Global, regional and national burden of pancreatic cancer, 1990 to 2017: Results from the Global Burden of Disease Study 2017

The global burden of pancreatic cancer (PCa) continues to grow. Detailed data on PCa epidemiology are essential for policy-making and appropriate healthcare resource allocation. Estimates of incidence, death and disability-adjusted life years (DALYs) of PCa from 1990 to 2017 were collected from the...

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Veröffentlicht in:Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2020-04, Vol.20 (3), p.462-469
Hauptverfasser: Chen, Xiang, Yi, Bin, Liu, Zhongtao, Zou, Heng, Zhou, Jiangjiao, Zhang, Zijian, Xiong, Li, Wen, Yu
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container_title Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.]
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creator Chen, Xiang
Yi, Bin
Liu, Zhongtao
Zou, Heng
Zhou, Jiangjiao
Zhang, Zijian
Xiong, Li
Wen, Yu
description The global burden of pancreatic cancer (PCa) continues to grow. Detailed data on PCa epidemiology are essential for policy-making and appropriate healthcare resource allocation. Estimates of incidence, death and disability-adjusted life years (DALYs) of PCa from 1990 to 2017 were collected from the Global Burden of Disease Study 2017. Decomposition analysis was conducted to detect the contributing factors related to PCa incidence variation. The estimated annual percentage change (EAPC) was calculated to quantify the PCa epidemiology trends over a specified interval. Globally, the incidence of PCa cases increased by 129.1% to 447 664 664 (95% uncertainty interval (UI) 438 597–456 295), death increased by 125.2% to 441 082 082 (95% UI 448 960–432 833), and DALYs increased by 107.3% to 9 080 004 (95% UI 8 894 128–9 256 346) between 1990 and 2017. Relatively higher sociodemographic index (SDI) regions were observed with greater incidences, more deaths and a greater number of DALYs of PCa, but relatively lower SDI regions experienced a sharply increasing trend in these measures. Decomposition analysis indicated that the global increase in PCa incidence was driven by the aging population from 2007 to 2017, especially in higher SDI regions. In addition, a significant negative correlation was found between EAPC and ASIR (in 1990) (r = −0.56, P 
doi_str_mv 10.1016/j.pan.2020.02.011
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Detailed data on PCa epidemiology are essential for policy-making and appropriate healthcare resource allocation. Estimates of incidence, death and disability-adjusted life years (DALYs) of PCa from 1990 to 2017 were collected from the Global Burden of Disease Study 2017. Decomposition analysis was conducted to detect the contributing factors related to PCa incidence variation. The estimated annual percentage change (EAPC) was calculated to quantify the PCa epidemiology trends over a specified interval. Globally, the incidence of PCa cases increased by 129.1% to 447 664 664 (95% uncertainty interval (UI) 438 597–456 295), death increased by 125.2% to 441 082 082 (95% UI 448 960–432 833), and DALYs increased by 107.3% to 9 080 004 (95% UI 8 894 128–9 256 346) between 1990 and 2017. Relatively higher sociodemographic index (SDI) regions were observed with greater incidences, more deaths and a greater number of DALYs of PCa, but relatively lower SDI regions experienced a sharply increasing trend in these measures. Decomposition analysis indicated that the global increase in PCa incidence was driven by the aging population from 2007 to 2017, especially in higher SDI regions. In addition, a significant negative correlation was found between EAPC and ASIR (in 1990) (r = −0.56, P &lt; 0.001). PCa remains a major public health burden globally. 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Detailed data on PCa epidemiology are essential for policy-making and appropriate healthcare resource allocation. Estimates of incidence, death and disability-adjusted life years (DALYs) of PCa from 1990 to 2017 were collected from the Global Burden of Disease Study 2017. Decomposition analysis was conducted to detect the contributing factors related to PCa incidence variation. The estimated annual percentage change (EAPC) was calculated to quantify the PCa epidemiology trends over a specified interval. Globally, the incidence of PCa cases increased by 129.1% to 447 664 664 (95% uncertainty interval (UI) 438 597–456 295), death increased by 125.2% to 441 082 082 (95% UI 448 960–432 833), and DALYs increased by 107.3% to 9 080 004 (95% UI 8 894 128–9 256 346) between 1990 and 2017. Relatively higher sociodemographic index (SDI) regions were observed with greater incidences, more deaths and a greater number of DALYs of PCa, but relatively lower SDI regions experienced a sharply increasing trend in these measures. Decomposition analysis indicated that the global increase in PCa incidence was driven by the aging population from 2007 to 2017, especially in higher SDI regions. In addition, a significant negative correlation was found between EAPC and ASIR (in 1990) (r = −0.56, P &lt; 0.001). PCa remains a major public health burden globally. The unfavorable trend in PCa suggesting that further study for prevention should be conducted to forestall the increase in pancreatic cancer.</abstract><cop>Switzerland</cop><pub>Elsevier B.V</pub><pmid>32113937</pmid><doi>10.1016/j.pan.2020.02.011</doi><tpages>8</tpages></addata></record>
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subjects Adult
Age
Age Factors
Aged
Aged, 80 and over
Aging
Cost of Illness
Decomposition
Disease
Epidemiology
Estimates
Fasting
Female
Global Burden of Disease
Glucose
Humans
Incidence
Male
Medical prognosis
Medical research
Middle Aged
Mortality
Pancreatic cancer
Pancreatic Neoplasms - economics
Pancreatic Neoplasms - epidemiology
Pancreatic Neoplasms - mortality
Population growth
Prevention
Public health
Quality-Adjusted Life Years
Resource allocation
Risk Factors
Sex Factors
Smoking
Sociodemographics
Studies
Trends
title Global, regional and national burden of pancreatic cancer, 1990 to 2017: Results from the Global Burden of Disease Study 2017
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