The First Clinical Medical College, Lanzhou University, Lanzhou, 730000, China.
Department of Center for Reproductive Medicine, The First Hospital of Lanzhou University, No. 11, Donggang Road (West), Cheng-Guan District, Lanzhou, 730000, China.
BMC Womens Health. 2023 Jul 21;23(1):384. doi: 10.1186/s12905-023-02535-5.
Uterine cancer remains a serious medical problem worldwide. This study aimed to explore the global time trends of uterine cancer burden using the age-period-cohort model and forecast incidence to 2044.
Data were downloaded from the Global Burden of Disease 2019. The age-period-cohort model was used to estimate age, period and birth cohort effects. We also predict uterine cancer incidence to 2044.
Globally, there were 435,041 incident cases (95% UI: 245,710 to 272,470) and 91,640 deaths of uterine cancer (95% UI: 39,910 to 44,140) in 2019. During the past 30 years, the age-standardized incidence and death rates increased by 15.3% and decreased by 21.6%, respectively. Between 1990 and 2019, the high-sociodemographic index region had the highest overall annual percentage changes. The age effect showed the uterine cancer incidence rate first increased and then decreased with age. The period and cohort relative rate ratio showed upward trends during the study period. Incident cases of uterine cancer may increase to more than six hundred thousand in 2044.
Uterine cancer causes a high disease burden in high-income regions and the global incidence may continue to increase in the future. Improving awareness of risk factors and reducing the proportion of the obese population are necessary to reduce future burden.
子宫癌仍然是全球范围内一个严重的医学问题。本研究旨在使用年龄-时期-队列模型探索全球子宫癌负担的时间趋势,并预测到 2044 年的发病率。
数据从 2019 年全球疾病负担数据库中下载。使用年龄-时期-队列模型来估计年龄、时期和出生队列的影响。我们还预测了 2044 年子宫癌的发病率。
2019 年全球有 435041 例新发子宫癌病例(95%可信区间:245710 至 272470)和 91640 例子宫癌死亡病例(95%可信区间:39910 至 44140)。在过去的 30 年中,年龄标准化发病率和死亡率分别上升了 15.3%和下降了 21.6%。1990 年至 2019 年期间,高社会经济指数地区的总体年变化率最高。年龄效应显示,子宫癌的发病率随着年龄的增长先增加后减少。时期和队列相对风险比显示出在研究期间呈上升趋势。到 2044 年,子宫癌的发病人数可能会增加到 60 万以上。
子宫癌在高收入地区造成了很高的疾病负担,未来全球的发病率可能会继续上升。提高对危险因素的认识和减少肥胖人口的比例对于减轻未来的负担是必要的。