The global, regional, and national burden of cancer, 1990–2023, with forecasts to 2050: a systematic analysis for the Global Burden of Disease Study 2023
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| Available date | 2026-01-25T07:53:34Z |
| Publication Date | 2025-10-17 |
| Publication Name | The Lancet |
| Identifier | http://dx.doi.org/10.1016/S0140-6736(25)01635-6 |
| Citation | GBD 2023 Cancer Collaborators. “The Global, Regional, and National Burden of Cancer, 1990–2023, with Forecasts to 2050: A Systematic Analysis for the Global Burden of Disease Study 2023.” The Lancet 406, no. 10512 (2025): 1565–1586. https://doi.org/10.1016/S0140-6736(25)01635-6 |
| ISSN | 01406736 |
| Abstract | BackgroundCancer is a leading cause of death globally. Accurate cancer burden information is crucial for policy planning, but many countries do not have up-to-date cancer surveillance data. To inform global cancer-control efforts, we used the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2023 framework to generate and analyse estimates of cancer burden for 47 cancer types or groupings by age, sex, and 204 countries and territories from 1990 to 2023, cancer burden attributable to selected risk factors from 1990 to 2023, and forecasted cancer burden up to 2050. MethodsCancer estimation in GBD 2023 used data from population-based cancer registration systems, vital registration systems, and verbal autopsies. Cancer mortality was estimated using ensemble models, with incidence informed by mortality estimates and mortality-to-incidence ratios (MIRs). Prevalence estimates were generated from modelled survival estimates, then multiplied by disability weights to estimate years lived with disability (YLDs). Years of life lost (YLLs) were estimated by multiplying age-specific cancer deaths by the GBD standard life expectancy at the age of death. Disability-adjusted life-years (DALYs) were calculated as the sum of YLLs and YLDs. We used the GBD 2023 comparative risk assessment framework to estimate cancer burden attributable to 44 behavioural, environmental and occupational, and metabolic risk factors. To forecast cancer burden from 2024 to 2050, we used the GBD 2023 forecasting framework, which included forecasts of relevant risk factor exposures and used Socio-demographic Index as a covariate for forecasting the proportion of each cancer not affected by these risk factors. Progress towards the UN Sustainable Development Goal (SDG) target 3.4 aim to reduce non-communicable disease mortality by a third between 2015 and 2030 was estimated for cancer. FindingsIn 2023, excluding non-melanoma skin cancers, there were 18·5 million (95% uncertainty interval 16·4 to 20·7) incident cases of cancer and 10·4 million (9·65 to 10·9) deaths, contributing to 271 million (255 to 285) DALYs globally. Of these, 57·9% (56·1 to 59·8) of incident cases and 65·8% (64·3 to 67·6) of cancer deaths occurred in low-income to upper-middle-income countries based on World Bank income group classifications. Cancer was the second leading cause of deaths globally in 2023 after cardiovascular diseases. There were 4·33 million (3·85 to 4·78) risk-attributable cancer deaths globally in 2023, comprising 41·7% (37·8 to 45·4) of all cancer deaths. Risk-attributable cancer deaths increased by 72·3% (57·1 to 86·8) from 1990 to 2023, whereas overall global cancer deaths increased by 74·3% (62·2 to 86·2) over the same period. The reference forecasts (the most likely future) estimate that in 2050 there will be 30·5 million (22·9 to 38·9) cases and 18·6 million (15·6 to 21·5) deaths from cancer globally, 60·7% (41·9 to 80·6) and 74·5% (50·1 to 104·2) increases from 2024, respectively. These forecasted increases in deaths are greater in low-income and middle-income countries (90·6% [61·0 to 127·0]) compared with high-income countries (42·8% [28·3 to 58·6]). Most of these increases are likely due to demographic changes, as age-standardised death rates are forecast to change by –5·6% (–12·8 to 4·6) between 2024 and 2050 globally. Between 2015 and 2030, the probability of dying due to cancer between the ages of 30 years and 70 years was forecasted to have a relative decrease of 6·5% (3·2 to 10·3). InterpretationCancer is a major contributor to global disease burden, with increasing numbers of cases and deaths forecasted up to 2050 and a disproportionate growth in burden in countries with scarce resources. The decline in age-standardised mortality rates from cancer is encouraging but insufficient to meet the SDG target set for 2030. Effectively and sustainably addressing cancer burden globally will require comprehensive national and international efforts that consider health systems and context in the development and implementation of cancer-control strategies across the continuum of prevention, diagnosis, and treatment. FundingGates Foundation, St Jude Children's Research Hospital, and St Baldrick's Foundation. |
| Sponsor | Research reported in this publication was supported by the Gates Foundation (OPP1152504), St Jude Children's Research Hospital, and St Baldrick's Foundation. We thank the many cancer registries and vital registration systems around the world that contributed data to the GBD 2023 study and that continually work to generate data on cancer burden. Directly observed cancer data are required to generate estimates of global cancer burden, and cancer surveillance systems are critical to support as part of working towards an improved understanding of global cancer burden in the future. We are also grateful for the contributions of the GBD collaborator network, who are working across the world to improve cancer outcomes. Finally, we wish to acknowledge the individuals and families impacted by cancer; each estimate in our analysis is composed of unique and valuable lives, and we should not lose sight of this among the sheer volume of the burden. We hope these estimates prove to be useful in our collective efforts to reduce cancer burden now and in the future. |
| Language | en |
| Publisher | Elsevier |
| Subject | Global cancer burden Incidence and mortality trends Forecast to 2050 Population health disparities |
| Type | Article |
| Pagination | 1565-1586 |
| Issue Number | 10512 |
| Volume Number | 406 |
| ESSN | 1474-547X |
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