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全球、区域和国家脑及中枢神经系统癌症负担:发病率、死亡率和伤残调整生命年的系统分析及到2040年的预测

Global, regional, and national burden of brain and central nervous system cancer: a systematic analysis of incidence, deaths, and DALYS with predictions to 2040.

作者信息

Zhang Qi, Yu Honghao, Zhong Jue, Cheng Weiting, Qi Yiwei

机构信息

Department of Plastic and Cosmetic Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Department of Dermatology and Venereology, Peking University First Hospital, Beijing, China.

出版信息

Int J Surg. 2025 Jun 1;111(6):4033-4038. doi: 10.1097/JS9.0000000000002359. Epub 2025 Apr 1.

Abstract

BACKGROUND

Brain and central nervous system (CNS) cancers present significant health challenges globally, characterized by increasing incidence and mortality rates. This study utilizes data from the Global Burden of Disease (GBD) 2021 to analyze trends and project future burdens.

METHODS

We calculated age-standardized rates (ASRs) of incidence, mortality, and disability-adjusted life years (DALYs) for brain and CNS cancers from 1990 to 2021. Trends were analyzed using estimated annual percentage change, and future projections were made with an Autoregressive Integrated Moving Average (ARIMA) model. Correlations between the socio-demographic index (SDI) and ASR were also examined.

RESULTS

The study revealed a 106% increase in incidence number and a 63.67% rise in death number over the study period. The ARIMA model predicts declines in incidence, mortality, and DALYs by 2040. Higher incidence rates were observed in high SDI regions, while greater mortality occurred in low SDI areas, indicating significant disparities.

CONCLUSION

These findings underscore the need for targeted interventions and sustained healthcare investments to manage the global burden of brain and CNS cancers effectively. The projected declines suggest potential effectiveness of current public health strategies but highlight the importance of addressing socio-demographic disparities.

摘要

背景

脑癌和中枢神经系统(CNS)癌症在全球范围内带来了重大的健康挑战,其发病率和死亡率不断上升。本研究利用2021年全球疾病负担(GBD)的数据来分析趋势并预测未来的负担。

方法

我们计算了1990年至2021年脑癌和中枢神经系统癌症的年龄标准化发病率、死亡率和伤残调整生命年(DALY)。使用估计的年度百分比变化分析趋势,并采用自回归积分移动平均(ARIMA)模型进行未来预测。还研究了社会人口指数(SDI)与年龄标准化率之间的相关性。

结果

研究显示,在研究期间,发病数增加了106%,死亡数增加了63.67%。ARIMA模型预测到2040年发病率、死亡率和伤残调整生命年将下降。高SDI地区的发病率较高,而低SDI地区的死亡率较高,表明存在显著差异。

结论

这些发现强调了需要有针对性的干预措施和持续的医疗保健投资,以有效管理全球脑癌和中枢神经系统癌症的负担。预计的下降表明当前公共卫生策略可能有效,但突出了解决社会人口差异的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e67/12165519/3e695175d462/js9-111-4033-g001.jpg

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