The Global, Regional, and National Burden of Adult Lip, Oral, and Pharyngeal Cancer in 204 Countries and Territories: A Systematic Analysis for the Global Burden of Disease Study 2019
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| Author | Taheri Abkenar, Yasaman |
| Author | Talaat, Iman M. |
| Author | Tan, Ker-Kan |
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| Author | Wang, Cong |
| Author | Westerman, Ronny |
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| Available date | 2024-03-13T05:14:58Z |
| Publication Date | 2023 |
| Publication Name | JAMA Oncology |
| Resource | Scopus |
| ISSN | 23742437 |
| Abstract | Importance: Lip, oral, and pharyngeal cancers are important contributors to cancer burden worldwide, and a comprehensive evaluation of their burden globally, regionally, and nationally is crucial for effective policy planning. Objective: To analyze the total and risk-attributable burden of lip and oral cavity cancer (LOC) and other pharyngeal cancer (OPC) for 204 countries and territories and by Socio-demographic Index (SDI) using 2019 Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study estimates. Evidence Review: The incidence, mortality, and disability-adjusted life years (DALYs) due to LOC and OPC from 1990 to 2019 were estimated using GBD 2019 methods. The GBD 2019 comparative risk assessment framework was used to estimate the proportion of deaths and DALYs for LOC and OPC attributable to smoking, tobacco, and alcohol consumption in 2019. Findings: In 2019, 370000 (95% uncertainty interval [UI], 338000-401000) cases and 199000 (95% UI, 181000-217000) deaths for LOC and 167000 (95% UI, 153000-180000) cases and 114000 (95% UI, 103000-126000) deaths for OPC were estimated to occur globally, contributing 5.5 million (95% UI, 5.0-6.0 million) and 3.2 million (95% UI, 2.9-3.6 million) DALYs, respectively. From 1990 to 2019, low-middle and low SDI regions consistently showed the highest age-standardized mortality rates due to LOC and OPC, while the high SDI strata exhibited age-standardized incidence rates decreasing for LOC and increasing for OPC. Globally in 2019, smoking had the greatest contribution to risk-attributable OPC deaths for both sexes (55.8% [95% UI, 49.2%-62.0%] of all OPC deaths in male individuals and 17.4% [95% UI, 13.8%-21.2%] of all OPC deaths in female individuals). Smoking and alcohol both contributed to substantial LOC deaths globally among male individuals (42.3% [95% UI, 35.2%-48.6%] and 40.2% [95% UI, 33.3%-46.8%] of all risk-attributable cancer deaths, respectively), while chewing tobacco contributed to the greatest attributable LOC deaths among female individuals (27.6% [95% UI, 21.5%-33.8%]), driven by high risk-attributable burden in South and Southeast Asia. Conclusions and Relevance: In this systematic analysis, disparities in LOC and OPC burden existed across the SDI spectrum, and a considerable percentage of burden was attributable to tobacco and alcohol use. These estimates can contribute to an understanding of the distribution and disparities in LOC and OPC burden globally and support cancer control planning efforts. |
| Language | en |
| Publisher | American Medical Association |
| Subject | Adult Female Global Burden of Disease Global Health Humans Incidence Lip Male Pharyngeal Neoplasms Quality-Adjusted Life Years Risk Factors Tobacco age standardized incidence rate age standardized mortality rate alcohol consumption Article cancer incidence cancer mortality disability-adjusted life year disease burden global disease burden human lip cancer mouth cancer pharynx cancer smoking standardized incidence ratio standardized mortality ratio systematic review tobacco consumption adult female global health incidence lip male quality adjusted life year risk factor tobacco |
| Type | Article |
| Pagination | 1401-1416 |
| Issue Number | 10 |
| Volume Number | 9 |
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