The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017
Background: Worldwide, both the incidence and death rates of pancreatic cancer are increasing. Evaluation of pancreatic cancer burden and its global, regional, and national patterns is crucial to policy making and better resource allocation for controlling pancreatic cancer risk factors, developing...
Published in: | The Lancet Gastroenterology & Hepatology |
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Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Other Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Elsevier
2019
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Subjects: | |
Online Access: | http://hdl.handle.net/2434/686233 https://doi.org/10.1016/S2468-1253(19)30347-4 |
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ftunivmilanoair:oai:air.unimi.it:2434/686233 |
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record_format |
openpolar |
institution |
Open Polar |
collection |
The University of Milan: Archivio Istituzionale della Ricerca (AIR) |
op_collection_id |
ftunivmilanoair |
language |
English |
topic |
pancreatic cancer risk factor Settore MED/01 - Statistica Medica |
spellingShingle |
pancreatic cancer risk factor Settore MED/01 - Statistica Medica Pourshams, Akram Sepanlou, Sadaf G Ikuta, Kevin S Bisignano, Catherine Safiri, Saeid Roshandel, Gholamreza Sharif, Mehdi Khatibian, Morteza Fitzmaurice, Christina Nixon, Molly R Abbasi, Nooshin Afarideh, Mohsen Ahmadian, Elham Akinyemiju, Tomi Alahdab, Fares Alam, Tahiya Alipour, Vahid Allen, Christine A Anber, Nahla Hamed Ansari-Moghaddam, Alireza Arabloo, Jalal Badawi, Alaa Bagherzadeh, Mojtaba Belayneh, Yaschilal Muche Biadgo, Belete Bijani, Ali Biondi, Antonio Bjørge, Tone Borzì, Antonio M Bosetti, Cristina Briko, Andrey Nikolaevich Briko, Nikolay Ivanovich Carreras, Giulia Carvalho, Félix Choi, Jee-Young J Chu, Dinh-Toi Dang, Anh Kim Daryani, Ahmad Davitoiu, Dragos Virgil Demoz, Gebre Teklemariam Desai, Rupak Dey, Subhojit Do, Hoa Thi Do, Huyen Phuc Eftekhari, Aziz Esteghamati, Alireza Farzadfar, Farshad Fernandes, Eduarda Filip, Irina Fischer, Florian Foroutan, Masoud Gad, Mohamed M Gallus, Silvano Geta, Birhanu Gorini, Giuseppe Hafezi-Nejad, Nima Harvey, James D Hasankhani, Milad Hasanzadeh, Amir Hassanipour, Soheil Hay, Simon I Hidru, Hagos D Hoang, Chi Linh Hostiuc, Sorin Househ, Mowafa Ilesanmi, Olayinka Stephen Ilic, Milena D Irvani, Seyed Sina Naghibi Jafari Balalami, Nader James, Spencer L Joukar, Farahnaz Kasaeian, Amir Kassa, Tesfaye Dessale Kengne, Andre Pascal Khalilov, Rovshan Khan, Ejaz Ahmad Khater, Amir Khosravi Shadmani, Fatemeh Kocarnik, Jonathan M Komaki, Hamidreza Koyanagi, Ai Kumar, Vivek La Vecchia, Carlo Lopukhov, Platon D Manafi, Farzad Manafi, Navid Manda, Ana-Laura Mansour-Ghanaei, Fariborz Mehta, Dhruv Mehta, Varshil Meier, Toni Meles, Hagazi Gebre Mengistu, Getnet Miazgowski, Tomasz Mohamadnejad, Mehdi Mohammadian-Hafshejani, Abdollah Mohammadoo-Khorasani, Milad Mohammed, Shafiu Mohebi, Farnam Mokdad, Ali H Monasta, Lorenzo Moossavi, Maryam Moradzadeh, Rahmatollah Naik, Gurudatta Negoi, Ionut Nguyen, Cuong Tat Nguyen, Long Hoang Nguyen, Trang Huyen Olagunju, Andrew T Olagunju, Tinuke O Pennini, Alyssa Rabiee, Mohammad Rabiee, Navid Radfar, Amir Rahimi, Mahdi Rath, Goura Kishor Rawaf, David Laith Rawaf, Salman Reiner, Robert C Rezaei, Nima Rezapour, Aziz Saad, Anas M Saadatagah, Seyedmohammad Sahebkar, Amirhossein Salimzadeh, Hamideh Samy, Abdallah M Sanabria, Juan Sarveazad, Arash Sawhney, Monika Sekerija, Mario Shabalkin, Pavel Shaikh, Masood Ali Sharma, Rajesh Sheikhbahaei, Sara Shirkoohi, Reza Siddappa Malleshappa, Sudeep K Sisay, Mekonnen Soreide, Kjetil Soshnikov, Sergey Sotoudehmanesh, Rasoul Starodubov, Vladimir I Subart, Michelle L Tabarés-Seisdedos, Rafael Tadesse, Degena Bahray Bahrey Traini, Eugenio Tran, Bach Xuan Tran, Khanh Bao Ullah, Irfan Vacante, Marco Vahedian-Azimi, Amir Varavikova, Elena Westerman, Ronny Wondafrash, Dawit Dawit Zewdu Xu, Rixing Yonemoto, Naohiro Zadnik, Vesna Zhang, Zhi-Jiang Malekzadeh, Reza Naghavi, Mohsen The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 |
topic_facet |
pancreatic cancer risk factor Settore MED/01 - Statistica Medica |
description |
Background: Worldwide, both the incidence and death rates of pancreatic cancer are increasing. Evaluation of pancreatic cancer burden and its global, regional, and national patterns is crucial to policy making and better resource allocation for controlling pancreatic cancer risk factors, developing early detection methods, and providing faster and more effective treatments. Methods: Vital registration, vital registration sample, and cancer registry data were used to generate mortality, incidence, and disability-adjusted life-years (DALYs) estimates. We used the comparative risk assessment framework to estimate the proportion of deaths attributable to risk factors for pancreatic cancer: smoking, high fasting plasma glucose, and high body-mass index. All of the estimates were reported as counts and age-standardised rates per 100 000 person-years. 95% uncertainty intervals (UIs) were reported for all estimates. Findings: In 2017, there were 448 000 (95% UI 439 000–456 000) incident cases of pancreatic cancer globally, of which 232 000 (210 000–221 000; 51·9%) were in males. The age-standardised incidence rate was 5·0 (4·9–5·1) per 100 000 person-years in 1990 and increased to 5·7 (5·6–5·8) per 100 000 person-years in 2017. There was a 2·3 times increase in number of deaths for both sexes from 196 000 (193 000–200 000) in 1990 to 441 000 (433 000–449 000) in 2017. There was a 2·1 times increase in DALYs due to pancreatic cancer, increasing from 4·4 million (4·3–4·5) in 1990 to 9·1 million (8·9–9·3) in 2017. The age-standardised death rate of pancreatic cancer was highest in the high-income super-region across all years from 1990 to 2017. In 2017, the highest age-standardised death rates were observed in Greenland (17·4 [15·8–19·0] per 100 000 person-years) and Uruguay (12·1 [10·9–13·5] per 100 000 person-years). These countries also had the highest age-standardised death rates in 1990. Bangladesh (1·9 [1·5–2·3] per 100 000 person-years) had the lowest rate in 2017, and São Tomé and Príncipe (1·3 [1·1–1·5] per 100 ... |
author2 |
A. Poursham S.G. Sepanlou K.S. Ikuta C. Bisignano S. Safiri G. Roshandel M. Sharif M. Khatibian C. Fitzmaurice M.R. Nixon N. Abbasi M. Afarideh E. Ahmadian T. Akinyemiju F. Alahdab T. Alam V. Alipour C.A. Allen N.H. Anber A. Ansari-Moghaddam J. Arabloo A. Badawi M. Bagherzadeh Y.M. Belayneh B. Biadgo A. Bijani A. Biondi T. Bjørge A.M. Borzì C. Bosetti A.N. Briko N.I. Briko G. Carrera F. Carvalho J.J. Choi D. Chu A.K. Dang A. Daryani D.V. Davitoiu G.T. Demoz R. Desai S. Dey H.T. Do H.P. Do A. Eftekhari A. Esteghamati F. Farzadfar E. Fernande I. Filip F. Fischer |
format |
Article in Journal/Newspaper |
author |
Pourshams, Akram Sepanlou, Sadaf G Ikuta, Kevin S Bisignano, Catherine Safiri, Saeid Roshandel, Gholamreza Sharif, Mehdi Khatibian, Morteza Fitzmaurice, Christina Nixon, Molly R Abbasi, Nooshin Afarideh, Mohsen Ahmadian, Elham Akinyemiju, Tomi Alahdab, Fares Alam, Tahiya Alipour, Vahid Allen, Christine A Anber, Nahla Hamed Ansari-Moghaddam, Alireza Arabloo, Jalal Badawi, Alaa Bagherzadeh, Mojtaba Belayneh, Yaschilal Muche Biadgo, Belete Bijani, Ali Biondi, Antonio Bjørge, Tone Borzì, Antonio M Bosetti, Cristina Briko, Andrey Nikolaevich Briko, Nikolay Ivanovich Carreras, Giulia Carvalho, Félix Choi, Jee-Young J Chu, Dinh-Toi Dang, Anh Kim Daryani, Ahmad Davitoiu, Dragos Virgil Demoz, Gebre Teklemariam Desai, Rupak Dey, Subhojit Do, Hoa Thi Do, Huyen Phuc Eftekhari, Aziz Esteghamati, Alireza Farzadfar, Farshad Fernandes, Eduarda Filip, Irina Fischer, Florian Foroutan, Masoud Gad, Mohamed M Gallus, Silvano Geta, Birhanu Gorini, Giuseppe Hafezi-Nejad, Nima Harvey, James D Hasankhani, Milad Hasanzadeh, Amir Hassanipour, Soheil Hay, Simon I Hidru, Hagos D Hoang, Chi Linh Hostiuc, Sorin Househ, Mowafa Ilesanmi, Olayinka Stephen Ilic, Milena D Irvani, Seyed Sina Naghibi Jafari Balalami, Nader James, Spencer L Joukar, Farahnaz Kasaeian, Amir Kassa, Tesfaye Dessale Kengne, Andre Pascal Khalilov, Rovshan Khan, Ejaz Ahmad Khater, Amir Khosravi Shadmani, Fatemeh Kocarnik, Jonathan M Komaki, Hamidreza Koyanagi, Ai Kumar, Vivek La Vecchia, Carlo Lopukhov, Platon D Manafi, Farzad Manafi, Navid Manda, Ana-Laura Mansour-Ghanaei, Fariborz Mehta, Dhruv Mehta, Varshil Meier, Toni Meles, Hagazi Gebre Mengistu, Getnet Miazgowski, Tomasz Mohamadnejad, Mehdi Mohammadian-Hafshejani, Abdollah Mohammadoo-Khorasani, Milad Mohammed, Shafiu Mohebi, Farnam Mokdad, Ali H Monasta, Lorenzo Moossavi, Maryam Moradzadeh, Rahmatollah Naik, Gurudatta Negoi, Ionut Nguyen, Cuong Tat Nguyen, Long Hoang Nguyen, Trang Huyen Olagunju, Andrew T Olagunju, Tinuke O Pennini, Alyssa Rabiee, Mohammad Rabiee, Navid Radfar, Amir Rahimi, Mahdi Rath, Goura Kishor Rawaf, David Laith Rawaf, Salman Reiner, Robert C Rezaei, Nima Rezapour, Aziz Saad, Anas M Saadatagah, Seyedmohammad Sahebkar, Amirhossein Salimzadeh, Hamideh Samy, Abdallah M Sanabria, Juan Sarveazad, Arash Sawhney, Monika Sekerija, Mario Shabalkin, Pavel Shaikh, Masood Ali Sharma, Rajesh Sheikhbahaei, Sara Shirkoohi, Reza Siddappa Malleshappa, Sudeep K Sisay, Mekonnen Soreide, Kjetil Soshnikov, Sergey Sotoudehmanesh, Rasoul Starodubov, Vladimir I Subart, Michelle L Tabarés-Seisdedos, Rafael Tadesse, Degena Bahray Bahrey Traini, Eugenio Tran, Bach Xuan Tran, Khanh Bao Ullah, Irfan Vacante, Marco Vahedian-Azimi, Amir Varavikova, Elena Westerman, Ronny Wondafrash, Dawit Dawit Zewdu Xu, Rixing Yonemoto, Naohiro Zadnik, Vesna Zhang, Zhi-Jiang Malekzadeh, Reza Naghavi, Mohsen |
author_facet |
Pourshams, Akram Sepanlou, Sadaf G Ikuta, Kevin S Bisignano, Catherine Safiri, Saeid Roshandel, Gholamreza Sharif, Mehdi Khatibian, Morteza Fitzmaurice, Christina Nixon, Molly R Abbasi, Nooshin Afarideh, Mohsen Ahmadian, Elham Akinyemiju, Tomi Alahdab, Fares Alam, Tahiya Alipour, Vahid Allen, Christine A Anber, Nahla Hamed Ansari-Moghaddam, Alireza Arabloo, Jalal Badawi, Alaa Bagherzadeh, Mojtaba Belayneh, Yaschilal Muche Biadgo, Belete Bijani, Ali Biondi, Antonio Bjørge, Tone Borzì, Antonio M Bosetti, Cristina Briko, Andrey Nikolaevich Briko, Nikolay Ivanovich Carreras, Giulia Carvalho, Félix Choi, Jee-Young J Chu, Dinh-Toi Dang, Anh Kim Daryani, Ahmad Davitoiu, Dragos Virgil Demoz, Gebre Teklemariam Desai, Rupak Dey, Subhojit Do, Hoa Thi Do, Huyen Phuc Eftekhari, Aziz Esteghamati, Alireza Farzadfar, Farshad Fernandes, Eduarda Filip, Irina Fischer, Florian Foroutan, Masoud Gad, Mohamed M Gallus, Silvano Geta, Birhanu Gorini, Giuseppe Hafezi-Nejad, Nima Harvey, James D Hasankhani, Milad Hasanzadeh, Amir Hassanipour, Soheil Hay, Simon I Hidru, Hagos D Hoang, Chi Linh Hostiuc, Sorin Househ, Mowafa Ilesanmi, Olayinka Stephen Ilic, Milena D Irvani, Seyed Sina Naghibi Jafari Balalami, Nader James, Spencer L Joukar, Farahnaz Kasaeian, Amir Kassa, Tesfaye Dessale Kengne, Andre Pascal Khalilov, Rovshan Khan, Ejaz Ahmad Khater, Amir Khosravi Shadmani, Fatemeh Kocarnik, Jonathan M Komaki, Hamidreza Koyanagi, Ai Kumar, Vivek La Vecchia, Carlo Lopukhov, Platon D Manafi, Farzad Manafi, Navid Manda, Ana-Laura Mansour-Ghanaei, Fariborz Mehta, Dhruv Mehta, Varshil Meier, Toni Meles, Hagazi Gebre Mengistu, Getnet Miazgowski, Tomasz Mohamadnejad, Mehdi Mohammadian-Hafshejani, Abdollah Mohammadoo-Khorasani, Milad Mohammed, Shafiu Mohebi, Farnam Mokdad, Ali H Monasta, Lorenzo Moossavi, Maryam Moradzadeh, Rahmatollah Naik, Gurudatta Negoi, Ionut Nguyen, Cuong Tat Nguyen, Long Hoang Nguyen, Trang Huyen Olagunju, Andrew T Olagunju, Tinuke O Pennini, Alyssa Rabiee, Mohammad Rabiee, Navid Radfar, Amir Rahimi, Mahdi Rath, Goura Kishor Rawaf, David Laith Rawaf, Salman Reiner, Robert C Rezaei, Nima Rezapour, Aziz Saad, Anas M Saadatagah, Seyedmohammad Sahebkar, Amirhossein Salimzadeh, Hamideh Samy, Abdallah M Sanabria, Juan Sarveazad, Arash Sawhney, Monika Sekerija, Mario Shabalkin, Pavel Shaikh, Masood Ali Sharma, Rajesh Sheikhbahaei, Sara Shirkoohi, Reza Siddappa Malleshappa, Sudeep K Sisay, Mekonnen Soreide, Kjetil Soshnikov, Sergey Sotoudehmanesh, Rasoul Starodubov, Vladimir I Subart, Michelle L Tabarés-Seisdedos, Rafael Tadesse, Degena Bahray Bahrey Traini, Eugenio Tran, Bach Xuan Tran, Khanh Bao Ullah, Irfan Vacante, Marco Vahedian-Azimi, Amir Varavikova, Elena Westerman, Ronny Wondafrash, Dawit Dawit Zewdu Xu, Rixing Yonemoto, Naohiro Zadnik, Vesna Zhang, Zhi-Jiang Malekzadeh, Reza Naghavi, Mohsen |
author_sort |
Pourshams, Akram |
title |
The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 |
title_short |
The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 |
title_full |
The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 |
title_fullStr |
The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 |
title_full_unstemmed |
The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 |
title_sort |
global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the global burden of disease study 2017 |
publisher |
Elsevier |
publishDate |
2019 |
url |
http://hdl.handle.net/2434/686233 https://doi.org/10.1016/S2468-1253(19)30347-4 |
long_lat |
ENVELOPE(141.975,141.975,60.184,60.184) |
geographic |
Greenland Uruguay Uis |
geographic_facet |
Greenland Uruguay Uis |
genre |
Greenland |
genre_facet |
Greenland |
op_relation |
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info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1016/S2468-1253(19)30347-4 |
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The Lancet Gastroenterology & Hepatology |
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ftunivmilanoair:oai:air.unimi.it:2434/686233 2024-02-04T10:00:57+01:00 The global, regional, and national burden of pancreatic cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 Pourshams, Akram Sepanlou, Sadaf G Ikuta, Kevin S Bisignano, Catherine Safiri, Saeid Roshandel, Gholamreza Sharif, Mehdi Khatibian, Morteza Fitzmaurice, Christina Nixon, Molly R Abbasi, Nooshin Afarideh, Mohsen Ahmadian, Elham Akinyemiju, Tomi Alahdab, Fares Alam, Tahiya Alipour, Vahid Allen, Christine A Anber, Nahla Hamed Ansari-Moghaddam, Alireza Arabloo, Jalal Badawi, Alaa Bagherzadeh, Mojtaba Belayneh, Yaschilal Muche Biadgo, Belete Bijani, Ali Biondi, Antonio Bjørge, Tone Borzì, Antonio M Bosetti, Cristina Briko, Andrey Nikolaevich Briko, Nikolay Ivanovich Carreras, Giulia Carvalho, Félix Choi, Jee-Young J Chu, Dinh-Toi Dang, Anh Kim Daryani, Ahmad Davitoiu, Dragos Virgil Demoz, Gebre Teklemariam Desai, Rupak Dey, Subhojit Do, Hoa Thi Do, Huyen Phuc Eftekhari, Aziz Esteghamati, Alireza Farzadfar, Farshad Fernandes, Eduarda Filip, Irina Fischer, Florian Foroutan, Masoud Gad, Mohamed M Gallus, Silvano Geta, Birhanu Gorini, Giuseppe Hafezi-Nejad, Nima Harvey, James D Hasankhani, Milad Hasanzadeh, Amir Hassanipour, Soheil Hay, Simon I Hidru, Hagos D Hoang, Chi Linh Hostiuc, Sorin Househ, Mowafa Ilesanmi, Olayinka Stephen Ilic, Milena D Irvani, Seyed Sina Naghibi Jafari Balalami, Nader James, Spencer L Joukar, Farahnaz Kasaeian, Amir Kassa, Tesfaye Dessale Kengne, Andre Pascal Khalilov, Rovshan Khan, Ejaz Ahmad Khater, Amir Khosravi Shadmani, Fatemeh Kocarnik, Jonathan M Komaki, Hamidreza Koyanagi, Ai Kumar, Vivek La Vecchia, Carlo Lopukhov, Platon D Manafi, Farzad Manafi, Navid Manda, Ana-Laura Mansour-Ghanaei, Fariborz Mehta, Dhruv Mehta, Varshil Meier, Toni Meles, Hagazi Gebre Mengistu, Getnet Miazgowski, Tomasz Mohamadnejad, Mehdi Mohammadian-Hafshejani, Abdollah Mohammadoo-Khorasani, Milad Mohammed, Shafiu Mohebi, Farnam Mokdad, Ali H Monasta, Lorenzo Moossavi, Maryam Moradzadeh, Rahmatollah Naik, Gurudatta Negoi, Ionut Nguyen, Cuong Tat Nguyen, Long Hoang Nguyen, Trang Huyen Olagunju, Andrew T Olagunju, Tinuke O Pennini, Alyssa Rabiee, Mohammad Rabiee, Navid Radfar, Amir Rahimi, Mahdi Rath, Goura Kishor Rawaf, David Laith Rawaf, Salman Reiner, Robert C Rezaei, Nima Rezapour, Aziz Saad, Anas M Saadatagah, Seyedmohammad Sahebkar, Amirhossein Salimzadeh, Hamideh Samy, Abdallah M Sanabria, Juan Sarveazad, Arash Sawhney, Monika Sekerija, Mario Shabalkin, Pavel Shaikh, Masood Ali Sharma, Rajesh Sheikhbahaei, Sara Shirkoohi, Reza Siddappa Malleshappa, Sudeep K Sisay, Mekonnen Soreide, Kjetil Soshnikov, Sergey Sotoudehmanesh, Rasoul Starodubov, Vladimir I Subart, Michelle L Tabarés-Seisdedos, Rafael Tadesse, Degena Bahray Bahrey Traini, Eugenio Tran, Bach Xuan Tran, Khanh Bao Ullah, Irfan Vacante, Marco Vahedian-Azimi, Amir Varavikova, Elena Westerman, Ronny Wondafrash, Dawit Dawit Zewdu Xu, Rixing Yonemoto, Naohiro Zadnik, Vesna Zhang, Zhi-Jiang Malekzadeh, Reza Naghavi, Mohsen A. Poursham S.G. Sepanlou K.S. Ikuta C. Bisignano S. Safiri G. Roshandel M. Sharif M. Khatibian C. Fitzmaurice M.R. Nixon N. Abbasi M. Afarideh E. Ahmadian T. Akinyemiju F. Alahdab T. Alam V. Alipour C.A. Allen N.H. Anber A. Ansari-Moghaddam J. Arabloo A. Badawi M. Bagherzadeh Y.M. Belayneh B. Biadgo A. Bijani A. Biondi T. Bjørge A.M. Borzì C. Bosetti A.N. Briko N.I. Briko G. Carrera F. Carvalho J.J. Choi D. Chu A.K. Dang A. Daryani D.V. Davitoiu G.T. Demoz R. Desai S. Dey H.T. Do H.P. Do A. Eftekhari A. Esteghamati F. Farzadfar E. Fernande I. Filip F. Fischer 2019-12 http://hdl.handle.net/2434/686233 https://doi.org/10.1016/S2468-1253(19)30347-4 eng eng Elsevier info:eu-repo/semantics/altIdentifier/pmid/31648972 info:eu-repo/semantics/altIdentifier/wos/WOS:000495074600020 volume:4 issue:12 firstpage:934 lastpage:947 numberofpages:14 journal:THE LANCET. GASTROENTEROLOGY & HEPATOLOGY http://hdl.handle.net/2434/686233 doi:10.1016/S2468-1253(19)30347-4 info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85074233139 info:eu-repo/semantics/openAccess pancreatic cancer risk factor Settore MED/01 - Statistica Medica info:eu-repo/semantics/article 2019 ftunivmilanoair https://doi.org/10.1016/S2468-1253(19)30347-4 2024-01-09T23:41:21Z Background: Worldwide, both the incidence and death rates of pancreatic cancer are increasing. Evaluation of pancreatic cancer burden and its global, regional, and national patterns is crucial to policy making and better resource allocation for controlling pancreatic cancer risk factors, developing early detection methods, and providing faster and more effective treatments. Methods: Vital registration, vital registration sample, and cancer registry data were used to generate mortality, incidence, and disability-adjusted life-years (DALYs) estimates. We used the comparative risk assessment framework to estimate the proportion of deaths attributable to risk factors for pancreatic cancer: smoking, high fasting plasma glucose, and high body-mass index. All of the estimates were reported as counts and age-standardised rates per 100 000 person-years. 95% uncertainty intervals (UIs) were reported for all estimates. Findings: In 2017, there were 448 000 (95% UI 439 000–456 000) incident cases of pancreatic cancer globally, of which 232 000 (210 000–221 000; 51·9%) were in males. The age-standardised incidence rate was 5·0 (4·9–5·1) per 100 000 person-years in 1990 and increased to 5·7 (5·6–5·8) per 100 000 person-years in 2017. There was a 2·3 times increase in number of deaths for both sexes from 196 000 (193 000–200 000) in 1990 to 441 000 (433 000–449 000) in 2017. There was a 2·1 times increase in DALYs due to pancreatic cancer, increasing from 4·4 million (4·3–4·5) in 1990 to 9·1 million (8·9–9·3) in 2017. The age-standardised death rate of pancreatic cancer was highest in the high-income super-region across all years from 1990 to 2017. In 2017, the highest age-standardised death rates were observed in Greenland (17·4 [15·8–19·0] per 100 000 person-years) and Uruguay (12·1 [10·9–13·5] per 100 000 person-years). These countries also had the highest age-standardised death rates in 1990. Bangladesh (1·9 [1·5–2·3] per 100 000 person-years) had the lowest rate in 2017, and São Tomé and Príncipe (1·3 [1·1–1·5] per 100 ... Article in Journal/Newspaper Greenland The University of Milan: Archivio Istituzionale della Ricerca (AIR) Greenland Uruguay Uis ENVELOPE(141.975,141.975,60.184,60.184) The Lancet Gastroenterology & Hepatology 4 12 934 947 |