Global, regional, and national survey on burden and quality of care index (QCI) of nasopharyngeal cancer: A systematic analysis of the Global Burden of disease study 1990–2019
Background: The epidemiology and inequitable management of nasopharyngeal cancer (NPC) have long been a source of interest due to the malignancy's distinctive geographic distribution. Objective: This study evaluates NPC burden and it's quality of care by socio-demographic index (SDI) group...
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Elsevier
2024-03-01
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| Series: | Oral Oncology Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S277290602400044X |
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| author | Saba Ilkhani Sahar Saeedi Moghaddam Delaram Sakhaei Mohammad-Mahdi Rashidi Sina Azadnajafabad Mohammadreza Azangou-Khyavy Naser Ahmadi Ozra Tabatabaei-Malazy Mohammadreza Naderian Erfan Ghasemi Parnian Shobeiri Sahar Mohammadi Fateh Farzad Kompani Bagher Larijani Farshad Farzadfar |
| author_facet | Saba Ilkhani Sahar Saeedi Moghaddam Delaram Sakhaei Mohammad-Mahdi Rashidi Sina Azadnajafabad Mohammadreza Azangou-Khyavy Naser Ahmadi Ozra Tabatabaei-Malazy Mohammadreza Naderian Erfan Ghasemi Parnian Shobeiri Sahar Mohammadi Fateh Farzad Kompani Bagher Larijani Farshad Farzadfar |
| author_sort | Saba Ilkhani |
| collection | DOAJ |
| description | Background: The epidemiology and inequitable management of nasopharyngeal cancer (NPC) have long been a source of interest due to the malignancy's distinctive geographic distribution. Objective: This study evaluates NPC burden and it's quality of care by socio-demographic index (SDI) groups and world regions from 1990 to 2019. Methods: We gathered epidemiologic metrics (incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs) from Global Burden of Disease (GBD) study data. The quality-of-care index (QCI) was rescaled to 0–100 using principal component analysis (PCA). Results: Global NPC incidence rose 161.4 % from 1990 to 2019. However, low and low-middle-income countries experienced a decline. While the all-age crude incidence has risen, DALYs and mortality decreased. NPC's QCI in 2019 was 80.3, increased 110.2 % from 1990. Nevertheless, QCI growth rates were not uniform across SDI categories. High-middle SDI nations improved from 41.8 to 94.1, whereas low SDIs improved from 14.8 to 16.9. In 2019, Singapore (100.0) had the highest, while Somalia (13.2) had the lowest QCI. Young people (<40) receive the best care at almost all SDI levels, and the gender gap is shrinking in lower SDI quantiles with time. Conclusion: The quality of care in all nations and regions has increased over time. However, the disparity between locations is widening. Significantly greater care is offered in nations with high or above-average financial status. Regarding the role of different risk factors on NPC, additional sub-analyses based on different subtypes of NPC in various parts of the world are warranted. |
| format | Article |
| id | doaj-art-8237b763e9244435ab40609aeea3a944 |
| institution | Kabale University |
| issn | 2772-9060 |
| language | English |
| publishDate | 2024-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Oral Oncology Reports |
| spelling | doaj-art-8237b763e9244435ab40609aeea3a9442025-01-09T06:15:19ZengElsevierOral Oncology Reports2772-90602024-03-019100198Global, regional, and national survey on burden and quality of care index (QCI) of nasopharyngeal cancer: A systematic analysis of the Global Burden of disease study 1990–2019Saba Ilkhani0Sahar Saeedi Moghaddam1Delaram Sakhaei2Mohammad-Mahdi Rashidi3Sina Azadnajafabad4Mohammadreza Azangou-Khyavy5Naser Ahmadi6Ozra Tabatabaei-Malazy7Mohammadreza Naderian8Erfan Ghasemi9Parnian Shobeiri10Sahar Mohammadi Fateh11Farzad Kompani12Bagher Larijani13Farshad Farzadfar14Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; Kiel Institute for the World Economy, Kiel, GermanySchool of Medicine, Sari Branch, Islamic Azad University, Sari, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, IranDivision of Hematology and Oncology, Children's Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences, Tehran, IranEndocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, IranNon-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran; Corresponding author. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Second Floor, No.10, JalalAl-e-Ahmad Highway, Iran.Background: The epidemiology and inequitable management of nasopharyngeal cancer (NPC) have long been a source of interest due to the malignancy's distinctive geographic distribution. Objective: This study evaluates NPC burden and it's quality of care by socio-demographic index (SDI) groups and world regions from 1990 to 2019. Methods: We gathered epidemiologic metrics (incidence, prevalence, mortality, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life years (DALYs) from Global Burden of Disease (GBD) study data. The quality-of-care index (QCI) was rescaled to 0–100 using principal component analysis (PCA). Results: Global NPC incidence rose 161.4 % from 1990 to 2019. However, low and low-middle-income countries experienced a decline. While the all-age crude incidence has risen, DALYs and mortality decreased. NPC's QCI in 2019 was 80.3, increased 110.2 % from 1990. Nevertheless, QCI growth rates were not uniform across SDI categories. High-middle SDI nations improved from 41.8 to 94.1, whereas low SDIs improved from 14.8 to 16.9. In 2019, Singapore (100.0) had the highest, while Somalia (13.2) had the lowest QCI. Young people (<40) receive the best care at almost all SDI levels, and the gender gap is shrinking in lower SDI quantiles with time. Conclusion: The quality of care in all nations and regions has increased over time. However, the disparity between locations is widening. Significantly greater care is offered in nations with high or above-average financial status. Regarding the role of different risk factors on NPC, additional sub-analyses based on different subtypes of NPC in various parts of the world are warranted.http://www.sciencedirect.com/science/article/pii/S277290602400044XNasopharyngeal neoplasmsQuality of health careGlobal burden of diseaseGender disparitiesAge disparity |
| spellingShingle | Saba Ilkhani Sahar Saeedi Moghaddam Delaram Sakhaei Mohammad-Mahdi Rashidi Sina Azadnajafabad Mohammadreza Azangou-Khyavy Naser Ahmadi Ozra Tabatabaei-Malazy Mohammadreza Naderian Erfan Ghasemi Parnian Shobeiri Sahar Mohammadi Fateh Farzad Kompani Bagher Larijani Farshad Farzadfar Global, regional, and national survey on burden and quality of care index (QCI) of nasopharyngeal cancer: A systematic analysis of the Global Burden of disease study 1990–2019 Oral Oncology Reports Nasopharyngeal neoplasms Quality of health care Global burden of disease Gender disparities Age disparity |
| title | Global, regional, and national survey on burden and quality of care index (QCI) of nasopharyngeal cancer: A systematic analysis of the Global Burden of disease study 1990–2019 |
| title_full | Global, regional, and national survey on burden and quality of care index (QCI) of nasopharyngeal cancer: A systematic analysis of the Global Burden of disease study 1990–2019 |
| title_fullStr | Global, regional, and national survey on burden and quality of care index (QCI) of nasopharyngeal cancer: A systematic analysis of the Global Burden of disease study 1990–2019 |
| title_full_unstemmed | Global, regional, and national survey on burden and quality of care index (QCI) of nasopharyngeal cancer: A systematic analysis of the Global Burden of disease study 1990–2019 |
| title_short | Global, regional, and national survey on burden and quality of care index (QCI) of nasopharyngeal cancer: A systematic analysis of the Global Burden of disease study 1990–2019 |
| title_sort | global regional and national survey on burden and quality of care index qci of nasopharyngeal cancer a systematic analysis of the global burden of disease study 1990 2019 |
| topic | Nasopharyngeal neoplasms Quality of health care Global burden of disease Gender disparities Age disparity |
| url | http://www.sciencedirect.com/science/article/pii/S277290602400044X |
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