GASTROENTEROLOGY & HEPATOLOGY
ER -