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1990年至2021年喉癌的全球、区域和国家影响以及2050年的预测:全球疾病负担2021研究的综合分析

The global, regional, and national impact of laryngeal cancer from 1990 to 2021, along with forecasts for 2050: a comprehensive analysis for the Global Burden of Disease 2021 research.

作者信息

Duan Tingting, Zou Yuxia, Liu Xuan, Du Yue, Li Ruihu, Cai Jingxiang, Li Jumei, Wang Xiaofeng, Zhou Xuejun, Ding Shun

机构信息

Department of Otolaryngology, Head and Neck Surgery, The First Affiliated Hospital, Hainan Medical University, Haikou, China.

出版信息

Front Oncol. 2025 Aug 22;15:1627009. doi: 10.3389/fonc.2025.1627009. eCollection 2025.

Abstract

BACKGROUND

Laryngeal cancer (LC), the second most common head and neck malignancy, with significant global geographical disparities in incidence and mortality, was analyzed using 2021 Global Burden of Disease (GBD) data to assess Socio-Demographic Index (SDI) correlations and project disease burden through 2050, aiming to reduce its global impact.

METHODS

Using data from the GBD 2021, we investigated the incidence, prevalence, deaths, and Disability-Adjusted Life Years (DALYs) of LC, as well as trends, age-sex-time patterns, driving factors, and projections up to 2050.

RESULTS

In 2021, LC increased with age and decreased after the age of 70. The incidence and mortality rates of male patients are much higher than those of female patients, and the gap between men and women gradually narrows after the age of 70. From 1990 to 2021, the overall disease burden of LC globally showed a downward trend and is expected to further decline by 2050. However, there are significant differences among different countries and regions. In high SDI regions, the disease burden gradually decreases after reaching its peak, while in low SDI regions, the reduction or increase in the disease burden is relatively small. Population growth and aging are the main factors leading to the increase in the LC burden, but epidemiological changes have alleviated this burden to a certain extent. Smoking and excessive alcohol consumption are the main risk factors for LC.

CONCLUSIONS

While the global LC burden has moderated, significant disparities persist across SDI regions. Healthcare quality improvements and targeted prevention, with this analysis offering evidence-based guidance for public health strategy formulation.

摘要

背景

喉癌(LC)是第二常见的头颈部恶性肿瘤,在全球发病率和死亡率存在显著的地域差异。本研究使用2021年全球疾病负担(GBD)数据对喉癌进行分析,以评估社会人口指数(SDI)相关性,并预测到2050年的疾病负担,旨在降低其全球影响。

方法

利用GBD 2021的数据,我们调查了喉癌的发病率、患病率、死亡率和伤残调整生命年(DALYs),以及趋势、年龄-性别-时间模式、驱动因素,并预测到2050年。

结果

2021年,喉癌发病率随年龄增长而上升,70岁后下降。男性患者的发病率和死亡率远高于女性患者,70岁后男女差距逐渐缩小。从1990年到2021年,全球喉癌的总体疾病负担呈下降趋势,预计到2050年将进一步下降。然而,不同国家和地区之间存在显著差异。在高SDI地区,疾病负担在达到峰值后逐渐下降,而在低SDI地区,疾病负担的减少或增加相对较小。人口增长和老龄化是导致喉癌负担增加的主要因素,但流行病学变化在一定程度上减轻了这一负担。吸烟和过量饮酒是喉癌的主要危险因素。

结论

虽然全球喉癌负担有所减轻,但SDI地区之间仍存在显著差异。改善医疗质量和进行有针对性的预防,本分析为公共卫生战略制定提供了循证指导。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/13f8/12411215/499742cefd7f/fonc-15-1627009-g001.jpg

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