Disease burden and trends of bladder cancer in the world and BRICS from 1990 to 2021 and its projection until 2036: analysis based on the global burden of disease study 2021

Abstract Purpose The rising burden of bladder cancer (BCa) calls for in-depth research. This study, based on Global Burden of Disease (GBD) 2021 data, assesses and forecasts BCa’s disease burden globally and in BRICS countries to support targeted prevention and control. Methods Data from GBD 2021 we...

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Main Authors: Yipei Zhang, Huize Zhang, Yan Li, Xiaolan Ma, Hong Tan, Jinghui Gao, Li Li, Ping Yan
Format: Article
Language:English
Published: Springer 2025-07-01
Series:Discover Oncology
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Online Access:https://doi.org/10.1007/s12672-025-03040-x
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author Yipei Zhang
Huize Zhang
Yan Li
Xiaolan Ma
Hong Tan
Jinghui Gao
Li Li
Ping Yan
author_facet Yipei Zhang
Huize Zhang
Yan Li
Xiaolan Ma
Hong Tan
Jinghui Gao
Li Li
Ping Yan
author_sort Yipei Zhang
collection DOAJ
description Abstract Purpose The rising burden of bladder cancer (BCa) calls for in-depth research. This study, based on Global Burden of Disease (GBD) 2021 data, assesses and forecasts BCa’s disease burden globally and in BRICS countries to support targeted prevention and control. Methods Data from GBD 2021 were utilized. Incidence, mortality, prevalence, disability-adjusted life years (DALYs), risk factors, and the relationship with sociodemographic indexes (SDIs) were analyzed. R 4.4.1 and join-point software calculated the estimated annual percentage change (EAPC) and average annual percentage change of age-standardized rates. A Bayesian age-period-cohort model projected the burden from 2022 to 2036. Results In 2021, the global BCa burden increased in incidence, mortality, prevalence, and DALYs compared to 1990, but the age-standardized incidence rate (ASIR), the age-standardized mortality rate (ASMR), and age-standardized DALYs rate (ASDR) showed a decreasing trend, and age-standardized prevalence rate (ASPR) was stable. Among BRICS, South Africa had the highest burden (notably increasing in 1994–1997), and Egypt had the lowest (decreasing significantly in 2001–2005). BCa burden correlated positively with SDI. Smoking was the main risk factor, followed by high fasting plasma glucose. Projections show a global decline from 2022 to 2036, but an increase in some BRICS countries. Conclusions The disease burden of BCa has improved in recent years, but remains a major public health challenge worldwide and in BRICS countries. Smoking and HFPG have been identified as the most important risk factors for BCa. In the future, the disease burden of BCa in most BRICS countries is likely to continue to increase. Sufficient attention and multi-party cooperation are needed to control the widespread public health issue.
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spelling doaj-art-7c5b4a8a0b5b4da99b68f3da242370d82025-08-20T03:42:57ZengSpringerDiscover Oncology2730-60112025-07-0116112210.1007/s12672-025-03040-xDisease burden and trends of bladder cancer in the world and BRICS from 1990 to 2021 and its projection until 2036: analysis based on the global burden of disease study 2021Yipei Zhang0Huize Zhang1Yan Li2Xiaolan Ma3Hong Tan4Jinghui Gao5Li Li6Ping Yan7School of Nursing, Xinjiang Medical UniversitySchool of Nursing, Xinjiang Medical UniversityDepartment of Histology and Embryology, School of Basic Medical Science, Xinjiang Medical UniversitySchool of Nursing, Xinjiang Medical UniversitySchool of Nursing, Xinjiang Medical UniversitySchool of Nursing, Xinjiang Medical UniversityDepartment of Urology, the First Affiliated Hospital of Xinjiang Medical UniversitySchool of Nursing, Xinjiang Medical UniversityAbstract Purpose The rising burden of bladder cancer (BCa) calls for in-depth research. This study, based on Global Burden of Disease (GBD) 2021 data, assesses and forecasts BCa’s disease burden globally and in BRICS countries to support targeted prevention and control. Methods Data from GBD 2021 were utilized. Incidence, mortality, prevalence, disability-adjusted life years (DALYs), risk factors, and the relationship with sociodemographic indexes (SDIs) were analyzed. R 4.4.1 and join-point software calculated the estimated annual percentage change (EAPC) and average annual percentage change of age-standardized rates. A Bayesian age-period-cohort model projected the burden from 2022 to 2036. Results In 2021, the global BCa burden increased in incidence, mortality, prevalence, and DALYs compared to 1990, but the age-standardized incidence rate (ASIR), the age-standardized mortality rate (ASMR), and age-standardized DALYs rate (ASDR) showed a decreasing trend, and age-standardized prevalence rate (ASPR) was stable. Among BRICS, South Africa had the highest burden (notably increasing in 1994–1997), and Egypt had the lowest (decreasing significantly in 2001–2005). BCa burden correlated positively with SDI. Smoking was the main risk factor, followed by high fasting plasma glucose. Projections show a global decline from 2022 to 2036, but an increase in some BRICS countries. Conclusions The disease burden of BCa has improved in recent years, but remains a major public health challenge worldwide and in BRICS countries. Smoking and HFPG have been identified as the most important risk factors for BCa. In the future, the disease burden of BCa in most BRICS countries is likely to continue to increase. Sufficient attention and multi-party cooperation are needed to control the widespread public health issue.https://doi.org/10.1007/s12672-025-03040-xBladder cancerCurrent situation analysisTrendsBRICSSociodemographic indexTrend prediction
spellingShingle Yipei Zhang
Huize Zhang
Yan Li
Xiaolan Ma
Hong Tan
Jinghui Gao
Li Li
Ping Yan
Disease burden and trends of bladder cancer in the world and BRICS from 1990 to 2021 and its projection until 2036: analysis based on the global burden of disease study 2021
Discover Oncology
Bladder cancer
Current situation analysis
Trends
BRICS
Sociodemographic index
Trend prediction
title Disease burden and trends of bladder cancer in the world and BRICS from 1990 to 2021 and its projection until 2036: analysis based on the global burden of disease study 2021
title_full Disease burden and trends of bladder cancer in the world and BRICS from 1990 to 2021 and its projection until 2036: analysis based on the global burden of disease study 2021
title_fullStr Disease burden and trends of bladder cancer in the world and BRICS from 1990 to 2021 and its projection until 2036: analysis based on the global burden of disease study 2021
title_full_unstemmed Disease burden and trends of bladder cancer in the world and BRICS from 1990 to 2021 and its projection until 2036: analysis based on the global burden of disease study 2021
title_short Disease burden and trends of bladder cancer in the world and BRICS from 1990 to 2021 and its projection until 2036: analysis based on the global burden of disease study 2021
title_sort disease burden and trends of bladder cancer in the world and brics from 1990 to 2021 and its projection until 2036 analysis based on the global burden of disease study 2021
topic Bladder cancer
Current situation analysis
Trends
BRICS
Sociodemographic index
Trend prediction
url https://doi.org/10.1007/s12672-025-03040-x
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