The global burden of adolescent and young adult cancer in 2019: a systematic analysis for the Global Burden of Disease Study 2019

Alvarez, Elysia M and Force, Lisa M and Xu, Rixing and Compton, Kelly and Lu, Dan and Henrikson, Hannah Jacqueline and Kocarnik, Jonathan M and Harvey, James D and Pennini, Alyssa and Dean, Frances E and Fu, Weijia and Vargas, Martina T and Keegan, Theresa H M and Ariffin, Hany and Barr, Ronald D and Erdomaeva, Yana Arturovna and Gunasekera, D Sanjeeva and John-Akinola, Yetunde O and Ketterl, Tyler G and Kutluk, Tezer and Malogolowkin, Marcio Henrique and Mathur, Prashant and Radhakrishnan, Venkatraman and Ries, Lynn Ann Gloeckler and Rodriguez-Galindo, Carlos and Sagoyan, Garik Barisovich and Sultan, Iyad and Abbasi, Behzad and Abbasi-Kangevari, Mohsen and Abbasi-Kangevari, Zeinab and Abbastabar, Hedayat and Abdelmasseh, Michael and Abd-Elsalam, Sherief and Abdoli, Amir and Abebe, Haimanot and Abedi, Aidin and Abidi, Hassan and Abolhassani, Hassan and Abubaker Ali, Hiwa and Abu-Gharbieh, Eman and Achappa, Basavaprabhu and Acuna, Juan Manuel and Adedeji, Isaac Akinkunmi and Adegboye, Oyelola A and Adnani, Qorinah Estiningtyas Sakilah and Advani, Shailesh M and Afzal, Muhammad Sohail and Aghaie Meybodi, Mohamad and Ahadinezhad, Bahman and Ahinkorah, Bright Opoku and Ahmad, Sajjad and Ahmadi, Sepideh and Ahmed, Muktar Beshir and Ahmed Rashid, Tarik and Ahmed Salih, Yusra and Aiman, Wajeeha and Akalu, Gizachew Taddesse and Al Hamad, Hanadi and Alahdab, Fares and AlAmodi, Abdulhadi A and Alanezi, Fahad Mashhour and Alanzi, Turki M and Alem, Adugnaw Zeleke and Alem, Dejene Tsegaye and Alemayehu, Yosef and Alhalaiqa, Fadwa Naji and Alhassan, Robert Kaba and Ali, Saqib and Alicandro, Gianfranco and Alipour, Vahid and Aljunid, Syed Mohamed and Alkhayyat, Motasem and Alluri, Sunitha and Almasri, Nihad A and Al-Maweri, Sadeq Ali and Almustanyir, Sami and Al-Raddadi, Rajaa M and Alvis-Guzman, Nelson and Ameyaw, Edward Kwabena and Amini, Saeed and Amu, Hubert and Ancuceanu, Robert and Andrei, Catalina Liliana and Andrei, Tudorel and Ansari, Fereshteh and Ansari-Moghaddam, Alireza and Anvari, Davood and Anyasodor, Anayochukwu Edward and Arabloo, Jalal and Arab-Zozani, Morteza and Argaw, Ayele Mamo and Arshad, Muhammad and Arulappan, Judie and Aryannejad, Armin and Asemi, Zatollah and Asghari Jafarabadi, Mohammad and Atashzar, Mohammad Reza and Atorkey, Prince and Atreya, Alok and Attia, Sameh and Aujayeb, Avinash and Ausloos, Marcel and Avila-Burgos, Leticia and Awedew, Atalel Fentahun and Ayala Quintanilla, Beatriz Paulina and Ayele, Alemu Degu and Ayen, Solomon Shitu and Azab, Mohammed A and Azadnajafabad, Sina and Azami, Hiva and Azangou-Khyavy, Mohammadreza and Azari Jafari, Amirhossein and Azarian, Ghasem and Azzam, Ahmed Y and Bahadory, Saeed and Bai, Jianjun and Baig, Atif Amin and Baker, Jennifer L and Banach, Maciej and Bärnighausen, Till Winfried and Barone-Adesi, Francesco and Barra, Fabio and Barrow, Amadou and Basaleem, Huda and Batiha, Abdul-Monim Mohammad and Behzadifar, Masoud and Bekele, Niguss Cherie and Belete, Rebuma and Belgaumi, Uzma Iqbal and Bell, Arielle Wilder and Berhie, Alemshet Yirga and Bhagat, Devidas S and Bhagavathula, Akshaya Srikanth and Bhardwaj, Nikha and Bhardwaj, Pankaj and Bhaskar, Sonu and Bhattacharyya, Krittika and Bhojaraja, Vijayalakshmi S and Bibi, Sadia and Bijani, Ali and Biondi, Antonio and Birara, Setognal and Bjørge, Tone and Bolarinwa, Obasanjo Afolabi and Bolla, Srinivasa Rao and Boloor, Archith and Braithwaite, Dejana and Brenner, Hermann and Bulamu, Norma B and Burkart, Katrin and Bustamante-Teixeira, Maria Teresa and Butt, Nadeem Shafique and Butt, Zahid A and Caetano dos Santos, Florentino Luciano and Cao, Chao and Cao, Yin and Carreras, Giulia and Catalá-López, Ferrán and Cembranel, Francieli and Cerin, Ester and Chakinala, Raja Chandra and Chakraborty, Promit Ananyo and Chattu, Vijay Kumar and Chaturvedi, Pankaj and Chaurasia, Akhilanand and Chavan, Prachi P and Chimed-Ochir, Odgerel and Choi, Jee-Young Jasmine and Christopher, Devasahayam J and Chu, Dinh-Toi and Chung, Michael T and Conde, Joao and Costa, Vera Marisa and Da'ar, Omar B and Dadras, Omid and Dahlawi, Saad M A and Dai, Xiaochen and Damiani, Giovanni and D'Amico, Emanuele and Dandona, Lalit and Dandona, Rakhi and Daneshpajouhnejad, Parnaz and Darwish, Amira Hamed and Daryani, Ahmad and De la Hoz, Fernando Pio and Debela, Sisay Abebe and Demie, Takele Gezahegn G and Demissie, Getu Debalkie and Demissie, Zeleke Geto and Denova-Gutiérrez, Edgar and Derbew Molla, Meseret and Desai, Rupak and Desta, Abebaw Alemayehu and Dhamnetiya, Deepak and Dharmaratne, Samath Dhamminda and Dhimal, Mandira Lamichhane and Dhimal, Meghnath and Dianatinasab, Mostafa and Didehdar, Mojtaba and Diress, Mengistie and Djalalinia, Shirin and Do, Huyen Phuc and Doaei, Saeid and Dorostkar, Fariba and dos Santos, Wendel Mombaque and Drake, Thomas M and Ekholuenetale, Michael and El Sayed, Iman and El Sayed Zaki, Maysaa and El Tantawi, Maha and El-Abid, Hassan and Elbahnasawy, Mostafa Ahmed and Elbarazi, Iffat and 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and Temsah, Mohamad-Hani and Tesfay, Fisaha Haile and Tesfaye, Bekele and Thakur, Jarnail Singh and Thapar, Rekha and Thavamani, Aravind and Thiyagarajan, Arulmani and Thomas, Nihal and Tobe-Gai, Ruoyan and Togtmol, Munkhsaikhan and Tohidast, Seyed Abolfazl and Tohidinik, Hamid Reza and Tolani, Musliu Adetola and Tollosa, Daniel Nigusse and Touvier, Mathilde and Tovani-Palone, Marcos Roberto and Traini, Eugenio and Tran, Bach Xuan and Tran, Mai Thi Ngoc and Tripathy, Jaya Prasad and Tusa, Biruk Shalmeno and Ukke, Gebresilasea Gendisha and Ullah, Irfan and Ullah, Saif and Umapathi, Krishna Kishore and Unnikrishnan, Bhaskaran and Upadhyay, Era and Ushula, Tolassa Wakayo and Vacante, Marco and Valadan Tahbaz, Sahel and Varthya, Shoban Babu and Veroux, Massimiliano and Villeneuve, Paul J and Violante, Francesco S and Vlassov, Vasily and Vu, Giang Thu and Waheed, Yasir and Wang, Ning and Ward, Paul and Weldesenbet, Adisu Birhanu and Wen, Yi Feng and Westerman, Ronny and Winkler, Andrea Sylvia and Wubishet, Befikadu Legesse and Xu, Suowen and Yahyazadeh Jabbari, Seyed Hossein and Yang, Lin and Yaya, Sanni and Yazdi-Feyzabadi, Vahid and Yazie, Taklo Simeneh and Yehualashet, Sisay Shewasinad and Yeshaneh, Alex and Yeshaw, Yigizie and Yirdaw, Birhanu Wubale and Yonemoto, Naohiro and Younis, Mustafa Z and Yousefi, Zabihollah and Yu, Chuanhua and Yunusa, Ismaeel and Zadnik, Vesna and Zahir, Mazyar and Zahirian Moghadam, Telma and Zamani, Mohammad and Zamanian, Maryam and Zandian, Hamed and Zare, Fariba and Zastrozhin, Mikhail Sergeevich and Zastrozhina, Anasthasia and Zhang, Jianrong and Zhang, Zhi-Jiang and Ziapour, Arash and Zoladl, Mohammad and Murray, Christopher J L and Fitzmaurice, Christina and Bleyer, Archie and Bhakta, Nickhill (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). pp. 27-52. ISSN 14702045

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Abstract

Background In 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. Methods Using 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. Findings There 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. Interpretation Adolescent 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.

Item Type: Article
Subjects: WA Public Health > WA. 900 Vital Statistics
Divisions: Reserach Vice-Chancellar Department > Community-Oriented Nursing Midwifery Research Center
Depositing User: zeynab . bagheri
Date Deposited: 31 Jul 2022 05:19
Last Modified: 31 Jul 2022 05:19
URI: http://eprints.skums.ac.ir/id/eprint/9572

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