Lung Cancer incidence in both sexes across global areas: data from 1978 to 2017 and predictions up to 2035

Abstract Background and aim Lung cancer (LC) is one of the most prevalent and fatal malignancies worldwide. With the progress of society, the pathogenic factors, medical diagnosis, and environmental health policies of lung cancer have all changed. Therefore, predicting the incidence trend of LC is o...

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Main Authors: Dong-Ning Lu, Yan Jiang, Wan-Chen Zhang, Rong-Kang Du, Ao Zeng, Yi-Mu Wu, Xiao Zhou
Format: Article
Language:English
Published: BMC 2025-06-01
Series:BMC Pulmonary Medicine
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Online Access:https://doi.org/10.1186/s12890-025-03748-0
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author Dong-Ning Lu
Yan Jiang
Wan-Chen Zhang
Rong-Kang Du
Ao Zeng
Yi-Mu Wu
Xiao Zhou
author_facet Dong-Ning Lu
Yan Jiang
Wan-Chen Zhang
Rong-Kang Du
Ao Zeng
Yi-Mu Wu
Xiao Zhou
author_sort Dong-Ning Lu
collection DOAJ
description Abstract Background and aim Lung cancer (LC) is one of the most prevalent and fatal malignancies worldwide. With the progress of society, the pathogenic factors, medical diagnosis, and environmental health policies of lung cancer have all changed. Therefore, predicting the incidence trend of LC is of significance for people to understand the future burden of LC.In this study, we aimed to analyze temporal trends in LC incidence across 45 areas from 1978 to 2017, investigate regional and demographic patterns of LC incidence, and predict trends from 2018 to 2035. Methods Data on annual LC cases and population statistics, stratified by age and sex, were collected from 111 cancer registries in 45 areas across five continents using the Cancer Incidence in Five Continents Plus database. From 1978 to 2017, age-standardized rates (ASRs) per 100,000 individuals were calculated for both sexes and different age groups. A Bayesian age-period-conhort (BAPC) model was applied to forecast ASRs until 2035. Results From 1978 to 2017, LC ASRs decreased in most areas for men (32/45 areas) but increased for women (37/45 areas), and mainly due to the rising incidence rate among elderly women (> 60 years old). Among men, the country with the largest increase was Cyprus (+ 71.95%), and the largest decrease was Costa Rica (-64%). Among women, France saw the greatest increase (+ 515.15%) while Kuwait had the least (-72.85%). In addition, the LC ASR in high-income areas is higher than that in middle - and low-income areas. However, projections from 2018 to 2035 suggested that only 8 of 45 areas will witness increasing LC ASRs for men, whereas 18 areas will experience ASR increases for women. Conclusion Overall, global LC incidence is gradually declining. However, considerable disparities exist across areas, sexes, and developmental stages. Therefore, understanding area-specific trends, customizing control measures to local contexts, and conducting screening and early interventions in high-incidence areas and populations are central to overcoming these differences. Clinical trial number Not applicable.
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spelling doaj-art-81f83a35863245e5b80f1110d2e149212025-08-20T03:10:38ZengBMCBMC Pulmonary Medicine1471-24662025-06-0125111410.1186/s12890-025-03748-0Lung Cancer incidence in both sexes across global areas: data from 1978 to 2017 and predictions up to 2035Dong-Ning Lu0Yan Jiang1Wan-Chen Zhang2Rong-Kang Du3Ao Zeng4Yi-Mu Wu5Xiao Zhou6Department of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji UniversityDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji UniversityThe First Affiliated Hospital of Ningbo UniversityDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji UniversityDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji UniversityDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji UniversityDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, School of Medicine, Tongji UniversityAbstract Background and aim Lung cancer (LC) is one of the most prevalent and fatal malignancies worldwide. With the progress of society, the pathogenic factors, medical diagnosis, and environmental health policies of lung cancer have all changed. Therefore, predicting the incidence trend of LC is of significance for people to understand the future burden of LC.In this study, we aimed to analyze temporal trends in LC incidence across 45 areas from 1978 to 2017, investigate regional and demographic patterns of LC incidence, and predict trends from 2018 to 2035. Methods Data on annual LC cases and population statistics, stratified by age and sex, were collected from 111 cancer registries in 45 areas across five continents using the Cancer Incidence in Five Continents Plus database. From 1978 to 2017, age-standardized rates (ASRs) per 100,000 individuals were calculated for both sexes and different age groups. A Bayesian age-period-conhort (BAPC) model was applied to forecast ASRs until 2035. Results From 1978 to 2017, LC ASRs decreased in most areas for men (32/45 areas) but increased for women (37/45 areas), and mainly due to the rising incidence rate among elderly women (> 60 years old). Among men, the country with the largest increase was Cyprus (+ 71.95%), and the largest decrease was Costa Rica (-64%). Among women, France saw the greatest increase (+ 515.15%) while Kuwait had the least (-72.85%). In addition, the LC ASR in high-income areas is higher than that in middle - and low-income areas. However, projections from 2018 to 2035 suggested that only 8 of 45 areas will witness increasing LC ASRs for men, whereas 18 areas will experience ASR increases for women. Conclusion Overall, global LC incidence is gradually declining. However, considerable disparities exist across areas, sexes, and developmental stages. Therefore, understanding area-specific trends, customizing control measures to local contexts, and conducting screening and early interventions in high-incidence areas and populations are central to overcoming these differences. Clinical trial number Not applicable.https://doi.org/10.1186/s12890-025-03748-0Lung cancerSexesAge-standardized ratesPredictionsIncidence
spellingShingle Dong-Ning Lu
Yan Jiang
Wan-Chen Zhang
Rong-Kang Du
Ao Zeng
Yi-Mu Wu
Xiao Zhou
Lung Cancer incidence in both sexes across global areas: data from 1978 to 2017 and predictions up to 2035
BMC Pulmonary Medicine
Lung cancer
Sexes
Age-standardized rates
Predictions
Incidence
title Lung Cancer incidence in both sexes across global areas: data from 1978 to 2017 and predictions up to 2035
title_full Lung Cancer incidence in both sexes across global areas: data from 1978 to 2017 and predictions up to 2035
title_fullStr Lung Cancer incidence in both sexes across global areas: data from 1978 to 2017 and predictions up to 2035
title_full_unstemmed Lung Cancer incidence in both sexes across global areas: data from 1978 to 2017 and predictions up to 2035
title_short Lung Cancer incidence in both sexes across global areas: data from 1978 to 2017 and predictions up to 2035
title_sort lung cancer incidence in both sexes across global areas data from 1978 to 2017 and predictions up to 2035
topic Lung cancer
Sexes
Age-standardized rates
Predictions
Incidence
url https://doi.org/10.1186/s12890-025-03748-0
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