Maimaiti Aierpati, Tuersun Maidina, Wang Xixian, Mijiti Maimaitili, Wu Hao, Cong Chunyu, Wang Zengliang, Wang Yongxin
Department of Neurosurgery at the First Affiliated Hospital of Xinjiang Medical University, Urumqi, China.
Department of Neurosurgery at the First Affiliated Hospital of Xinjiang Medical University, Urumqi, China,
Neuroepidemiology. 2024 Oct 24:1-20. doi: 10.1159/000541917.
A study of the global burden of cerebral and central nervous system (CNS) cancers from the Global Burden of Diseases (GBD) indicates that these cancers significantly contribute to morbidity and mortality internationally. To fully understand the global impact of CNS cancer, expanded research efforts are essential. We analyzed the temporal trend of the disease burden from 1990 to 2021 and made projections for the expected burden from 2020 through 2044.
We tapped into GBD 2021 Study data to evaluate CNS cancer incidence and trends among males. Prevalence was assessed with DisMod-MR, trends via cluster analysis, and estimated annual percentage change (EAPC) calculated via linear regression. Forecasts for 2022-2044 used APC and BAPC models, with a p value <0.05 considered significant. Analyses relied on R software 4.0.2.
In 2021, males experienced between 148,118 and 232,469 new brain and CNS cancer cases, indicating increased global burden from 1990 to 2021. An observed link between the prevalence's EAPCs and Human Development Indices (HDIs) suggests higher incidence in more developed regions. Projections using the APC model suggest rising numbers of cases and losses in disability-adjusted life years (DALYs) from 2020 to 2044, while age-standardized rates are expected to decrease overall.
In summary, a higher Socio-Demographic Index (SDI) correlates with better outcomes for CNS cancer due to early medical interventions in regions with strong healthcare systems. This demonstrates the need for equitable healthcare policies that focus on improving diagnostic capabilities and professional training to enhance survival rates universally.
全球疾病负担(GBD)对脑癌和中枢神经系统(CNS)癌症全球负担的一项研究表明,这些癌症在全球范围内对发病率和死亡率有重大影响。为了全面了解中枢神经系统癌症的全球影响,扩大研究力度至关重要。我们分析了1990年至2021年疾病负担的时间趋势,并对2020年至2044年的预期负担进行了预测。
我们利用GBD 2021研究数据评估男性中枢神经系统癌症的发病率和趋势。通过DisMod-MR评估患病率,通过聚类分析评估趋势,并通过线性回归计算估计年百分比变化(EAPC)。2022 - 2044年的预测使用APC和BAPC模型,p值<0.05被视为具有统计学意义。分析依赖于R软件4.0.2。
2021年,男性新患脑癌和中枢神经系统癌症病例在148,118至232,469例之间,表明1990年至2021年全球负担有所增加。观察到的患病率EAPC与人类发展指数(HDI)之间的联系表明,较发达地区的发病率更高。使用APC模型的预测表明,从2020年到2044年,病例数将增加,残疾调整生命年(DALY)将减少,而年龄标准化率总体上预计将下降。
总之,较高的社会人口指数(SDI)与中枢神经系统癌症更好的预后相关,这是由于医疗保健系统强大的地区进行了早期医疗干预。这表明需要制定公平的医疗政策,专注于提高诊断能力和专业培训,以普遍提高生存率。