The global, regional, and national burden of stomach cancer in 195 countries, 1990–2017: a systematic analysis for the Global Burden of Disease study 2017

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Résumé

BACKGROUND: Stomach cancer is a major health problem in many countries. Understanding the current burden of stomach cancer and the differential trends across various locations is essential for formulating effective preventive strategies. We report on the incidence, mortality, and disability-adjusted life-years (DALYs) due to stomach cancer in 195 countries and territories from 21 regions between 1990 and 2017. METHODS: Estimates from GBD 2017 were used to analyse the incidence, mortality, and DALYs due to stomach cancer at the global, regional, and national levels. The rates were standardised to the GBD world population and reported per 100 000 population as age-standardised incidence rates, age-standardised death rates, and age-standardised DALY rates. All estimates were generated with 95% uncertainty intervals (UIs). FINDINGS: In 2017, more than 1·22 million (95% UI 1·19-1·25) incident cases of stomach cancer occurred worldwide, and nearly 865 000 people (848 000-885 000) died of stomach cancer, contributing to 19·1 million (18·7-19·6) DALYs. The highest age-standardised incidence rates in 2017 were seen in the high-income Asia Pacific (29·5, 28·2-31·0 per 100 000 population) and east Asia (28·6, 27·3-30·0 per 100 000 population) regions, with nearly half of the global incident cases occurring in China. Compared with 1990, in 2017 more than 356 000 more incident cases of stomach cancer were estimated, leading to nearly 96 000 more deaths. Despite the increase in absolute numbers, the worldwide age-standardised rates of stomach cancer (incidence, deaths, and DALYs) have declined since 1990. The drop in the disease burden was associated with improved Socio-demographic Index. Globally, 38·2% (21·1-57·8) of the age-standardised DALYs were attributable to high-sodium diet in both sexes combined, and 24·5% (20·0-28·9) of the age-standardised DALYs were attributable to smoking in males. INTERPRETATION: Our findings provide insight into the changing burden of stomach cancer, which is useful in planning local strategies and monitoring their progress. To this end, specific local strategies should be tailored to each country's risk factor profile. Beyond the current decline in age-standardised incidence and death rates, a decrease in the absolute number of cases and deaths will be possible if the burden in east Asia, where currently almost half of the incident cases and deaths occur, is further reduced. FUNDING: Bill & Melinda Gates Foundation.

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La notice

Revue

˜The œLancet. Gastroenterology & hepatology

Thématique

Helicobacter pylori-related gastroenterology studies

Domaine

Medicine

Établissements canadiens

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Organismes subventionnaires

Student Research Committee, Tabriz University of Medical SciencesSistema Nacional de InvestigadoresMedical Research CouncilAdigrat UniversityUniversitair Ziekenhuis AntwerpenUniversitätsklinikum HeidelbergRede de Química e TecnologiaKurdistan University Of Medical SciencesWestern Sydney UniversityLorestan University of Medical SciencesInstituto De Saúde Pública, Universidade do PortoFakultet Medicinskih Nauka, Univerziteta U KragujevcuMekelle UniversityApplied Molecular Biosciences UnitPomorski Uniwersytet Medyczny W SzczecinieTarbiat Modares UniversityAddis Ababa UniversityArak University of Medical SciencesUniversity of Cape TownUniversidade do PortoCentro de Investigación Biomédica en Red de Salud MentalUniversity of DhakaDebre Markos UniversityQazvin University of Medical SciencesShahid Beheshti University of Medical SciencesKermanshah University of Medical SciencesShahrekord University of Medical SciencesBaki Dövlət UniversitetiQueen Elizabeth Hospital Birmingham CharityBirjand University of Medical SciencesBushehr University of Medical SciencesShahrekord UniversityXiamen UniversityBahir Dar UniversityHaramaya UniversityShahroud University of Medical SciencesCollege of Science and Engineering, University of MinnesotaCleveland ClinicMazandaran University of Medical SciencesBabol University of Medical SciencesGolestan University of Medical SciencesAksum UniversityInstitute for Research in Fundamental SciencesTehran University of Medical Sciences and Health ServicesHamadan University of Medical SciencesKhalifa University of Science, Technology and ResearchMcMaster UniversityJordan University of Science and TechnologyMinistério da Ciência, Tecnologia e Ensino SuperiorJohns Hopkins UniversityMinistry of Health and Medical EducationUniversitatea de Medicină şi Farmacie "Carol Davila" BucureştiUniversidad Nacional de ColombiaSharif University of TechnologyAin Shams UniversityDeutsches KrebsforschungszentrumSouth African Medical Research CouncilMorgan State UniversityHamad Bin Khalifa UniversityUniversitetet i BergenMaragheh University of Medical SciencesAhmadu Bello UniversityFundação para a Ciência e a TecnologiaBill and Melinda Gates FoundationUniversità degli Studi di MilanoDepartment of Science and Technology, Ministry of Science and Technology, IndiaĐại học Quốc gia Hà NộiUniversität BielefeldInstitució Catalana de Recerca i Estudis AvançatsDepartment of Science and Technology, Government of KeralaA.T. Still UniversityQatar FoundationUniversità di CataniaBrigham and Women's HospitalUnited Arab Emirates UniversityHarvard UniversitySan Diego State University

Mots-clés

MedicineStomach cancerIncidence (geometry)PopulationDemographyCancerDisease burdenMortality rateBurden of diseaseEnvironmental healthSurgeryInternal medicine

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