The global burden of adolescent and young adult cancer in 2019: a systematic analysis for the Global Burden of Disease Study 2019
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| Author | Silva, Diego Augusto Santos |
| Author | Silva Julian, Guilherme |
| Author | Singh, Achintya Dinesh |
| Author | Singh, Jasvinder A |
| Author | Singh, Jitendra Kumar |
| Author | Singh, Surjit |
| Author | Sinke, Abiy H |
| Author | Sintayehu, Yitagesu |
| Author | Skryabin, Valentin Yurievich |
| Author | Skryabina, Anna Aleksandrovna |
| Author | Smith, Lee |
| Author | Sofi-Mahmudi, Ahmad |
| Author | Soltani-Zangbar, Mohammad Sadegh |
| Author | Song, Suhang |
| Author | Spurlock, Emma Elizabeth |
| Author | Steiropoulos, Paschalis |
| Author | Straif, Kurt |
| Author | Subedi, Ranjeeta |
| Author | Sufiyan, Mu'awiyyah Babale |
| Author | Suliankatchi Abdulkader, Rizwan |
| Author | Sultana, Saima |
| Author | Szerencsés, Viktória |
| Author | Szócska, Miklós |
| Author | Tabaeian, Seidamir Pasha |
| Author | Tabarés-Seisdedos, Rafael |
| Author | Tabary, Mohammadreza |
| Author | Tabuchi, Takahiro |
| Author | Tadbiri, Hooman |
| Author | Taheri, Majid |
| Author | Taherkhani, Amir |
| Author | Takahashi, Ken |
| Author | Tampa, Mircea |
| Author | Tan, Ker-Kan |
| Author | Tat, Vivian Y |
| Author | Tavakoli, Ahmad |
| Author | Tbakhi, Abdelghani |
| Author | Tehrani-Banihashemi, Arash |
| Author | Temsah, Mohamad-Hani |
| Author | Tesfay, Fisaha Haile |
| Author | Tesfaye, Bekele |
| Author | Thakur, Jarnail Singh |
| Author | Thapar, Rekha |
| Author | Thavamani, Aravind |
| Author | Thiyagarajan, Arulmani |
| Author | Thomas, Nihal |
| Author | Tobe-Gai, Ruoyan |
| Author | Togtmol, Munkhsaikhan |
| Author | Tohidast, Seyed Abolfazl |
| Author | Tohidinik, Hamid Reza |
| Author | Tolani, Musliu Adetola |
| Author | Tollosa, Daniel Nigusse |
| Author | Touvier, Mathilde |
| Author | Tovani-Palone, Marcos Roberto |
| Author | Traini, Eugenio |
| Author | Tran, Bach Xuan |
| Author | Tran, Mai Thi Ngoc |
| Author | Tripathy, Jaya Prasad |
| Author | Tusa, Biruk Shalmeno |
| Author | Ukke, Gebresilasea Gendisha |
| Author | Ullah, Irfan |
| Author | Ullah, Saif |
| Author | Umapathi, Krishna Kishore |
| Author | Unnikrishnan, Bhaskaran |
| Author | Upadhyay, Era |
| Author | Ushula, Tolassa Wakayo |
| Author | Vacante, Marco |
| Author | Valadan Tahbaz, Sahel |
| Author | Varthya, Shoban Babu |
| Author | Veroux, Massimiliano |
| Author | Villeneuve, Paul J |
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| Author | Vu, Giang Thu |
| Author | Waheed, Yasir |
| Author | Wang, Ning |
| Author | Ward, Paul |
| Author | Weldesenbet, Adisu Birhanu |
| Author | Wen, Yi Feng |
| Author | Westerman, Ronny |
| Author | Winkler, Andrea Sylvia |
| Author | Wubishet, Befikadu Legesse |
| Author | Xu, Suowen |
| Author | Yahyazadeh Jabbari, Seyed Hossein |
| Author | Yang, Lin |
| Author | Yaya, Sanni |
| Author | Yazdi-Feyzabadi, Vahid |
| Author | Yazie, Taklo Simeneh |
| Author | Yehualashet, Sisay Shewasinad |
| Author | Yeshaneh, Alex |
| Author | Yeshaw, Yigizie |
| Author | Yirdaw, Birhanu Wubale |
| Author | Yonemoto, Naohiro |
| Author | Younis, Mustafa Z |
| Author | Yousefi, Zabihollah |
| Author | Yu, Chuanhua |
| Author | Yunusa, Ismaeel |
| Author | Zadnik, Vesna |
| Author | Zahir, Mazyar |
| Author | Zahirian Moghadam, Telma |
| Author | Zamani, Mohammad |
| Author | Zamanian, Maryam |
| Author | Zandian, Hamed |
| Author | Zare, Fariba |
| Author | Zastrozhin, Mikhail Sergeevich |
| Author | Zastrozhina, Anasthasia |
| Author | Zhang, Jianrong |
| Author | Zhang, Zhi-Jiang |
| Author | Ziapour, Arash |
| Author | Zoladl, Mohammad |
| Author | Murray, Christopher J L |
| Author | Fitzmaurice, Christina |
| Author | Bleyer, Archie |
| Author | Bhakta, Nickhill |
| Available date | 2022-01-23T05:20:35Z |
| Publication Date | 2022-01-31 |
| Publication Name | The Lancet Oncology |
| Identifier | http://dx.doi.org/10.1016/S1470-2045(21)00581-7 |
| Citation | Alvarez, 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. |
| ISSN | 1470-2045 |
| Abstract | BackgroundIn 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. |
| Sponsor | Bill & Melinda Gates Foundation, American Lebanese Syrian Associated Charities, St Baldrick's Foundation, and the National Cancer Institute. |
| Language | en |
| Publisher | Elsevier |
| Subject | the GBD 2019 methodology cancer adolescents young adults Disability-Adjusted Life Years Global Burden of Disease Risk Factors Socioeconomic Factors Incidence Global Health |
| Type | Article |
| Issue Number | 1 |
| Volume Number | 23 |
| Open Access user License | http://creativecommons.org/licenses/by/4.0/ |
| ESSN | 1474-5488 |
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