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Years lived with disability of cancer in China: findings from disability weights measurement with a focus on the effect of disease burden

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收录情况: ◇ SCIE ◇ 统计源期刊 ◇ CSCD-C ◇ 卓越:领军期刊

机构: [1]Office for Cancer Registry, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China [2]Department of Evidence-Based Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China [3]Department of Cancer Epidemiology and Prevention, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450008, China [4]Yunnan Cancer Center/Yunnan Cancer Hospital, Kunming 650118, China [5]Department of Cancer Prevention and Control, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610042, China [6]Institute of Cancer Prevention and Treatment, Harbin Medical University/Institute of Cancer Prevention and Treatment, Heilongjiang Academy of Medical Sciences, Heilongjiang Cancer Centre, Harbin 150081, China [7]Department of Cancer Prevention and Control, Hebei Medical University Fourth Hospital, Shijiazhuang 050000, China [8]Department of Cancer Prevention, Cancer Hospital of the University of Chinese Academy of Sciences/Zhejiang Cancer Hospital, Hangzhou 310005, China [9]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Beijing Office for Cancer Prevention and Control, Peking University Cancer Hospital & Institute, Beijing 100142, China [10]The Inner Mongolia Autonomous Region Comprehensive Center for Disease Control and Prevention, Hohhot 750306, China [11]Cancer Epidemiology Research Center, Gansu Cancer Hospital, Lanzhou 730050, China [12]Department of Non-communicable Chronic Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China [13]Office of Cancer Prevention and Treatment, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430079, China [14]Department of Cancer Prevention, Fudan University Shanghai Cancer Center, Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China [15]Department of Epidemiology, Shanxi Cancer Hospital, Taiyuan 030013, China
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关键词: Years lived with disability Disability weights Cancer Disease burden

摘要:
Disability weights are crucial for quantifying health loss associated with non-fatal outcomes and were not well assessed in different countries, especially for specific cancer. Therefore, this study aimed to identify disability weights with a focus on specific cancer in a large Chinese population. Two types of web surveys were conducted, and 254 health states, including 30 new states for specific cancer, were investigated using paired comparison methods. The years lived with disability (YLDs) of cancer were calculated as the sum of the prevalence of each sequela of cancer multiplied by its relative disability weight. In total, 44,069 participants were eligible for the disability weights study. The disability weights of 254 health states were estimated. Among those, the disability weights of 18 specific cancer types varied greatly at diagnosis and primary treatment stage, with the value ranging from 0.619 (95% uncertainty interval (UI) 0.606-0.632) for brain cancer to 0.167 (95% UI 0.158-0.176) for oropharyngeal cancer. The discrepancy in YLDs calculated by different disability weights was high, and the largest gap for all cancer combined was approximately 30.14%. When calculated using the cancer-specific disability weights, a total of 1,967,830 (95% UI 1,928,880-2,008,060) YLDs of cancer were recorded in China. The disability weights of cancer varied greatly among cancer types and populations, which had considerable influence on the estimation of the disease burden. Cancer-specific disability weights could provide a more accurate evaluation of the cancer burden.Copyright © 2023. Published by Elsevier B.V.

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大类 | 1 区 综合性期刊
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Q1 MULTIDISCIPLINARY SCIENCES
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Q1 MULTIDISCIPLINARY SCIENCES

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第一作者机构: [1]Office for Cancer Registry, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China [2]Department of Evidence-Based Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China
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