Asia-Pacific journal of clinical oncology · 2026
Global Burden and Trends of Early-Onset Tracheal, Bronchus, and Lung Cancer Among Women From 1990 to 2021.
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Zhang Liang, Wang Hailong, Liang Gaofeng, Yu Biyun
Аннотация
BACKGROUND: To assess the trends in the global disease burden of early-onset female tracheal, bronchus, and lung cancer (TBL) from 1990 to 2021.
METHODS: The estimates of age-standardized incidence rate (ASIR), age-standardized death rate (ASDR), age-standardized disability-adjusted life years (DALY) rate, and estimated annual percentage change (EAPC) were extracted, with subsequent analysis of attributable risk factors.
RESULTS: From 1990 to 2021, the global disease burden of early-onset female TBL showed a decreasing trend, as reflected by negative EAPCs for the age-standardized DALY rate, ASDR, and ASIR (all EAPCs < 0). Among different socio-demographic index (SDI) regions, low-middle SDI regions saw the fastest growth in age-standardized DALY rates (EAPC = 0.66), ASDR (EAPC = 0.68), and ASIR (EAPC = 0.75). The age distribution showed that the 15-19 and 20-24 age groups in low SDI regions had the highest EAPC (both 1.12). Regional analysis shows that South Asia shows the fastest rising trends in all indicators (DALY rate EAPC = 1.42, ASDR EAPC = 1.44, ASIR EAPC = 1.53). Ambient particulate matter pollution shows the fastest growth (DALY rate EAPC = 1.22, ASDR EAPC = 1.27).
CONCLUSIONS: The global disease burden of early-onset female TBL continues to increase in younger populations in low SDI regions. Ambient particulate matter pollution is the primary growth factor. High-burden areas and South Asia face rapidly growing crises.
METHODS: The estimates of age-standardized incidence rate (ASIR), age-standardized death rate (ASDR), age-standardized disability-adjusted life years (DALY) rate, and estimated annual percentage change (EAPC) were extracted, with subsequent analysis of attributable risk factors.
RESULTS: From 1990 to 2021, the global disease burden of early-onset female TBL showed a decreasing trend, as reflected by negative EAPCs for the age-standardized DALY rate, ASDR, and ASIR (all EAPCs < 0). Among different socio-demographic index (SDI) regions, low-middle SDI regions saw the fastest growth in age-standardized DALY rates (EAPC = 0.66), ASDR (EAPC = 0.68), and ASIR (EAPC = 0.75). The age distribution showed that the 15-19 and 20-24 age groups in low SDI regions had the highest EAPC (both 1.12). Regional analysis shows that South Asia shows the fastest rising trends in all indicators (DALY rate EAPC = 1.42, ASDR EAPC = 1.44, ASIR EAPC = 1.53). Ambient particulate matter pollution shows the fastest growth (DALY rate EAPC = 1.22, ASDR EAPC = 1.27).
CONCLUSIONS: The global disease burden of early-onset female TBL continues to increase in younger populations in low SDI regions. Ambient particulate matter pollution is the primary growth factor. High-burden areas and South Asia face rapidly growing crises.