Sun Yulin, Shen Yiming, Liu Qian, Zhang Hao, Jia Lingling, Chai Yi, Jiang Hua, Wu Minjuan, Li Yufei
Department of Plastic Surgery, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China.
Department of Otology and Skull Base Surgery, Eye, Ear, Nose, and Throat Hospital, Fudan University, Shanghai, China.
J Am Acad Dermatol. 2025 Jan;92(1):100-107. doi: 10.1016/j.jaad.2024.09.035. Epub 2024 Sep 27.
Melanoma, a significant global health concern, has shown evolving epidemiologic trends. Accurate estimation of melanoma's burden is essential for public health strategies and interventions.
This study aims to estimate the incidence, mortality, and disability-adjusted life years for melanoma, stratified by region, gender, and age group, from 1990 to 2021.
Using data from the Global Burden of Disease 2021, we analyzed melanoma incidence, mortality rates, and disability-adjusted life years in 204 countries from 1990 to 2021. These metrics were age-standardized and stratified by age, sex, Socio-Demographic Index, region, and country. The estimated annual percentage change was calculated to track temporal trends.
Our study shows a substantial global increase in melanoma incidence, with significant disparities between genders and age groups. Higher Socio-Demographic Index regions had increased incidence rates, while global mortality declined, likely due to improved detection and treatment.
The reliance on estimates and models may introduce bias due to variability in disease definitions, diagnostic criteria, and data collection methods.
This study underscores the dynamic nature of melanoma's burden and the need for targeted, age-specific, and gender-specific interventions. Continued research is essential to address the growing challenges posed by melanoma.
黑色素瘤是一个重大的全球健康问题,其流行病学趋势不断演变。准确估计黑色素瘤的负担对于公共卫生战略和干预措施至关重要。
本研究旨在估计1990年至2021年按地区、性别和年龄组分层的黑色素瘤发病率、死亡率和伤残调整生命年。
利用2021年全球疾病负担数据,我们分析了1990年至2021年204个国家的黑色素瘤发病率、死亡率和伤残调整生命年。这些指标进行了年龄标准化,并按年龄、性别、社会人口指数、地区和国家分层。计算估计的年百分比变化以追踪时间趋势。
我们的研究表明,全球黑色素瘤发病率大幅上升,性别和年龄组之间存在显著差异。社会人口指数较高的地区发病率上升,而全球死亡率下降,这可能归因于检测和治疗的改善。
由于疾病定义、诊断标准和数据收集方法的差异,依赖估计和模型可能会引入偏差。
本研究强调了黑色素瘤负担的动态性质以及针对性别和年龄的特定干预措施的必要性。持续的研究对于应对黑色素瘤带来的日益严峻的挑战至关重要。