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

IF 10.1 2区 医学 Q1 SURGERY International journal of surgery Pub Date : 2025-06-01 Epub Date: 2025-04-01 DOI:10.1097/JS9.0000000000002359
Qi Zhang, Honghao Yu, Jue Zhong, Weiting Cheng, Yiwei Qi
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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.

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脑和中枢神经系统癌症的全球、区域和国家负担:到2040年预测的发病率、死亡和DALYS的系统分析。
背景:脑和中枢神经系统(CNS)癌症是全球健康面临的重大挑战,其特点是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年间脑癌和中枢神经系统癌的发病率、死亡率和残疾调整生命年(DALYs)的年龄标准化率(ASRs)。使用估计的年百分比变化分析趋势,并使用自回归综合移动平均(ARIMA)模型进行未来预测。社会人口指数(SDI)与ASR之间的相关性也进行了研究。结果:研究显示,在研究期间,发病率增加了106%,死亡率增加了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:这些发现强调了有针对性的干预措施和持续的医疗投资的必要性,以有效地管理脑癌和中枢神经系统癌的全球负担。预期的下降表明当前公共卫生战略可能有效,但突出了解决社会人口差异的重要性。
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来源期刊
CiteScore
17.70
自引率
3.30%
发文量
0
审稿时长
6-12 weeks
期刊介绍: The International Journal of Surgery (IJS) has a broad scope, encompassing all surgical specialties. Its primary objective is to facilitate the exchange of crucial ideas and lines of thought between and across these specialties.By doing so, the journal aims to counter the growing trend of increasing sub-specialization, which can result in "tunnel-vision" and the isolation of significant surgical advancements within specific specialties.
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