Comparative analysis of liver cancer burden trends in China and worldwide between 1990 and 2021

BackgroundThe Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 provides comprehensive data on liver cancer burden worldwide. This study aims to analyze and compare the trends in liver cancer burden in China and globally between 1990 and 2021.MethodsData were extracted from the...

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Main Authors: Chunrong Chen, Qianjie Xu, Tao Wang, Yuliang Yuan, Zuhai Hu, Xiaosheng Li, Xiaodong Zheng, Haike Lei
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1513210/full
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author Chunrong Chen
Qianjie Xu
Tao Wang
Yuliang Yuan
Zuhai Hu
Xiaosheng Li
Xiaodong Zheng
Haike Lei
author_facet Chunrong Chen
Qianjie Xu
Tao Wang
Yuliang Yuan
Zuhai Hu
Xiaosheng Li
Xiaodong Zheng
Haike Lei
author_sort Chunrong Chen
collection DOAJ
description BackgroundThe Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 provides comprehensive data on liver cancer burden worldwide. This study aims to analyze and compare the trends in liver cancer burden in China and globally between 1990 and 2021.MethodsData were extracted from the GBD 2021 database, which includes incidence, prevalence, mortality, and disability-adjusted life years (DALYs) for liver cancer in 204 countries and territories. Age-standardized rates (ASIR, ASPR, ASMR, ASDR) and crude rates (CIR, CPR, CMR, CDR) were calculated. Joinpoint regression analysis was used to determine the average annual percentage change (AAPC) in liver cancer burden trends.ResultsIn China, the number of liver cancer cases increased from 96,434 in 1990 to 196,637 in 2021, while the age-standardized incidence rate (ASIR) decreased. Globally, cases increased from 244,689 to 529,202, with a slight increase in ASIR. The age-standardized prevalence rate (ASPR) in China remained stable, while globally it increased. Age-standardized mortality rates (ASMR) and age-standardized DALY rates (ASDR) decreased in both China and globally. Males had higher rates than females in all age groups. The peak age for liver cancer burden occurred earlier in Chinese males compared to the global average.ConclusionThe liver cancer burden in China has declined over the past three decades, with a more significant decrease in China than globally. However, China still faces a higher burden compared to the global average. The earlier peak in liver cancer burden among Chinese males suggests the need for targeted prevention and control measures, especially in light of the impact of risk factors like hepatitis B and C, alcohol consumption, drug abuse, obesity, diabetes and tobacco use. Globally, liver cancer remains a significant public health challenge with rising incidence and prevalence rates, emphasizing the need for a comprehensive global approach to liver cancer prevention.
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spelling doaj-art-c15fe7c841d0470aa32e16b72a9556e72025-08-20T02:26:19ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-05-011310.3389/fpubh.2025.15132101513210Comparative analysis of liver cancer burden trends in China and worldwide between 1990 and 2021Chunrong Chen0Qianjie Xu1Tao Wang2Yuliang Yuan3Zuhai Hu4Xiaosheng Li5Xiaodong Zheng6Haike Lei7Department of Health Information Management, School of Public Health and Management, Chongqing Three Gorges Medical and Pharmaceutical College, Chongqing, ChinaChongqing Cancer Multiomics Big Data Application Engineering Research Center, Chongqing University Cancer Hospital, Chongqing, ChinaDepartment of Health Information Management, School of Public Health and Management, Chongqing Three Gorges Medical and Pharmaceutical College, Chongqing, ChinaChongqing Cancer Multiomics Big Data Application Engineering Research Center, Chongqing University Cancer Hospital, Chongqing, ChinaDepartment of Health Statistics, School of Public Health, Chongqing Medical University, Chongqing, ChinaChongqing Cancer Multiomics Big Data Application Engineering Research Center, Chongqing University Cancer Hospital, Chongqing, ChinaAffiliated Hospital of Chongqing Medical and Pharmaceutical College, Chenjiaqiao Hospital of Shapingba District, Chongqing, ChinaChongqing Cancer Multiomics Big Data Application Engineering Research Center, Chongqing University Cancer Hospital, Chongqing, ChinaBackgroundThe Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 provides comprehensive data on liver cancer burden worldwide. This study aims to analyze and compare the trends in liver cancer burden in China and globally between 1990 and 2021.MethodsData were extracted from the GBD 2021 database, which includes incidence, prevalence, mortality, and disability-adjusted life years (DALYs) for liver cancer in 204 countries and territories. Age-standardized rates (ASIR, ASPR, ASMR, ASDR) and crude rates (CIR, CPR, CMR, CDR) were calculated. Joinpoint regression analysis was used to determine the average annual percentage change (AAPC) in liver cancer burden trends.ResultsIn China, the number of liver cancer cases increased from 96,434 in 1990 to 196,637 in 2021, while the age-standardized incidence rate (ASIR) decreased. Globally, cases increased from 244,689 to 529,202, with a slight increase in ASIR. The age-standardized prevalence rate (ASPR) in China remained stable, while globally it increased. Age-standardized mortality rates (ASMR) and age-standardized DALY rates (ASDR) decreased in both China and globally. Males had higher rates than females in all age groups. The peak age for liver cancer burden occurred earlier in Chinese males compared to the global average.ConclusionThe liver cancer burden in China has declined over the past three decades, with a more significant decrease in China than globally. However, China still faces a higher burden compared to the global average. The earlier peak in liver cancer burden among Chinese males suggests the need for targeted prevention and control measures, especially in light of the impact of risk factors like hepatitis B and C, alcohol consumption, drug abuse, obesity, diabetes and tobacco use. Globally, liver cancer remains a significant public health challenge with rising incidence and prevalence rates, emphasizing the need for a comprehensive global approach to liver cancer prevention.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1513210/fullliver cancerglobal burden of disease studyChinaepidemiologytrends analysis
spellingShingle Chunrong Chen
Qianjie Xu
Tao Wang
Yuliang Yuan
Zuhai Hu
Xiaosheng Li
Xiaodong Zheng
Haike Lei
Comparative analysis of liver cancer burden trends in China and worldwide between 1990 and 2021
Frontiers in Public Health
liver cancer
global burden of disease study
China
epidemiology
trends analysis
title Comparative analysis of liver cancer burden trends in China and worldwide between 1990 and 2021
title_full Comparative analysis of liver cancer burden trends in China and worldwide between 1990 and 2021
title_fullStr Comparative analysis of liver cancer burden trends in China and worldwide between 1990 and 2021
title_full_unstemmed Comparative analysis of liver cancer burden trends in China and worldwide between 1990 and 2021
title_short Comparative analysis of liver cancer burden trends in China and worldwide between 1990 and 2021
title_sort comparative analysis of liver cancer burden trends in china and worldwide between 1990 and 2021
topic liver cancer
global burden of disease study
China
epidemiology
trends analysis
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1513210/full
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