Global, Regional, and National Burden of Breast Cancer, 1990–2021, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021

ABSTRACT Background This study analyzes the global burden of breast cancer (BC) over the past 30 years, identifies key risk factors, and projects future incidence and mortality through 2050. Methods Data were sourced from the 2021 Global Burden of Disease (GBD) database. The estimated annual percent...

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Main Authors: Tong Deng, Hao Zi, Xing‐Pei Guo, Li‐Sha Luo, Ya‐Long Yang, Jin‐Xuan Hou, Rui Zhou, Qian‐Qian Yuan, Qing Liu, Qiao Huang, Gao‐Song Wu
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Thoracic Cancer
Subjects:
Online Access:https://doi.org/10.1111/1759-7714.70052
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author Tong Deng
Hao Zi
Xing‐Pei Guo
Li‐Sha Luo
Ya‐Long Yang
Jin‐Xuan Hou
Rui Zhou
Qian‐Qian Yuan
Qing Liu
Qiao Huang
Gao‐Song Wu
author_facet Tong Deng
Hao Zi
Xing‐Pei Guo
Li‐Sha Luo
Ya‐Long Yang
Jin‐Xuan Hou
Rui Zhou
Qian‐Qian Yuan
Qing Liu
Qiao Huang
Gao‐Song Wu
author_sort Tong Deng
collection DOAJ
description ABSTRACT Background This study analyzes the global burden of breast cancer (BC) over the past 30 years, identifies key risk factors, and projects future incidence and mortality through 2050. Methods Data were sourced from the 2021 Global Burden of Disease (GBD) database. The estimated annual percentage change (EAPC) was used to assess trends, and country development was measured using the Socio‐Demographic Index (SDI). Projections were conducted using Bayesian age‐period‐cohort and autoregressive integrated moving average models. Results In 2021, approximately 2.12 million new breast cancer cases and 674 199 deaths were recorded globally. From 1990 to 2021, incidence and prevalence increased, while mortality and disability‐adjusted life years (DALYs) declined overall. Regional and national variations were observed, alongside age and gender differences in the disease burden. A diet high in red meat and a high body mass index were the leading global risk factors for breast cancer deaths. The BC burden was positively correlated with SDI across 21 GBD regions. Decomposition analysis highlighted demographic factors as the main drivers of increased disease burden over the past three decades. Projections indicate that BC incidence will continue to rise through 2050. Conclusions While global BC mortality has decreased over the past 30 years, incidence continues to rise. Low‐SDI regions face increasing challenges, as incidence, mortality, and DALYs persistently climb. These findings underscore the need for targeted public health strategies and equitable resource distribution to mitigate the rising burden of breast cancer.
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spelling doaj-art-d47d5ec3b1ff45889df3c85e995f63692025-08-20T02:31:00ZengWileyThoracic Cancer1759-77061759-77142025-05-01169n/an/a10.1111/1759-7714.70052Global, Regional, and National Burden of Breast Cancer, 1990–2021, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021Tong Deng0Hao Zi1Xing‐Pei Guo2Li‐Sha Luo3Ya‐Long Yang4Jin‐Xuan Hou5Rui Zhou6Qian‐Qian Yuan7Qing Liu8Qiao Huang9Gao‐Song Wu10Department of Thyroid and Breast Surgery Zhongnan Hospital of Wuhan University Wuhan ChinaEvidence‐Based Medicine Center Xiangyang No. 1 People's Hospital, Hubei University of Medicine Xiangyang ChinaDepartment of General Surgery Zhengzhou Central Hospital Affiliated to Zhengzhou University Zhengzhou ChinaCenter for Evidence‐Based and Translational Medicine Zhongnan Hospital of Wuhan University Wuhan ChinaDepartment of Breast Surgery Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei Provincial Clinical Research Center for Breast Cancer, Wuhan Clinical Research Center for Breast Cancer Wuhan ChinaDepartment of Thyroid and Breast Surgery Zhongnan Hospital of Wuhan University Wuhan ChinaDepartment of Thyroid and Breast Surgery Zhongnan Hospital of Wuhan University Wuhan ChinaDepartment of Thyroid and Breast Surgery Zhongnan Hospital of Wuhan University Wuhan ChinaDepartment of Physical Examination Zhengzhou Central Hospital Affiliated to Zhengzhou University Zhengzhou ChinaCenter for Evidence‐Based and Translational Medicine Zhongnan Hospital of Wuhan University Wuhan ChinaDepartment of Thyroid and Breast Surgery Zhongnan Hospital of Wuhan University Wuhan ChinaABSTRACT Background This study analyzes the global burden of breast cancer (BC) over the past 30 years, identifies key risk factors, and projects future incidence and mortality through 2050. Methods Data were sourced from the 2021 Global Burden of Disease (GBD) database. The estimated annual percentage change (EAPC) was used to assess trends, and country development was measured using the Socio‐Demographic Index (SDI). Projections were conducted using Bayesian age‐period‐cohort and autoregressive integrated moving average models. Results In 2021, approximately 2.12 million new breast cancer cases and 674 199 deaths were recorded globally. From 1990 to 2021, incidence and prevalence increased, while mortality and disability‐adjusted life years (DALYs) declined overall. Regional and national variations were observed, alongside age and gender differences in the disease burden. A diet high in red meat and a high body mass index were the leading global risk factors for breast cancer deaths. The BC burden was positively correlated with SDI across 21 GBD regions. Decomposition analysis highlighted demographic factors as the main drivers of increased disease burden over the past three decades. Projections indicate that BC incidence will continue to rise through 2050. Conclusions While global BC mortality has decreased over the past 30 years, incidence continues to rise. Low‐SDI regions face increasing challenges, as incidence, mortality, and DALYs persistently climb. These findings underscore the need for targeted public health strategies and equitable resource distribution to mitigate the rising burden of breast cancer.https://doi.org/10.1111/1759-7714.70052breast cancercancer epidemiologyglobal burden of diseasepredictionrisk factors
spellingShingle Tong Deng
Hao Zi
Xing‐Pei Guo
Li‐Sha Luo
Ya‐Long Yang
Jin‐Xuan Hou
Rui Zhou
Qian‐Qian Yuan
Qing Liu
Qiao Huang
Gao‐Song Wu
Global, Regional, and National Burden of Breast Cancer, 1990–2021, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021
Thoracic Cancer
breast cancer
cancer epidemiology
global burden of disease
prediction
risk factors
title Global, Regional, and National Burden of Breast Cancer, 1990–2021, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021
title_full Global, Regional, and National Burden of Breast Cancer, 1990–2021, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021
title_fullStr Global, Regional, and National Burden of Breast Cancer, 1990–2021, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021
title_full_unstemmed Global, Regional, and National Burden of Breast Cancer, 1990–2021, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021
title_short Global, Regional, and National Burden of Breast Cancer, 1990–2021, and Projections to 2050: A Systematic Analysis of the Global Burden of Disease Study 2021
title_sort global regional and national burden of breast cancer 1990 2021 and projections to 2050 a systematic analysis of the global burden of disease study 2021
topic breast cancer
cancer epidemiology
global burden of disease
prediction
risk factors
url https://doi.org/10.1111/1759-7714.70052
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