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AuthorElysia M, Alvarez
AuthorForce, Lisa M
AuthorXu, Rixing
AuthorCompton, Kelly
AuthorLu, Dan
AuthorHenrikson, Hannah Jacqueline
AuthorKocarnik, Jonathan M
AuthorHarvey, James D
AuthorPennini, Alyssa
AuthorDean, Frances E
AuthorFu, Weijia
AuthorVargas, Martina T
AuthorKeegan, Theresa H M
AuthorAriffin, Hany
AuthorBarr, Ronald D
AuthorErdomaeva, Yana Arturovna
AuthorGunasekera, D Sanjeeva
AuthorJohn-Akinola, Yetunde O
AuthorKetterl, Tyler G
AuthorKutluk, Tezer
AuthorMalogolowkin, Marcio Henrique
AuthorMathur, Prashant
AuthorRadhakrishnan, Venkatraman
AuthorRies, Lynn Ann Gloeckler
AuthorRodriguez-Galindo, Carlos
AuthorSagoyan, Garik Barisovich
AuthorSultan, Iyad
AuthorAbbasi, Behzad
AuthorAbbasi-Kangevari, Mohsen
AuthorAbbasi-Kangevari, Zeinab
AuthorAbbastabar, Hedayat
AuthorAbdelmasseh, Michael
AuthorAbd-Elsalam, Sherief
AuthorAbdoli, Amir
AuthorAbebe, Haimanot
AuthorAbedi, Aidin
AuthorAbidi, Hassan
AuthorAbolhassani, Hassan
AuthorAbubaker Ali, Hiwa
AuthorAbu-Gharbieh, Eman
AuthorAchappa, Basavaprabhu
AuthorAcuna, Juan Manuel
AuthorAdedeji, Isaac Akinkunmi
AuthorAdegboye, Oyelola A
AuthorAdnani, Qorinah Estiningtyas Sakilah
AuthorAdvani, Shailesh M
AuthorAfzal, Muhammad Sohail
AuthorAghaie Meybodi, Mohamad
AuthorAhadinezhad, Bahman
AuthorAhinkorah, Bright Opoku
AuthorAhmad, Sajjad
AuthorAhmadi, Sepideh
AuthorAhmed, Muktar Beshir
AuthorAhmed Rashid, Tarik
AuthorAhmed Salih, Yusra
AuthorAiman, Wajeeha
AuthorAkalu, Gizachew Taddesse
AuthorAl Hamad, Hanadi
AuthorAlahdab, Fares
AuthorAlAmodi, Abdulhadi A
AuthorAlanezi, Fahad Mashhour
AuthorAlanzi, Turki M
AuthorAlem, Adugnaw Zeleke
AuthorAlem, Dejene Tsegaye
AuthorAlemayehu, Yosef
AuthorAlhalaiqa, Fadwa Naji
AuthorAlhassan, Robert Kaba
AuthorAli, Saqib
AuthorAlicandro, Gianfranco
AuthorAlipour, Vahid
AuthorAljunid, Syed Mohamed
AuthorAlkhayyat, Motasem
AuthorAlluri, Sunitha
AuthorAlmasri, Nihad A
AuthorAl-Maweri, Sadeq Ali
AuthorAlmustanyir, Sami
AuthorAl-Raddadi, Rajaa M
AuthorAlvis-Guzman, Nelson
AuthorAmeyaw, Edward Kwabena
AuthorAmini, Saeed
AuthorAmu, Hubert
AuthorAncuceanu, Robert
AuthorAndrei, Catalina Liliana
AuthorAndrei, Tudorel
AuthorAnsari, Fereshteh
AuthorAnsari-Moghaddam, Alireza
AuthorAnvari, Davood
AuthorAnyasodor, Anayochukwu Edward
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AuthorArab-Zozani, Morteza
AuthorArgaw, Ayele Mamo
AuthorArshad, Muhammad
AuthorArulappan, Judie
AuthorAryannejad, Armin
AuthorAsemi, Zatollah
AuthorAsghari Jafarabadi, Mohammad
AuthorAtashzar, Mohammad Reza
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AuthorAtreya, Alok
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AuthorAvila-Burgos, Leticia
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AuthorAyen, Solomon Shitu
AuthorAzab, Mohammed A
AuthorAzadnajafabad, Sina
AuthorAzami, Hiva
AuthorAzangou-Khyavy, Mohammadreza
AuthorAzari Jafari, Amirhossein
AuthorAzarian, Ghasem
AuthorAzzam, Ahmed Y
AuthorBahadory, Saeed
AuthorBai, Jianjun
AuthorBaig, Atif Amin
AuthorBaker, Jennifer L
AuthorBanach, Maciej
AuthorBärnighausen, Till Winfried
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AuthorBekele, Niguss Cherie
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AuthorBhagat, Devidas S
AuthorBhagavathula, Akshaya Srikanth
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AuthorBhardwaj, Pankaj
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AuthorChimed-Ochir, Odgerel
AuthorChoi, Jee-Young Jasmine
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AuthorChung, Michael T
AuthorConde, Joao
AuthorCosta, Vera Marisa
AuthorDa'ar, Omar B
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AuthorDai, Xiaochen
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AuthorDaryani, Ahmad
AuthorDe la Hoz, Fernando Pio
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AuthorDidehdar, Mojtaba
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AuthorDo, Huyen Phuc
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AuthorDorostkar, Fariba
Authordos Santos, Wendel Mombaque
AuthorDrake, Thomas M
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AuthorElbahnasawy, Mostafa Ahmed
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AuthorElhadi, Muhammed
AuthorEl-Jaafary, Shaimaa I
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AuthorFisher, James L
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AuthorGupta, Sapna
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AuthorHamidi, Samer
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AuthorHaro, Josep Maria
AuthorHasaballah, Ahmed I
AuthorHasan, S M Mahmudul
AuthorHashemi, Seyedeh Melika
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AuthorHassanipour, Soheil
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AuthorHayat, Khezar
AuthorHebo, Sultan H
AuthorHeidari, Golnaz
AuthorHeidari, Mohammad
AuthorHerrera-Serna, Brenda Yuliana
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AuthorHeyi, Demisu Zenbaba
AuthorHezam, Kamal
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AuthorHosseinzadeh, Ali
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AuthorHostiuc, Sorin
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AuthorIlic, Milena D
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AuthorIrham, Lalu Muhammad
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AuthorIslam, Sheikh Mohammed Shariful
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AuthorKamath, Ashwin
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AuthorKhader, Yousef Saleh
AuthorKhajuria, Himanshu
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AuthorKhan, Gulfaraz
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AuthorKhan, Md Nuruzzaman
AuthorKhan, Moien AB
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AuthorKim, Min Seo
AuthorKim, Yun Jin
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AuthorKisa, Sezer
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AuthorKoteeswaran, Rajasekaran
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AuthorKoyanagi, Ai
AuthorKugbey, Nuworza
AuthorKumar, G Anil
AuthorKumar, Nithin
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AuthorLa Vecchia, Carlo
AuthorLan, Qing
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AuthorLauriola, Paolo
AuthorLedda, Caterina
AuthorLee, Sang-woong
AuthorLee, Wei-Chen
AuthorLee, Yeong Yeh
AuthorLee, Yo Han
AuthorLeigh, James
AuthorLeong, Elvynna
AuthorLi, Bingyu
AuthorLi, Jiarui
AuthorLi, Ming-Chieh
AuthorLim, Stephen S
AuthorLiu, Xuefeng
AuthorLobo, Stany W
AuthorLoureiro, Joana A
AuthorLugo, Alessandra
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AuthorMagdy Abd El Razek, Muhammed
AuthorMahmoudi, Morteza
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AuthorMamun, Mohammed A
AuthorManafi, Navid
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AuthorMansournia, Mohammad Ali
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AuthorMasoumi, Seyedeh Zahra
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AuthorMichalek, Irmina Maria
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AuthorOlagunju, Andrew T
AuthorOlagunju, Tinuke O
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AuthorOmar Bali, Ahmed
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AuthorOtstavnov, Stanislav S
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AuthorOwolabi, Mayowa O
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AuthorPadubidri, Jagadish Rao
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AuthorRadhakrishnan, Raghu Anekal
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AuthorShetty, Pavanchand H
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AuthorTouvier, Mathilde
AuthorTovani-Palone, Marcos Roberto
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AuthorTran, Bach Xuan
AuthorTran, Mai Thi Ngoc
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AuthorUnnikrishnan, Bhaskaran
AuthorUpadhyay, Era
AuthorUshula, Tolassa Wakayo
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AuthorValadan Tahbaz, Sahel
AuthorVarthya, Shoban Babu
AuthorVeroux, Massimiliano
AuthorVilleneuve, Paul J
AuthorViolante, Francesco S
AuthorVlassov, Vasily
AuthorVu, Giang Thu
AuthorWaheed, Yasir
AuthorWang, Ning
AuthorWard, Paul
AuthorWeldesenbet, Adisu Birhanu
AuthorWen, Yi Feng
AuthorWesterman, Ronny
AuthorWinkler, Andrea Sylvia
AuthorWubishet, Befikadu Legesse
AuthorXu, Suowen
AuthorYahyazadeh Jabbari, Seyed Hossein
AuthorYang, Lin
AuthorYaya, Sanni
AuthorYazdi-Feyzabadi, Vahid
AuthorYazie, Taklo Simeneh
AuthorYehualashet, Sisay Shewasinad
AuthorYeshaneh, Alex
AuthorYeshaw, Yigizie
AuthorYirdaw, Birhanu Wubale
AuthorYonemoto, Naohiro
AuthorYounis, Mustafa Z
AuthorYousefi, Zabihollah
AuthorYu, Chuanhua
AuthorYunusa, Ismaeel
AuthorZadnik, Vesna
AuthorZahir, Mazyar
AuthorZahirian Moghadam, Telma
AuthorZamani, Mohammad
AuthorZamanian, Maryam
AuthorZandian, Hamed
AuthorZare, Fariba
AuthorZastrozhin, Mikhail Sergeevich
AuthorZastrozhina, Anasthasia
AuthorZhang, Jianrong
AuthorZhang, Zhi-Jiang
AuthorZiapour, Arash
AuthorZoladl, Mohammad
AuthorMurray, Christopher J L
AuthorFitzmaurice, Christina
AuthorBleyer, Archie
AuthorBhakta, Nickhill
Available date2022-01-23T05:20:35Z
Publication Date2022-01-31
Publication NameThe Lancet Oncology
Identifierhttp://dx.doi.org/10.1016/S1470-2045(21)00581-7
CitationAlvarez, E. M., Force, L. M., Xu, R., Compton, K., Lu, D., Henrikson, H. J., ... & Burkart, K. (2022). The global burden of adolescent and young adult cancer in 2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Oncology, 23(1), 27-52.
ISSN1470-2045
URIhttp://hdl.handle.net/10576/25678
AbstractBackgroundIn estimating the global burden of cancer, adolescents and young adults with cancer are often overlooked, despite being a distinct subgroup with unique epidemiology, clinical care needs, and societal impact. Comprehensive estimates of the global cancer burden in adolescents and young adults (aged 15–39 years) are lacking. To address this gap, we analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, with a focus on the outcome of disability-adjusted life-years (DALYs), to inform global cancer control measures in adolescents and young adults. MethodsUsing the GBD 2019 methodology, international mortality data were collected from vital registration systems, verbal autopsies, and population-based cancer registry inputs modelled with mortality-to-incidence ratios (MIRs). Incidence was computed with mortality estimates and corresponding MIRs. Prevalence estimates were calculated using modelled survival and multiplied by disability weights to obtain years lived with disability (YLDs). Years of life lost (YLLs) were calculated as age-specific cancer deaths multiplied by the standard life expectancy at the age of death. The main outcome was DALYs (the sum of YLLs and YLDs). Estimates were presented globally and by Socio-demographic Index (SDI) quintiles (countries ranked and divided into five equal SDI groups), and all estimates were presented with corresponding 95% uncertainty intervals (UIs). For this analysis, we used the age range of 15–39 years to define adolescents and young adults. FindingsThere were 1·19 million (95% UI 1·11–1·28) incident cancer cases and 396 000 (370 000–425 000) deaths due to cancer among people aged 15–39 years worldwide in 2019. The highest age-standardised incidence rates occurred in high SDI (59·6 [54·5–65·7] per 100 000 person-years) and high-middle SDI countries (53·2 [48·8–57·9] per 100 000 person-years), while the highest age-standardised mortality rates were in low-middle SDI (14·2 [12·9–15·6] per 100 000 person-years) and middle SDI (13·6 [12·6–14·8] per 100 000 person-years) countries. In 2019, adolescent and young adult cancers contributed 23·5 million (21·9–25·2) DALYs to the global burden of disease, of which 2·7% (1·9–3·6) came from YLDs and 97·3% (96·4–98·1) from YLLs. Cancer was the fourth leading cause of death and tenth leading cause of DALYs in adolescents and young adults globally. InterpretationAdolescent and young adult cancers contributed substantially to the overall adolescent and young adult disease burden globally in 2019. These results provide new insights into the distribution and magnitude of the adolescent and young adult cancer burden around the world. With notable differences observed across SDI settings, these estimates can inform global and country-level cancer control efforts. FundingBill & Melinda Gates Foundation, American Lebanese Syrian Associated Charities, St Baldrick's Foundation, and the National Cancer Institute.
SponsorBill & Melinda Gates Foundation, American Lebanese Syrian Associated Charities, St Baldrick's Foundation, and the National Cancer Institute.
Languageen
PublisherElsevier
Subjectthe GBD 2019 methodology
cancer
adolescents
young adults
Disability-Adjusted Life Years
Global Burden of Disease
Risk Factors
Socioeconomic Factors
Incidence
Global Health
TitleThe global burden of adolescent and young adult cancer in 2019: a systematic analysis for the Global Burden of Disease Study 2019
TypeArticle
Issue Number1
Volume Number23
Open Access user License http://creativecommons.org/licenses/by/4.0/
ESSN1474-5488
dc.accessType Open Access


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