1.Department of Urology, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
2.Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan 430071, China
3.Precision Medicine Centre, the Second People’s Hospital of Huaihua, Huaihua 418000, Hunan, China
4.the First School of Clinical Medicine, Anhui Medical University, Hefei 230000, China
5.Department of Urology, Xianyang Central Hospital, Xianyang 712000, Hubei, China
6.Department of Urology, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China
7.Institutes of Evidence-Based Medicine and Knowledge Translation, Henan University, Kaifeng 475000, Henan, China
8.Department of Urology, Huaihe Hospital of Henan University, Kaifeng 475000, Henan, China
9.Institute of Urology, Wuhan University, Wuhan 430071, China
* yuanshuai021@whu.edu.cn;
wangxinghuan1965@163.com;
hedl@xjtu.edu.cn;
zengxiantao1128@whu.edu.cn; zengxiantao1128@163.com
纸质出版:2022-06
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Global, regional, and national burden of kidney, bladder, and prostate cancers and their attributable risk factors, 1990–2019[J]. 解放军医学杂志(英文版), 2022,9(3):303-318.
Zi et al.: Global, regional, and national burden of kidney, bladder, and prostate cancers and their attributable risk factors, 1990–2019. Mil Med Res, 2021, 8: 60.
Global, regional, and national burden of kidney, bladder, and prostate cancers and their attributable risk factors, 1990–2019[J]. 解放军医学杂志(英文版), 2022,9(3):303-318. DOI: 10.1186/s40779-021-00354-z.
Zi et al.: Global, regional, and national burden of kidney, bladder, and prostate cancers and their attributable risk factors, 1990–2019. Mil Med Res, 2021, 8: 60. DOI: 10.1186/s40779-021-00354-z.
Background:
2
The burden of kidney
bladder
and prostate cancers has changed in recent decades. This study aims to investigate the global and regional burden of
and attributable risk factors for genitourinary cancers during the past 30 years.
Methods:
2
We extracted data of kidney
bladder
and prostate cancers from the Global Burden of Disease 2019 database
including incidence
mortality
disability-adjusted life-years (DALYs)
and attributable risk factors from 1990 to 2019. Estimated annual percentage changes (EAPC) were calculated to assess the changes in age-standardized incidence rate
age-standardized mortality rate (ASMR)
and age-standardized DALYs rate (ASDR). The associations between cancers burden and socio-demographic index (SDI) were also analyzed.
Results:
2
Compared with 1990
the global incident cases in 2019 were higher by 154.78%
123.34%
and 169.11% for kidney
bladder
and prostate cancers
respectively. During the 30-year study period
there was a downward trend in ASMR and ASDR for bladder cancer (EAPC=–0.68 and –0.83
respectively) and prostate cancer (EAPC=–0.75 and –0.71
respectively)
but an upward trend for kidney cancer (EAPC=0.35 and 0.12
respectively). Regions and countries with higher SDI had higher incidence
mortality
and DALYs for all three types of cancers. The burden of bladder and prostate cancers was mainly distributed among older men
whereas the burden of kidney cancer increased among middle-aged men. Smoking related mortality and DALYs decreased
but high body mass index (BMI) and high fasting plasma glucose (FPG) related mortality and DALYs increased among kidney
bladder
and prostate cancers during the study period.
Conclusions:
2
Kidney
bladder
and prostate cancers remain major global public health challenges
but with distinct trend for different disease entity across different regions and socioeconomic status. More proactive intervention strategies
at both the administrative and academic levels
based on the dynamic changes
are needed.
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