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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.


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, 370 000 (95% uncertainty interval [UI], 338 000-401 000) cases and 199 000 (95% UI, 181 000-217 000) deaths for LOC and 167 000 (95% UI, 153 000-180 000) cases and 114 000 (95% UI, 103 000-126 000) 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.

SUBMITTER: GBD 2019 Lip, Oral, and Pharyngeal Cancer Collaborators 

PROVIDER: S-EPMC10485745 | biostudies-literature | 2023 Oct

REPOSITORIES: biostudies-literature

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Publications

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.

Cunha Amanda Ramos da ARD   Compton Kelly K   Xu Rixing R   Mishra Rashmi R   Drangsholt Mark Thomas MT   Antunes Jose Leopoldo Ferreira JLF   Kerr Alexander R AR   Acheson Alistair R AR   Lu Dan D   Wallace Lindsey E LE   Kocarnik Jonathan M JM   Fu Weijia W   Dean Frances E FE   Pennini Alyssa A   Henrikson Hannah Jacqueline HJ   Alam Tahiya T   Ababneh Emad E   Abd-Elsalam Sherief S   Abdoun Meriem M   Abidi Hassan H   Abubaker Ali Hiwa H   Abu-Gharbieh Eman E   Adane Tigist Demssew TD   Addo Isaac Yeboah IY   Ahmad Aqeel A   Ahmad Sajjad S   Ahmed Rashid Tarik T   Akonde Maxwell M   Al Hamad Hanadi H   Alahdab Fares F   Alimohamadi Yousef Y   Alipour Vahid V   Al-Maweri Sadeq Ali SA   Alsharif Ubai U   Ansari-Moghaddam Alireza A   Anwar Sumadi Lukman SL   Anyasodor Anayochukwu Edward AE   Arabloo Jalal J   Aravkin Aleksandr Y AY   Aruleba Raphael Taiwo RT   Asaad Malke M   Ashraf Tahira T   Athari Seyyed Shamsadin SS   Attia Sameh S   Azadnajafabad Sina S   Azangou-Khyavy Mohammadreza M   Badar Muhammad M   Baghcheghi Nayereh N   Banach Maciej M   Bardhan Mainak M   Barqawi Hiba Jawdat HJ   Bashir Nasir Z NZ   Bashiri Azadeh A   Benzian Habib H   Bernabe Eduardo E   Bhagat Devidas S DS   Bhojaraja Vijayalakshmi S VS   Bjørge Tone T   Bouaoud Souad S   Braithwaite Dejana D   Briko Nikolay Ivanovich NI   Calina Daniela D   Carreras Giulia G   Chakraborty Promit Ananyo PA   Chattu Vijay Kumar VK   Chaurasia Akhilanand A   Chen Meng Xuan MX   Cho William C S WCS   Chu Dinh-Toi DT   Chukwu Isaac Sunday IS   Chung Eunice E   Cruz-Martins Natália N   Dadras Omid O   Dai Xiaochen X   Dandona Lalit L   Dandona Rakhi R   Daneshpajouhnejad Parnaz P   Darvishi Cheshmeh Soltani Reza R   Darwesh Aso Mohammad AM   Debela Sisay Abebe SA   Derbew Molla Meseret M   Dessalegn Fikadu Nugusu FN   Dianati-Nasab Mostafa M   Digesa Lankamo Ena LE   Dixit Shilpi Gupta SG   Dixit Abhinav A   Djalalinia Shirin S   El Sayed Iman I   El Tantawi Maha M   Enyew Daniel Berhanie DB   Erku Daniel Asfaw DA   Ezzeddini Rana R   Fagbamigbe Adeniyi Francis AF   Falzone Luca L   Fetensa Getahun G   Fukumoto Takeshi T   Gaewkhiew Piyada P   Gallus Silvano S   Gebrehiwot Mesfin M   Ghashghaee Ahmad A   Gill Paramjit Singh PS   Golechha Mahaveer M   Goleij Pouya P   Gomez Ricardo Santiago RS   Gorini Giuseppe G   Guimaraes Andre Luiz Sena ALS   Gupta Bhawna B   Gupta Sapna S   Gupta Veer Bala VB   Gupta Vivek Kumar VK   Haj-Mirzaian Arvin A   Halboub Esam S ES   Halwani Rabih R   Hanif Asif A   Hariyani Ninuk N   Harorani Mehdi M   Hasani Hamidreza H   Hassan Abbas M AM   Hassanipour Soheil S   Hassen Mohammed Bheser MB   Hay Simon I SI   Hayat Khezar K   Herrera-Serna Brenda Yuliana BY   Holla Ramesh R   Horita Nobuyuki N   Hosseinzadeh Mehdi M   Hussain Salman S   Ilesanmi Olayinka Stephen OS   Ilic Irena M IM   Ilic Milena D MD   Isola Gaetano G   Jaiswal Abhishek A   Jani Chinmay T CT   Javaheri Tahereh T   Jayarajah Umesh U   Jayaram Shubha S   Joseph Nitin N   Kadashetti Vidya V   Kandaswamy Eswar E   Karanth Shama D SD   Karaye Ibraheem M IM   Kauppila Joonas H JH   Kaur Harkiran H   Keykhaei Mohammad M   Khader Yousef Saleh YS   Khajuria Himanshu H   Khanali Javad J   Khatib Mahalaqua Nazli MN   Khayat Kashani Hamid Reza HR   Khazeei Tabari Mohammad Amin MA   Kim Min Seo MS   Kompani Farzad F   Koohestani Hamid Reza HR   Kumar G Anil GA   Kurmi Om P OP   La Vecchia Carlo C   Lal Dharmesh Kumar DK   Landires Iván I   Lasrado Savita S   Ledda Caterina C   Lee Yo Han YH   Libra Massimo M   Lim Stephen S SS   Listl Stefan S   Lopukhov Platon D PD   Mafi Ahmad R AR   Mahumud Rashidul Alam RA   Malik Ahmad Azam AA   Mathur Manu Raj MR   Maulud Sazan Qadir SQ   Meena Jitendra Kumar JK   Mehrabi Nasab Entezar E   Mestrovic Tomislav T   Mirfakhraie Reza R   Misganaw Awoke A   Misra Sanjeev S   Mithra Prasanna P   Mohammad Yousef Y   Mohammadi Mokhtar M   Mohammadi Esmaeil E   Mokdad Ali H AH   Moni Mohammad Ali MA   Moraga Paula P   Morrison Shane Douglas SD   Mozaffari Hamid Reza HR   Mubarik Sumaira S   Murray Christopher J L CJL   Nair Tapas Sadasivan TS   Narasimha Swamy Sreenivas S   Narayana Aparna Ichalangod AI   Nassereldine Hasan H   Natto Zuhair S ZS   Nayak Biswa Prakash BP   Negru Serban Mircea SM   Nggada Haruna Asura HA   Nouraei Hasti H   Nuñez-Samudio Virginia V   Oancea Bogdan B   Olagunju Andrew T AT   Omar Bali Ahmed A   Padron-Monedero Alicia A   Padubidri Jagadish Rao JR   Pandey Anamika A   Pardhan Shahina S   Patel Jay J   Pezzani Raffaele R   Piracha Zahra Zahid ZZ   Rabiee Navid N   Radhakrishnan Venkatraman V   Radhakrishnan Raghu Anekal RA   Rahmani Amir Masoud AM   Rahmanian Vahid V   Rao Chythra R CR   Rao Sowmya J SJ   Rath Goura Kishor GK   Rawaf David Laith DL   Rawaf Salman S   Rawassizadeh Reza R   Razeghinia Mohammad Sadegh MS   Rezaei Nazila N   Rezaei Negar N   Rezaei Nima N   Rezapour Aziz A   Riad Abanoub A   Roberts Thomas J TJ   Romero-Rodríguez Esperanza E   Roshandel Gholamreza G   S Manjula M   S N Chandan C   Saddik Basema B   Saeb Mohammad Reza MR   Saeed Umar U   Safaei Mohsen M   Sahebazzamani Maryam M   Sahebkar Amirhossein A   Salek Farrokhi Amir A   Samy Abdallah M AM   Santric-Milicevic Milena M MM   Sathian Brijesh B   Satpathy Maheswar M   Šekerija Mario M   Senthilkumaran Subramanian S   Seylani Allen A   Shafaat Omid O   Shahsavari Hamid R HR   Shamsoddin Erfan E   Sharew Mequannent Melaku MM   Sharifi-Rad Javad J   Shetty Jeevan K JK   Shivakumar K M KM   Shobeiri Parnian P   Shorofi Seyed Afshin SA   Shrestha Sunil S   Siddappa Malleshappa Sudeep K SK   Singh Paramdeep P   Singh Jasvinder A JA   Singh Garima G   Sinha Dhirendra Narain DN   Solomon Yonatan Y   Suleman Muhammad M   Suliankatchi Abdulkader Rizwan R   Taheri Abkenar Yasaman Y   Talaat Iman M IM   Tan Ker-Kan KK   Tbakhi Abdelghani A   Thiyagarajan Arulmani A   Tiyuri Amir A   Tovani-Palone Marcos Roberto MR   Unnikrishnan Bhaskaran B   Vo Bay B   Volovat Simona Ruxandra SR   Wang Cong C   Westerman Ronny R   Wickramasinghe Nuwan Darshana ND   Xiao Hong H   Yu Chuanhua C   Yuce Deniz D   Yunusa Ismaeel I   Zadnik Vesna V   Zare Iman I   Zhang Zhi-Jiang ZJ   Zoladl Mohammad M   Force Lisa M LM   Hugo Fernando N FN  

JAMA oncology 20231001 10


<h4>Importance</h4>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.<h4>Objective</h4>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 F  ...[more]

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