The global burden of adolescent and young adult cancer in 2019: a systematic analysis for the Global Burden of Disease Study 2019

Journal article

Alvarez, E.M., Force, L.M., Xu, R., Compton, K., Lu, D., Henrikson, H.J., Kocarnik, J.M., Harvey, J.D., Pennini, A., Dean, F.E., Fu, W., Vargas, M.T., Keegan, T.H.M., Ariffin, H., Barr, R.D., Erdomaeva, Y.A., Gunasekera, D.S., John-Akinola, Y.O., Ketterl, T.G., Kutluk, T., Malogolowkin, M.H., Mathur, P., Radhakrishnan, V., Ries, L.A.G., Rodriguez-Galindo, C., Sagoyan, G.B., Sultan, I., Abbasi, B., Abbasi-Kangevari, M., Abbasi-Kangevari, Z., Abbastabar, H., Abdelmasseh, M., Abd-Elsalam, S., Abdoli, A., Abebe, H., Abedi, A., Abidi, H., Abolhassani, H., Abubaker Ali, H., Abu-Gharbieh, E., Achappa, B., Acuna, J.M., Adedeji, I.A., Adegboye, O.A., Adnani, Q.E.S., Advani, S.M., Afzal, M.S., Aghaie Meybodi, M., Ahadinezhad, B., Ahinkorah, B.O., Ahmad, S., Ahmadi, S., Ahmed, M.B., Ahmed Rashid, T., Ahmed Salih, Y., Aiman, W., Akalu, G.T., Al Hamad, H., Alahdab, F., AlAmodi, A.A., Alanezi, F.M., Alanzi, T.M., Alem, A.Z., Alem, D.T., Alemayehu, Y., Alhalaiqa, F.N., Alhassan, R.K., Ali, S., Alicandro, G., Alipour, V., Aljunid, S.M., Alkhayyat, M., Alluri, S., Almasri, N.A., Al-Maweri, S.A., Almustanyir, S., Al-Raddadi, R.M., Alvis-Guzman, N., Ameyaw, E.K., Amini, S., Amu, H., Ancuceanu, R., Andrei, C.L., Andrei, T., Ansari, F., Ansari-Moghaddam, A., Anvari, D., Anyasodor, A.E., Arabloo, J., Arab-Zozani, M., Argaw, A.M., Arshad, M., Arulappan, J., Aryannejad, A., Asemi, Z., Asghari Jafarabadi, M., Atashzar, M.R., Atorkey, P., Atreya, A., Attia, S., Aujayeb, A., Ausloos, M., Avila-Burgos, L., Awedew, A.F., Ayala Quintanilla, B.P., Ayele, A.D., Ayen, S.S., Azab, M.A., Azadnajafabad, S., Azami, H., Azangou-Khyavy, M., Azari Jafari, A., Azarian, G., Azzam, A.Y., Bahadory, S., Bai, J., Baig, A.A., Baker, J.L., Banach, M., Bärnighausen, T.W., Barone-Adesi, F., Barra, F., Barrow, A., Basaleem, H., Batiha, A.-M.M., Behzadifar, M., Bekele, N.C., Belete, R., Belgaumi, U.I., Bell, A.W., Berhie, A.Y., Bhagat, D.S., Bhagavathula, A.S., Bhardwaj, N., Bhardwaj, P., Bhaskar, S., Bhattacharyya, K., Bhojaraja, V.S., Bibi, S., Bijani, A., Biondi, A., Birara, S., Bjørge, T., Bolarinwa, O.A., Bolla, S.R., Boloor, A., Braithwaite, D., Brenner, H., Bulamu, N.B., Burkart, K., Bustamante-Teixeira, M.T., Butt, N.S., Butt, Z.A., Caetano dos Santos, F.L., Cao, C., Cao, Y., Carreras, G., Catalá-López, F., Cembranel, F., Cerin, E., Chakinala, R.C., Chakraborty, P.A., Chattu, V.K., Chaturvedi, P., Chaurasia, A., Chavan, P.P., Chimed-Ochir, O., Choi, J.-Y.J., Christopher, D.J., Chu, D.-T., Chung, M.T., Conde, J., Costa, V.M., Da'ar, O.B., Dadras, O., Dahlawi, S.M.A., Dai, X., Damiani, G., D'Amico, E., Dandona, L., Dandona, R., Daneshpajouhnejad, P., Darwish, A.H., Daryani, A., De la Hoz, F.P., Debela, S.A., Demie, T.G.G., Demissie, G.D., Demissie, Z.G., Denova-Gutiérrez, E., Derbew Molla, M., Desai, R., Desta, A.A., Dhamnetiya, D., Dharmaratne, S.D., Dhimal, M.L., Dhimal, M., Dianatinasab, M., Didehdar, M., Diress, M., Djalalinia, S., Do, H.P., Doaei, S., Dorostkar, F., dos Santos, W.M., Drake, T.M., Ekholuenetale, M., El Sayed, I., El Sayed Zaki, M., El Tantawi, M., El-Abid, H., Elbahnasawy, M.A., Elbarazi, I., Elhabashy, H.R., Elhadi, M., El-Jaafary, S.I., Enyew, D.B., Erkhembayar, R., Eshrati, B., Eskandarieh, S., Faisaluddin, M., Fares, J., Farooque, U., Fasanmi, A.O., Fatima, W., Ferreira de Oliveira, J.M.P., Ferrero, S., Ferro Desideri, L., Fetensa, G., Filip, I., Fischer, F., Fisher, J.L., Foroutan, M., Fukumoto, T., Gaal, P.A., Gad, M.M., Gaewkhiew, P., Gallus, S., Garg, T., Gebremeskel, T.G., Gemeda, B.N.B., Getachew, T., Ghafourifard, M., Ghamari, S.-H., Ghashghaee, A., Ghassemi, F., Ghith, N., Gholami, A., Gholizadeh Navashenaq, J., Gilani, S.A., Ginindza, T.G., Gizaw, A.T., Glasbey, J.C., Goel, A., Golechha, M., Goleij, P., Golinelli, D., Gopalani, S.V., Gorini, G., Goudarzi, H., Goulart, B.N.G., Grada, A., Gubari, M.I.M., Guerra, M.R., Guha, A., Gupta, B., Gupta, S., Gupta, V.B., Gupta, V.K., Haddadi, R., Hafezi-Nejad, N., Hailu, A., Haj-Mirzaian, A., Halwani, R., Hamadeh, R.R., Hambisa, M.T., Hameed, S., Hamidi, S., Haque, S., Hariri, S., Haro, J.M., Hasaballah, A.I., Hasan, S.M.M., Hashemi, S.M., Hassan, T.S., Hassanipour, S., Hay, S.I., Hayat, K., Hebo, S.H., Heidari, G., Heidari, M., Herrera-Serna, B.Y., Herteliu, C., Heyi, D.Z., Hezam, K., Hole, M.K., Holla, R., Horita, N., Hossain, M.M., Hossain, M.B., Hosseini, M.-S., Hosseini, M., Hosseinzadeh, A., Hosseinzadeh, M., Hostiuc, M., Hostiuc, S., Househ, M., Hsairi, M., Huang, J., Hussein, N.R., Hwang, B.-F., Ibitoye, S.E., Ilesanmi, O.S., Ilic, I.M., Ilic, M.D., Innos, K., Irham, L.M., Islam, R.M., Islam, S.M.S., Ismail, N.E., Isola, G., Iwagami, M., Jacob, L., Jadidi-Niaragh, F., Jain, V., Jakovljevic, M., Janghorban, R., Javadi Mamaghani, A., Jayaram, S., Jayawardena, R., Jazayeri, S.B., Jebai, R., Jha, R.P., Joo, T., Joseph, N., Joukar, F., Jürisson, M., Kaambwa, B., Kabir, A., Kalankesh, L.R., Kaliyadan, F., Kamal, Z., Kamath, A., Kandel, H., Kar, S.S., Karaye, I.M., Karimi, A., Kassa, B.G., Kauppila, J.H., Kemp Bohan, P.M., Kengne, A.P., Kerbo, A.A., Keykhaei, M., Khader, Y.S., Khajuria, H., Khalili, N., Khalili, N., Khan, E.A., Khan, G., Khan, M., Khan, M.N., Khan, M.A., Khanali, J., Khayamzadeh, M., Khosravizadeh, O., Khubchandani, J., Khundkar, R., Kim, M.S., Kim, Y.J., Kisa, A., Kisa, S., Kissimova-Skarbek, K., Kolahi, A.-A., Kopec, J.A., Koteeswaran, R., Koulmane Laxminarayana, S.L., Koyanagi, A., Kugbey, N., Kumar, G.A., Kumar, N., Kwarteng, A., La Vecchia, C., Lan, Q., Landires, I., Lasrado, S., Lauriola, P., Ledda, C., Lee, S.-W., Lee, W.-C., Lee, Y.Y., Lee, Y.H., Leigh, J., Leong, E., Li, B., Li, J., Li, M.-C., Lim, S.S., Liu, X., Lobo, S.W., Loureiro, J.A., Lugo, A., Lunevicius, R., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Mahmoudi, M., Majeed, A., Makki, A., Male, S., Malekpour, M.-R., Malekzadeh, R., Malik, A.A., Mamun, M.A., Manafi, N., Mansour-Ghanaei, F., Mansouri, B., Mansournia, M.A., Martini, S., Masoumi, S.Z., Matei, C.N., Mathur, M.R., McAlinden, C., Mehrotra, R., Mendoza, W., Menezes, R.G., Mentis, A.-F.A., Meretoja, T.J., Mersha, A.G., Mesregah, M.K., Mestrovic, T., Miao Jonasson, J., Miazgowski, B., Michalek, I.M., Miller, T.R., Mingude, A.B., Mirmoeeni, S., Mirzaei, H., Misra, S., Mithra, P., Mohammad, K.A., Mohammadi, M., Mohammadi, S.M., Mohammadian-Hafshejani, A., Mohammadpourhodki, R., Mohammed, A., Mohammed, S., Mohammed, T.A., Moka, N., Mokdad, A.H., Molokhia, M., Momtazmanesh, S., Monasta, L., Moni, M.A., Moradi, G., Moradi, Y., Moradzadeh, M., Moradzadeh, R., Moraga, P., Morrison, S.D., Mostafavi, E., Mousavi Khaneghah, A., Mpundu-Kaambwa, C., Mubarik, S., Mwanri, L., Nabhan, A.F., Nagaraju, S.P., Nagata, C., Naghavi, M., Naimzada, M.D., Naldi, L., Nangia, V., Naqvi, A.A., Narasimha Swamy, S., Narayana, A.I., Nayak, B.P., Nayak, V.C., Nazari, J., Nduaguba, S.O., Negoi, I., Negru, S.M., Nejadghaderi, S.A., Nepal, S., Neupane Kandel, S., Nggada, H.A., Nguyen, C.T., Nnaji, C.A., Nosrati, H., Nouraei, H., Nowroozi, A., Nuñez-Samudio, V., Nwatah, V.E., Nzoputam, C.I., Oancea, B., Odukoya, O.O., Oguntade, A.S., Oh, I.-H., Olagunju, A.T., Olagunju, T.O., Olakunde, B.O., Oluwasanu, M.M., Omar, E., Omar Bali, A., Ong, S., Onwujekwe, O.E., Ortega-Altamirano, D.V., Otstavnov, N., Otstavnov, S.S., Oumer, B., Owolabi, M.O., P A, M., Padron-Monedero, A., Padubidri, J.R., Pakshir, K., Pana, A., Pandey, A., Pardhan, S., Pashazadeh Kan, F., Pasovic, M., Patel, J.R., Pati, S., Pattanshetty, S.M., Paudel, U., Pereira, R.B., Peres, M.F.P., Perianayagam, A., Postma, M.J., Pourjafar, H., Pourshams, A., Prashant, A., Pulakunta, T., Qadir, M.M.F.F., Rabiee, M., Rabiee, N., Radfar, A., Radhakrishnan, R.A., Rafiee, A., Rafiei, A., Rafiei, S., Rahim, F., Rahimzadeh, S., Rahman, M., Rahman, M.A., Rahmani, A.M., Rajesh, A., Ramezani-Doroh, V., Ranabhat, K., Ranasinghe, P., Rao, C.R., Rao, S.J., Rashedi, S., Rashidi, M., Rashidi, M.-M., Rath, G.K., Rawaf, D.L., Rawaf, S., Rawal, L., Rawassizadeh, R., Razeghinia, M.S., Regasa, M.T., Renzaho, A.M.N., Rezaei, M., Rezaei, N., Rezaei, N., Rezaeian, M., Rezapour, A., Rezazadeh-Khadem, S., Riad, A., Rios Lopez, L.E., Rodriguez, J.A.B., Ronfani, L., Roshandel, G., Rwegerera, G.M., Saber-Ayad, M.M., Sabour, S., Saddik, B., Sadeghi, E., Sadeghian, S., Saeed, U., Sahebkar, A., Saif-Ur-Rahman, K.M., Sajadi, S.M., Salahi, S., Salehi, S., Salem, M.R., Salimzadeh, H., Samy, A.M., Sanabria, J., Sanmarchi, F., Sarveazad, A., Sathian, B., Sawhney, M., Sawyer, S.M., Saylan, M., Schneider, I.J.C., Seidu, A.-A., Šekerija, M., Sendo, E.G., Sepanlou, S.G., Seylani, A., Seyoum, K., Sha, F., Shafaat, O., Shaikh, M.A., Shamsoddin, E., Shannawaz, M., Sharma, R., Sheikhbahaei, S., Shetty, A., Shetty, B.S.K., Shetty, P.H., Shin, J.I., Shirkoohi, R., Shivakumar, K.M., Shobeiri, P., Siabani, S., Sibhat, M.M., Siddappa Malleshappa, S.K., Sidemo, N.B., Silva, D.A.S., Silva Julian, G., Singh, A.D., Singh, J.A., Singh, J.K., Singh, S., Sinke, 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(2022). The global burden of adolescent and young adult cancer in 2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet Oncology. https://doi.org/10.1016/s1470-2045(21)00581-7
AuthorsAlvarez, E.M., Force, L.M., Xu, R., Compton, K., Lu, D., Henrikson, H.J., Kocarnik, J.M., Harvey, J.D., Pennini, A., Dean, F.E., Fu, W., Vargas, M.T., Keegan, T.H.M., Ariffin, H., Barr, R.D., Erdomaeva, Y.A., Gunasekera, D.S., John-Akinola, Y.O., Ketterl, T.G., Kutluk, T., Malogolowkin, M.H., Mathur, P., Radhakrishnan, V., Ries, L.A.G., Rodriguez-Galindo, C., Sagoyan, G.B., Sultan, I., Abbasi, B., Abbasi-Kangevari, M., Abbasi-Kangevari, Z., Abbastabar, H., Abdelmasseh, M., Abd-Elsalam, S., Abdoli, A., Abebe, H., Abedi, A., Abidi, H., Abolhassani, H., Abubaker Ali, H., Abu-Gharbieh, E., Achappa, B., Acuna, J.M., Adedeji, I.A., Adegboye, O.A., Adnani, Q.E.S., Advani, S.M., Afzal, M.S., Aghaie Meybodi, M., Ahadinezhad, B., Ahinkorah, B.O., Ahmad, S., Ahmadi, S., Ahmed, M.B., Ahmed Rashid, T., Ahmed Salih, Y., Aiman, W., Akalu, G.T., Al Hamad, H., Alahdab, F., AlAmodi, A.A., Alanezi, F.M., Alanzi, T.M., Alem, A.Z., Alem, D.T., Alemayehu, Y., Alhalaiqa, F.N., Alhassan, R.K., Ali, S., Alicandro, G., Alipour, V., Aljunid, S.M., Alkhayyat, M., Alluri, S., Almasri, N.A., Al-Maweri, S.A., Almustanyir, S., Al-Raddadi, R.M., Alvis-Guzman, N., Ameyaw, E.K., Amini, S., Amu, H., Ancuceanu, R., Andrei, C.L., Andrei, T., Ansari, F., Ansari-Moghaddam, A., Anvari, D., Anyasodor, A.E., Arabloo, J., Arab-Zozani, M., Argaw, A.M., Arshad, M., Arulappan, J., Aryannejad, A., Asemi, Z., Asghari Jafarabadi, M., Atashzar, M.R., Atorkey, P., Atreya, A., Attia, S., Aujayeb, A., Ausloos, M., Avila-Burgos, L., Awedew, A.F., Ayala Quintanilla, B.P., Ayele, A.D., Ayen, S.S., Azab, M.A., Azadnajafabad, S., Azami, H., Azangou-Khyavy, M., Azari Jafari, A., Azarian, G., Azzam, A.Y., Bahadory, S., Bai, J., Baig, A.A., Baker, J.L., Banach, M., Bärnighausen, T.W., Barone-Adesi, F., Barra, F., Barrow, A., Basaleem, H., Batiha, A.-M.M., Behzadifar, M., Bekele, N.C., Belete, R., Belgaumi, U.I., Bell, A.W., Berhie, A.Y., Bhagat, D.S., Bhagavathula, A.S., Bhardwaj, N., Bhardwaj, P., Bhaskar, S., Bhattacharyya, K., Bhojaraja, V.S., Bibi, S., Bijani, A., Biondi, A., Birara, S., Bjørge, T., Bolarinwa, O.A., Bolla, S.R., Boloor, A., Braithwaite, D., Brenner, H., Bulamu, N.B., Burkart, K., Bustamante-Teixeira, M.T., Butt, N.S., Butt, Z.A., Caetano dos Santos, F.L., Cao, C., Cao, Y., Carreras, G., Catalá-López, F., Cembranel, F., Cerin, E., Chakinala, R.C., Chakraborty, P.A., Chattu, V.K., Chaturvedi, P., Chaurasia, A., Chavan, P.P., Chimed-Ochir, O., Choi, J.-Y.J., Christopher, D.J., Chu, D.-T., Chung, M.T., Conde, J., Costa, V.M., Da'ar, O.B., Dadras, O., Dahlawi, S.M.A., Dai, X., Damiani, G., D'Amico, E., Dandona, L., Dandona, R., Daneshpajouhnejad, P., Darwish, A.H., Daryani, A., De la Hoz, F.P., Debela, S.A., Demie, T.G.G., Demissie, G.D., Demissie, Z.G., Denova-Gutiérrez, E., Derbew Molla, M., Desai, R., Desta, A.A., Dhamnetiya, D., Dharmaratne, S.D., Dhimal, M.L., Dhimal, M., Dianatinasab, M., Didehdar, M., Diress, M., Djalalinia, S., Do, H.P., Doaei, S., Dorostkar, F., dos Santos, W.M., Drake, T.M., Ekholuenetale, M., El Sayed, I., El Sayed Zaki, M., El Tantawi, M., El-Abid, H., Elbahnasawy, M.A., Elbarazi, I., Elhabashy, H.R., Elhadi, M., El-Jaafary, S.I., Enyew, D.B., Erkhembayar, R., Eshrati, B., Eskandarieh, S., Faisaluddin, M., Fares, J., Farooque, U., Fasanmi, A.O., Fatima, W., Ferreira de Oliveira, J.M.P., Ferrero, S., Ferro Desideri, L., Fetensa, G., Filip, I., Fischer, F., Fisher, J.L., Foroutan, M., Fukumoto, T., Gaal, P.A., Gad, M.M., Gaewkhiew, P., Gallus, S., Garg, T., Gebremeskel, T.G., Gemeda, B.N.B., Getachew, T., Ghafourifard, M., Ghamari, S.-H., Ghashghaee, A., Ghassemi, F., Ghith, N., Gholami, A., Gholizadeh Navashenaq, J., Gilani, S.A., Ginindza, T.G., Gizaw, A.T., Glasbey, J.C., Goel, A., Golechha, M., Goleij, P., Golinelli, D., Gopalani, S.V., Gorini, G., Goudarzi, H., Goulart, B.N.G., Grada, A., Gubari, M.I.M., Guerra, M.R., Guha, A., Gupta, B., Gupta, S., Gupta, V.B., Gupta, V.K., Haddadi, R., Hafezi-Nejad, N., Hailu, A., Haj-Mirzaian, A., Halwani, R., Hamadeh, R.R., Hambisa, M.T., Hameed, S., Hamidi, S., Haque, S., Hariri, S., Haro, J.M., Hasaballah, A.I., Hasan, S.M.M., Hashemi, S.M., Hassan, T.S., Hassanipour, S., Hay, S.I., Hayat, K., Hebo, S.H., Heidari, G., Heidari, M., Herrera-Serna, B.Y., Herteliu, C., Heyi, D.Z., Hezam, K., Hole, M.K., Holla, R., Horita, N., Hossain, M.M., Hossain, M.B., Hosseini, M.-S., Hosseini, M., Hosseinzadeh, A., Hosseinzadeh, M., Hostiuc, M., Hostiuc, S., Househ, M., Hsairi, M., Huang, J., Hussein, N.R., Hwang, B.-F., Ibitoye, S.E., Ilesanmi, O.S., Ilic, I.M., Ilic, M.D., Innos, K., Irham, L.M., Islam, R.M., Islam, S.M.S., Ismail, N.E., Isola, G., Iwagami, M., Jacob, L., Jadidi-Niaragh, F., Jain, V., Jakovljevic, M., Janghorban, R., Javadi Mamaghani, A., Jayaram, S., Jayawardena, R., Jazayeri, S.B., Jebai, R., Jha, R.P., Joo, T., Joseph, N., Joukar, F., Jürisson, M., Kaambwa, B., Kabir, A., Kalankesh, L.R., Kaliyadan, F., Kamal, Z., Kamath, A., Kandel, H., Kar, S.S., Karaye, I.M., Karimi, A., Kassa, B.G., Kauppila, J.H., Kemp Bohan, P.M., Kengne, A.P., Kerbo, A.A., Keykhaei, M., Khader, Y.S., Khajuria, H., Khalili, N., Khalili, N., Khan, E.A., Khan, G., Khan, M., Khan, M.N., Khan, M.A., Khanali, J., Khayamzadeh, M., Khosravizadeh, O., Khubchandani, J., Khundkar, R., Kim, M.S., Kim, Y.J., Kisa, A., Kisa, S., Kissimova-Skarbek, K., Kolahi, A.-A., Kopec, J.A., Koteeswaran, R., Koulmane Laxminarayana, S.L., Koyanagi, A., Kugbey, N., Kumar, G.A., Kumar, N., Kwarteng, A., La Vecchia, C., Lan, Q., Landires, I., Lasrado, S., Lauriola, P., Ledda, C., Lee, S.-W., Lee, W.-C., Lee, Y.Y., Lee, Y.H., Leigh, J., Leong, E., Li, B., Li, J., Li, M.-C., Lim, S.S., Liu, X., Lobo, S.W., Loureiro, J.A., Lugo, A., Lunevicius, R., Magdy Abd El Razek, H., Magdy Abd El Razek, M., Mahmoudi, M., Majeed, A., Makki, A., Male, S., Malekpour, M.-R., Malekzadeh, R., Malik, A.A., Mamun, M.A., Manafi, N., Mansour-Ghanaei, F., Mansouri, B., Mansournia, M.A., Martini, S., Masoumi, 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Abstract

Background
In estimating the global burden of cancer, adolescents and young adults with cancer are often overlooked, despite being a distinct subgroup with unique epidemiology, clinical care needs, and societal impact. Comprehensive estimates of the global cancer burden in adolescents and young adults (aged 15–39 years) are lacking. To address this gap, we analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, with a focus on the outcome of disability-adjusted life-years (DALYs), to inform global cancer control measures in adolescents and young adults.
Methods
Using the GBD 2019 methodology, international mortality data were collected from vital registration systems, verbal autopsies, and population-based cancer registry inputs modelled with mortality-to-incidence ratios (MIRs). Incidence was computed with mortality estimates and corresponding MIRs. Prevalence estimates were calculated using modelled survival and multiplied by disability weights to obtain years lived with disability (YLDs). Years of life lost (YLLs) were calculated as age-specific cancer deaths multiplied by the standard life expectancy at the age of death. The main outcome was DALYs (the sum of YLLs and YLDs). Estimates were presented globally and by Socio-demographic Index (SDI) quintiles (countries ranked and divided into five equal SDI groups), and all estimates were presented with corresponding 95% uncertainty intervals (UIs). For this analysis, we used the age range of 15–39 years to define adolescents and young adults.
Findings
There were 1·19 million (95% UI 1·11–1·28) incident cancer cases and 396 000 (370 000–425 000) deaths due to cancer among people aged 15–39 years worldwide in 2019. The highest age-standardised incidence rates occurred in high SDI (59·6 [54·5–65·7] per 100 000 person-years) and high-middle SDI countries (53·2 [48·8–57·9] per 100 000 person-years), while the highest age-standardised mortality rates were in low-middle SDI (14·2 [12·9–15·6] per 100 000 person-years) and middle SDI (13·6 [12·6–14·8] per 100 000 person-years) countries. In 2019, adolescent and young adult cancers contributed 23·5 million (21·9–25·2) DALYs to the global burden of disease, of which 2·7% (1·9–3·6) came from YLDs and 97·3% (96·4–98·1) from YLLs. Cancer was the fourth leading cause of death and tenth leading cause of DALYs in adolescents and young adults globally.
Interpretation
Adolescent and young adult cancers contributed substantially to the overall adolescent and young adult disease burden globally in 2019. These results provide new insights into the distribution and magnitude of the adolescent and young adult cancer burden around the world. With notable differences observed across SDI settings, these estimates can inform global and country-level cancer control efforts.

Year2022
JournalThe Lancet Oncology
ISSN1474-5488
Digital Object Identifier (DOI)https://doi.org/10.1016/s1470-2045(21)00581-7
Web address (URL)http://www.scopus.com/inward/record.url?eid=2-s2.0-85122091989&partnerID=MN8TOARS
Publication dates
Online01 Jan 2022
Publication process dates
Deposited25 Jul 2022
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Predicting the environmental suitability for onchocerciasis in Africa as an aid to elimination planning.
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Five insights from the Global Burden of Disease Study 2019
Abbafati, C, Machado, DB, Cislaghi, B, Salman, OM, Karanikolos, M, McKee, M, Abbas, KM, Brady, OJ, Larson, HJ, Trias-Llimós, S, Cummins, S, Langan, SM, Sartorius, B, Hafiz, A, Jenabi, E, Mohammad Gholi Mezerji, N, Borzouei, S, Azarian, G, Khazaei, S, Abbasi, M, Asghari, B, Masoumi, S, Komaki, H, Taherkhani, A, Adabi, M, Abbasifard, M, Bazmandegan, G, Kamiab, Z, Vakilian, A, Anjomshoa, M, Mokari, A, Sabour, S, Shahbaz, M, Saeedi, R, Ahmadieh, H, Yousefinezhadi, T, Haj-Mirzaian, A, Nikbakhsh, R, Safi, S, Asgari, S, Irvani, SN, Jahanmehr, N, Ramezanzadeh, K, Abbasi-Kangevari, M, Khayamzadeh, M, Abbastabar, H, Shirkoohi, R, Fazlzadeh, M, Janjani, H, Hosseini, M, Mansournia, M, Tohidinik, H, Bakhtiari, A, Fazaeli, A, Mousavi, S, Hasanzadeh, A, Nabavizadeh, B, Malekzadeh, R, Hashemian, M, Pourshams, A, Salimzadeh, H, Sepanlou, SG, Afarideh, M, Esteghamati, A, Esteghamati, S, Ghajar, A, Heidari, B, Rezaei, N, Mohamadi, E, Rahimi-Movaghar, A, Rahim, F, Eskandarieh, S, Sahraian, M, Mohebi, F, Aminorroaya, A, Ebrahimi, H, Farzadfar, F, Mohajer, B, Pishgar, F, Saeedi Moghaddam, S, Shabani, M, Zarafshan, H, Abolhassani, H, Hafezi-Nejad, N, Heidari-Soureshjani, R, Abdollahi, M, Farahmand, M, Salamati, P, Mehrabi Nasab, E, Tajdini, M, Aghamir, S, Mirzaei, R, Dibaji Forooshani, Z, Khater, MM, Abd-Allah, F, Abdelalim, A, Abualhasan, A, El-Jaafary, SI, Hassan, A, Elsharkawy, A and Herteliu, C. (2020). Five insights from the Global Burden of Disease Study 2019. The Lancet. 396 (10258), pp. 1135-1159. https://doi.org/10.1016/S0140-6736(20)31404-5
Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019
Abbafati, C, Machado, DB, Cislaghi, B, Salman, OM, Karanikolos, M, McKee, M, Abbas, KM, Brady, OJ, Larson, HJ, Trias-Llimós, S, Cummins, S, Langan, SM, Sartorius, B, Hafiz, A, Jenabi, E, Mohammad Gholi Mezerji, N, Borzouei, S, Azarian, G, Khazaei, S, Abbasi, M, Asghari, B, Masoumi, S, Komaki, H, Taherkhani, A, Adabi, M, Abbasifard, M, Bazmandegan, G, Kamiab, Z, Vakilian, A, Anjomshoa, M, Mokari, A, Sabour, S, Shahbaz, M, Saeedi, R, Ahmadieh, H, Yousefinezhadi, T, Haj-Mirzaian, A, Nikbakhsh, R, Safi, S, Asgari, S, Irvani, SN, Jahanmehr, N, Ramezanzadeh, K, Abbasi-Kangevari, M, Khayamzadeh, M, Abbastabar, H, Shirkoohi, R, Fazlzadeh, M, Janjani, H, Hosseini, M, Mansournia, M, Tohidinik, H, Bakhtiari, A, Fazaeli, A, Mousavi, S, Hasanzadeh, A, Nabavizadeh, B, Malekzadeh, R, Hashemian, M, Pourshams, A, Salimzadeh, H, Sepanlou, SG, Afarideh, M, Esteghamati, A, Esteghamati, S, Ghajar, A, Heidari, B, Rezaei, N, Mohamadi, E, Rahimi-Movaghar, A, Rahim, F, Eskandarieh, S, Sahraian, M, Mohebi, F, Aminorroaya, A, Ebrahimi, H, Farzadfar, F, Mohajer, B, Pishgar, F, Saeedi Moghaddam, S, Shabani, M, Zarafshan, H, Abolhassani, H, Hafezi-Nejad, N, Heidari-Soureshjani, R, Abdollahi, M, Farahmand, M, Salamati, P, Mehrabi Nasab, E, Tajdini, M, Aghamir, S, Mirzaei, R, Dibaji Forooshani, Z, Khater, MM, Abd-Allah, F, Abdelalim, A, Abualhasan, A, El-Jaafary, SI, Hassan, A, Elsharkawy, A and Herteliu, C. (2020). Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019. The Lancet. 396 (10258), pp. 1160-1203. https://doi.org/10.1016/S0140-6736(20)30977-6
Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
Abbafati, C, Machado, DB, Cislaghi, B, Salman, OM, Karanikolos, M, McKee, M, Abbas, KM, Brady, OJ, Larson, HJ, Trias-Llimós, S, Cummins, S, Langan, SM, Sartorius, B, Hafiz, A, Jenabi, E, Mohammad Gholi Mezerji, N, Borzouei, S, Azarian, G, Khazaei, S, Abbasi, M, Asghari, B, Masoumi, S, Komaki, H, Taherkhani, A, Adabi, M, Abbasifard, M, Bazmandegan, G, Kamiab, Z, Vakilian, A, Anjomshoa, M, Mokari, A, Sabour, S, Shahbaz, M, Saeedi, R, Ahmadieh, H, Yousefinezhadi, T, Haj-Mirzaian, A, Nikbakhsh, R, Safi, S, Asgari, S, Irvani, SN, Jahanmehr, N, Ramezanzadeh, K, Abbasi-Kangevari, M, Khayamzadeh, M, Abbastabar, H, Shirkoohi, R, Fazlzadeh, M, Janjani, H, Hosseini, M, Mansournia, M, Tohidinik, H, Bakhtiari, A, Fazaeli, A, Mousavi, S, Hasanzadeh, A, Nabavizadeh, B, Malekzadeh, R, Hashemian, M, Pourshams, A, Salimzadeh, H, Sepanlou, SG, Afarideh, M, Esteghamati, A, Esteghamati, S, Ghajar, A, Heidari, B, Rezaei, N, Mohamadi, E, Rahimi-Movaghar, A, Rahim, F, Eskandarieh, S, Sahraian, M, Mohebi, F, Aminorroaya, A, Ebrahimi, H, Farzadfar, F, Mohajer, B, Pishgar, F, Saeedi Moghaddam, S, Shabani, M, Zarafshan, H, Abolhassani, H, Hafezi-Nejad, N, Heidari-Soureshjani, R, Abdollahi, M, Farahmand, M, Salamati, P, Mehrabi Nasab, E, Tajdini, M, Aghamir, S, Mirzaei, R, Dibaji Forooshani, Z, Khater, MM, Abd-Allah, F, Abdelalim, A, Abualhasan, A, El-Jaafary, SI, Hassan, A, Elsharkawy, A, Ausloos, M. and Herteliu, C. (2020). Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 396 (10258), pp. 1204-1222. https://doi.org/10.1016/S0140-6736(20)30925-9
Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
Abbafati, C, Machado, DB, Cislaghi, B, Salman, OM, Karanikolos, M, McKee, M, Abbas, KM, Brady, OJ, Larson, HJ, Trias-Llimós, S, Cummins, S, Langan, SM, Sartorius, B, Hafiz, A, Jenabi, E, Mohammad Gholi Mezerji, N, Borzouei, S, Azarian, G, Khazaei, S, Abbasi, M, Asghari, B, Masoumi, S, Komaki, H, Taherkhani, A, Adabi, M, Abbasifard, M, Bazmandegan, G, Kamiab, Z, Vakilian, A, Anjomshoa, M, Mokari, A, Sabour, S, Shahbaz, M, Saeedi, R, Ahmadieh, H, Yousefinezhadi, T, Haj-Mirzaian, A, Nikbakhsh, R, Safi, S, Asgari, S, Irvani, SN, Jahanmehr, N, Ramezanzadeh, K, Abbasi-Kangevari, M, Khayamzadeh, M, Abbastabar, H, Shirkoohi, R, Fazlzadeh, M, Janjani, H, Hosseini, M, Mansournia, M, Tohidinik, H, Bakhtiari, A, Fazaeli, A, Mousavi, S, Hasanzadeh, A, Nabavizadeh, B, Malekzadeh, R, Hashemian, M, Pourshams, A, Salimzadeh, H, Sepanlou, SG, Afarideh, M, Esteghamati, A, Esteghamati, S, Ghajar, A, Heidari, B, Rezaei, N, Mohamadi, E, Rahimi-Movaghar, A, Rahim, F, Eskandarieh, S, Sahraian, M, Mohebi, F, Aminorroaya, A, Ebrahimi, H, Farzadfar, F, Mohajer, B, Pishgar, F, Saeedi Moghaddam, S, Shabani, M, Zarafshan, H, Abolhassani, H, Hafezi-Nejad, N, Heidari-Soureshjani, R, Abdollahi, M, Farahmand, M, Salamati, P, Mehrabi Nasab, E, Tajdini, M, Aghamir, S, Mirzaei, R, Dibaji Forooshani, Z, Khater, MM, Abd-Allah, F, Abdelalim, A, Abualhasan, A, El-Jaafary, SI, Hassan, A, Elsharkawy, A and Herteliu, C. (2020). Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 396 (10258), pp. 1223-1249. https://doi.org/10.1016/S0140-6736(20)30752-2
Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019
Lozano, R, Fullman, N, Mumford, JE, Knight, M, Barthelemy, CM, Abbafati, C, Abbastabar, H, Abd-Allah, F, Abdollahi, M, Abedi, A, Abolhassani, H, Abosetugn, AE, Abreu, LG, Abrigo, MRM, Abu Haimed, AK, Abushouk, AI, Adabi, M, Adebayo, OM, Adekanmbi, V, Adelson, J, Adetokunboh, OO, Adham, D, Advani, SM, Afshin, A, Agarwal, G, Agasthi, P, Aghamir, SMK, Agrawal, A, Ahmad, T, Akinyemi, RO, Alahdab, F, Al-Aly, Z, Alam, K, Albertson, SB, Alemu, YM, Alhassan, RK, Ali, M, Ali, S, Alipour, V, Aljunid, SM, Alla, F, Almadi, MAH, Almasi, A, Almasi-Hashiani, A, Almasri, NA, Al-Mekhlafi, HM, Almulhim, AM, Alonso, J, Al-Raddadi, RM, Altirkawi, KA, Alvis-Guzman, N, Alvis-Zakzuk, NJ, Amini, S, Amini-Rarani, M, Amiri, F, Amit, AML, Amugsi, DA, Ancuceanu, R, Anderlini, D, Andrei, CL, Androudi, S, Ansari, F, Ansari-Moghaddam, A, Antonio, CAT, Antony, CM, Antriyandarti, E, Anvari, D, Anwer, R, Arabloo, J, Arab-Zozani, M, Aravkin, AY, Aremu, O, Ärnlöv, J, Asaad, M, Asadi-Aliabadi, M, Asadi-Pooya, AA, Athari, SS, Atout, MMDW, Ausloos, M, Avila-Burgos, L, Ayala Quintanilla, BP, Ayano, G, Ayanore, MA, Aynalem, YA, Aynalem, GL, Ayza, MA, Azari, S, Azzopardi, PS, B, DB, Babaee, E, Badiye, AD, Bahrami, MA, Baig, AA, Bakhshaei, MH, Bakhtiari, A, Bakkannavar, SM, Balachandran, A, Banach, M, Banerjee, SK, Banik, PC and Herteliu, C. (2020). Measuring universal health coverage based on an index of effective coverage of health services in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. The Lancet. 396 (10258), pp. 1250-1284. https://doi.org/10.1016/S0140-6736(20)30750-9
The global distribution of lymphatic filariasis, 2000–18: a geospatial analysis
Deshpande, A, Miller-Petrie, MK, Johnson, KB, Abdoli, A, Abrigo, MRM, Adekanmbi, V, Adetokunboh, OO, Adinarayanan, S, Ahmadpour, E, Ahmed, MB, Akalu, TY, Alanzi, TM, Alinia, C, Alipour, V, Amit, AML, Anber, NH, Ancuceanu, R, Andualem, Z, Ansari, F, Antonio, CAT, Anvari, D, Appiah, S, Arabloo, J, Arnold, BF, Ausloos, M, Ayanore, MA, Badirzadeh, A, Baig, AA, Banach, M, Baraki, AG, Bärnighausen, TW, Bayati, M, Bhattacharyya, K, Bhutta, ZA, Bijani, A, Bockarie, MJ, Bisanzio, D, Biswas, RK, Bohlouli, S, Cano, J, Carvalho, F, Chattu, VK, Chavshin, C, Cormier, NM, Cromwell, EA, Schmidt, CA, Kwong, KT, Damiani, G, Dandona, R, Dandona, L, Darwesh, AM, Daryani, A, Dash, AP, Deribe, K, Dessu, B, Dhimal, M, Dianatinasab, M, Diaz, D, Do, HT, Earl, L, El Tantawi, M, Faraj, A, Fattahi, N, Fernandes, E, Fischer, F, Foigt, NA, Foroutan, M, Guo, Y, Hailu, GB, Hasaballah, AI, Hassankhani, H, Hassankhani, H, Herteliu, C, de Hidru, HD, Hon, J, Hole, MK, Hossain, N, Hosseinzadeh, M, Househ, M, Humayun, A, Ilesanmi, OS, Ilic, MD, Iqbal, U, Irvani, SSN, Islam, SMS, Jha, RP, Ji, JS, Jozwiak, JJ, Kabir, A, Kalankesh, LR, Kalhor, R, Karami Matin, B, Karch, A, Karimi, S, Kasaeian, A, Kazemi Karyani, A, Kayode, GA, Kelbore, AG, Khafaie, MA and Khalilov, R (2020). The global distribution of lymphatic filariasis, 2000–18: a geospatial analysis. The Lancet Global Health. 8 (9), pp. e1186-e1194. https://doi.org/10.1016/S2214-109X(20)30286-2
Changes in disease burden in Poland between 1990–2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017
Gańczak, M, Miazgowski, T, Kożybska, M, Kotwas, A, Korzeń, M, Rudnicki, B, Nogal, T, Andrei, C L, Ausloos, M, Banach, M, Brazinova, A, Constantin, M, Dubljanin, E, Herteliu, C, Hostiuc, M, Hostiuc, S, Jakovljevic, M, Jozwiak, J J, Kissimova-Skarbek, K, Król, Z J, Mestrovic, T, Miazgowski, B, Milevska Kostova, N, Naghavi, M, Negoi, I, Negoi, R I, Pana, A, Rubino, S, Sekerija, M, Sierpinski, R, Szponar, L, Topor-Madry, R, Vujcic, I S, Widecka, J, Widecka, K, Wojtyniak, B, Zadnik, V and Kopec, J A (2020). Changes in disease burden in Poland between 1990–2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017. PLoS ONE. 15 (3), pp. e0226766-e0226766. https://doi.org/10.1371/journal.pone.0226766
Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017
Kinyoki, D.K., Ross, J.M., Lazzar-Atwood, A. and Herteliu, C. (2020). Mapping local patterns of childhood overweight and wasting in low- and middle-income countries between 2000 and 2017. Nature Medicine. https://doi.org/10.1038/s41591-020-0807-6
Health sector spending and spending on HIV/AIDS, tuberculosis, and malaria, and development assistance for health: progress towards Sustainable Development Goal 3
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Global, regional, and national burden of chronic kidney disease, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
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Liquidity transmission and the subprime mortgage crisis: a multivariate GARCH approach
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Sustainable consumption behaviours in P2P accommodation platforms: an exploratory study
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Mapping child growth failure across low- and middle-income countries
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Intriguing behavior when testing the impact of quotation marks usage in Google search results
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The influence of Lent on marriages and conceptions explored through a new methodology
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Evidence regarding external financing in manufacturing MSEs using partial least squares regression
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Past, present, and future of global health financing: a review of development assistance, government, out-of-pocket, and other private spending on health for 195 countries, 1995–2050
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Money's Importance from the religious perspective
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Global, regional, and national comparative risk assessment of 84 behavioural, environmental and occupational, and metabolic risks or clusters of risks for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017
Murray, Christopher J. L., Zodpey, Sanjay, Zimsen, Stephanie M., Thou, Maigeng, Zhang, Kai, Zhang, Hao, Zhang, Anthony Lin, Zavala-Arciniega, Luis, Zamani, Mohammad, Bin Zaman, Sojib, Zaidi, Zoubida, Yu, Chuanhua, Yousefifard, Mahmoud, Younis, Mustafa Z., Yotebieng, Marcel, Yoon, Seok-Jun, Yonemoto, Naohiro, Yisma, Engida, Yip, Paul, Yimer, Ebrahim M., Yeshanely, Alex, Yasin, Jemal Yasin, Yaseri, Mehdi, Yano, Yuichiro, Yan, Lijing L., Yamada, Tomohide, Jabbari, Seyed Hossein Yahyazadeh, Yadollahpour, Ali, Yadgir, Simon, Xu, Gelin, Xavier, Denis, Wu, Shoaling, Wong, Tien Yin, Wolfe, Charles D. A., Wiysonge, Charles Shey, Wiyeh, Alison B., Winkler, Andrea Sylvia, Wijeratne, Tissa, Widecka, Justyna, Whiteford, Harvey A., Westerman, Ronny, West, J. 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Murat, Car, Lorainne Tudor, Tsadik, Afewerki Gebremeskel, Nu Thi Truong, Truelsen, Thomas Clement, Tran, Khanh Baca, Tran, Bach Xuan, Towbin, Jeffrey A., Tovani-Palone, Marcos Roberto, Touvier, Mathilde, Tortajada-Girbes, Miguel, Torre, Anna E., Topor-Madry, Roman, Tonelli, Marcello, Tobollik, Myriarn, To, Quyen G., Tillmana, Taavi, Tilahun, Binyam, Thurston, George D., Thomas, Nihal, Thomas, Matthew Lloyd, Thomas, Hannah J., Thirunavukkarasu, Sathish, Theis, Andrew, Thankappan, Kavumpurathu Raman, Teweldemedhin, Mebrahtu, Tessema, Belay, Terkawi, Abdullah Sulieman, Temsah, Omar, Temsah, Mohamad-Rani, Temesgen, Habtamu, Tekle, Merhawi Gebremedhin, Tekelemedhin, Shishay Wandey, Tekalign, Tigist Gashaw, Tehrani-Banihashemi, Arash, Taveira, Nuno, Tavakkoli, Mohammad, Tassew, Segen Gebremeskel, Tandon, Nikhil, Takahashi, Ken, Tadakamadla, Santosh Kumar, Tabuchi, Takahiro, Tabares-Seisdedos, Rafael, Szoeke, Cassandra E. 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