Contrasting tracheal, bronchus, and lung cancer burdens and care quality: a comparative analysis of China and global trends
Abstract Background This study aims to explore the temporal trends of tracheal, bronchus, and lung cancer burden in Fujian Province, China, and globally. Additionally, it evaluates changes in attributable risk factors and the quality of care. Methods Based on data from the Fujian Provincial Center f...
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BMC
2025-08-01
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| Online Access: | https://doi.org/10.1186/s12885-025-14645-4 |
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| author | Xiuquan Lin Shiwen Liu Yating Ding Jianhui Zhao Fei He Wenling Zhong |
| author_facet | Xiuquan Lin Shiwen Liu Yating Ding Jianhui Zhao Fei He Wenling Zhong |
| author_sort | Xiuquan Lin |
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| description | Abstract Background This study aims to explore the temporal trends of tracheal, bronchus, and lung cancer burden in Fujian Province, China, and globally. Additionally, it evaluates changes in attributable risk factors and the quality of care. Methods Based on data from the Fujian Provincial Center for Disease Control and Prevention and the Global Burden of Disease (GBD), the age-standardized rates (ASRs) of incidence, death, and disability-adjusted life years (DALY) were collected and analyzed. Joinpoint regression analysis and age-period-cohort models were used to estimate temporal trends, and principal component analysis was used to estimate the quality-of-care index (QCI). Results In 2019, the ASRs of incidence, death, and DALYs were 39.08, 35.29, and 778.39 per 100,000 population in Fujian Province, respectively. From 1990 to 2019, ASRs increased, with average annual percent changes (AAPCs) of 1.08% (95% confidence interval [CI]: 0.77–1.38%), 0.65% (95% CI: 0.35–0.95%), and 0.18% (95% CI: -0.07–0.42%), respectively. The burden sharply increased after age 50 and the ASRs of incidence, death, and DALY in males in Fujian Province were all over 3-folds higher than in females. However, females burden showed increasing trend from 2015 to 2019. Compared with 1990, age‑standardized DALY rates attributable to ambient particulate matter pollution increased markedly, whereas those attributable to household solid fuel use declined. Moreover, we founded that QCI increased with age. The temporal trends indicated decrease in QCI from 1990 to 2019. Conclusion The burden of tracheal, bronchus, and lung cancer in Fujian Province remained significant. Smoking, secondhand smoke, and ambient particulate matter pollution were the main risk factors. The quality of care for patients needed improvement. Graphical Abstract |
| format | Article |
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| institution | Kabale University |
| issn | 1471-2407 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | BMC |
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| series | BMC Cancer |
| spelling | doaj-art-4b7c3292fa22433fb032ae4f45da61ac2025-08-20T03:46:07ZengBMCBMC Cancer1471-24072025-08-0125111710.1186/s12885-025-14645-4Contrasting tracheal, bronchus, and lung cancer burdens and care quality: a comparative analysis of China and global trendsXiuquan Lin0Shiwen Liu1Yating Ding2Jianhui Zhao3Fei He4Wenling Zhong5Department for Chronic and Noncommunicable Disease Control and Prevention, Fujian Provincial Center for Disease Control and PreventionDepartment of Epidemiology and Health Statistics, The School of Public Health, Fujian Medical UniversityThe School of Health Management, Fujian Medical UniversityDepartment of Big Data in Health Science, School of Public Health, The Second Affiliated Hospital, Zhejiang University School of MedicineDepartment of Epidemiology and Health Statistics, The School of Public Health, Fujian Medical UniversityDepartment for Chronic and Noncommunicable Disease Control and Prevention, Fujian Provincial Center for Disease Control and PreventionAbstract Background This study aims to explore the temporal trends of tracheal, bronchus, and lung cancer burden in Fujian Province, China, and globally. Additionally, it evaluates changes in attributable risk factors and the quality of care. Methods Based on data from the Fujian Provincial Center for Disease Control and Prevention and the Global Burden of Disease (GBD), the age-standardized rates (ASRs) of incidence, death, and disability-adjusted life years (DALY) were collected and analyzed. Joinpoint regression analysis and age-period-cohort models were used to estimate temporal trends, and principal component analysis was used to estimate the quality-of-care index (QCI). Results In 2019, the ASRs of incidence, death, and DALYs were 39.08, 35.29, and 778.39 per 100,000 population in Fujian Province, respectively. From 1990 to 2019, ASRs increased, with average annual percent changes (AAPCs) of 1.08% (95% confidence interval [CI]: 0.77–1.38%), 0.65% (95% CI: 0.35–0.95%), and 0.18% (95% CI: -0.07–0.42%), respectively. The burden sharply increased after age 50 and the ASRs of incidence, death, and DALY in males in Fujian Province were all over 3-folds higher than in females. However, females burden showed increasing trend from 2015 to 2019. Compared with 1990, age‑standardized DALY rates attributable to ambient particulate matter pollution increased markedly, whereas those attributable to household solid fuel use declined. Moreover, we founded that QCI increased with age. The temporal trends indicated decrease in QCI from 1990 to 2019. Conclusion The burden of tracheal, bronchus, and lung cancer in Fujian Province remained significant. Smoking, secondhand smoke, and ambient particulate matter pollution were the main risk factors. The quality of care for patients needed improvement. Graphical Abstracthttps://doi.org/10.1186/s12885-025-14645-4Lung cancerDisease burdenTemporal trendPredictionRisk factorQuality of care |
| spellingShingle | Xiuquan Lin Shiwen Liu Yating Ding Jianhui Zhao Fei He Wenling Zhong Contrasting tracheal, bronchus, and lung cancer burdens and care quality: a comparative analysis of China and global trends BMC Cancer Lung cancer Disease burden Temporal trend Prediction Risk factor Quality of care |
| title | Contrasting tracheal, bronchus, and lung cancer burdens and care quality: a comparative analysis of China and global trends |
| title_full | Contrasting tracheal, bronchus, and lung cancer burdens and care quality: a comparative analysis of China and global trends |
| title_fullStr | Contrasting tracheal, bronchus, and lung cancer burdens and care quality: a comparative analysis of China and global trends |
| title_full_unstemmed | Contrasting tracheal, bronchus, and lung cancer burdens and care quality: a comparative analysis of China and global trends |
| title_short | Contrasting tracheal, bronchus, and lung cancer burdens and care quality: a comparative analysis of China and global trends |
| title_sort | contrasting tracheal bronchus and lung cancer burdens and care quality a comparative analysis of china and global trends |
| topic | Lung cancer Disease burden Temporal trend Prediction Risk factor Quality of care |
| url | https://doi.org/10.1186/s12885-025-14645-4 |
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