The global, regional, and national burden and quality of care index of kidney cancer; a global burden of disease systematic analysis 1990–2019

Author:

Khadembashiri Mohamad Mehdi,Ghasemi Erfan1,Khadembashiri Mohammad Amin1,Azadnajafabad Sina1,Moghaddam Sahar Saeedi12,Eslami Mohamad1,Rashidi Mohammad-Mahdi1ORCID,Naderian Mohammadreza13,Esfahani Zahra14,Ahmadi Naser1ORCID,Rezaei Nazila1,Fateh Sahar Mohammadi1,Kompani Farzad5,Larijani Bagher6ORCID,Farzadfar Farshad16ORCID

Affiliation:

1. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences , Jalal-AL-Ahmad St., Chmaran HWY., Tehran, Tehran, Iran 1411713119, Iran

2. Global Cooperation and Social Cohesion, The Global Health Economy, Kiel Institute for the World Economy , Hindenburgufer 66 24105 Kiel Germany, Kiel 24148, Germany

3. Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences , North Kargar-Ave, Tehran, Tehran, Iran 1995614331, Iran

4. Department of Biostatistics, University of Social Welfare and Rehabilitation Sciences , kodakyar Ave., daneshjo Blvd.,Evin, Tehran, Tehran, Iran 1985713871, Iran

5. Division of Hematology and Oncology, Children’s Medical Center, Pediatrics Center of Excellence, Tehran University of Medical Sciences , Children’s Medical Center, Dr Gharib St, Keshavarz Blvd, Tehran, Iran, Tehran, Tehran, Iran 1419733151, Iran

6. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences , NO 10, Jalal-AL-Ahmad St., Chmaran HWY., Tehran, Iran, Tehran 1411713137, Iran

Abstract

Abstract Kidney cancer (KC) is a prevalent cancer worldwide. The incidence and mortality rates of KC have risen in recent decades. The quality of care provided to KC patients is a concern for public health. Considering the importance of KC, in this study, we aim to assess the burden of the disease, gender and age disparities globally, regionally, and nationally to evaluate the quality and inequities of KC care. The 2019 Global Burden of Disease study provides data on the burden of the KC. The secondary indices, including mortality-to-incidence ratio, disability-adjusted life years -to-prevalence ratio, prevalence-to-incidence ratio, and years of life lost-to-years lived with disability ratio, were utilized. These four newly merged indices were converted to the quality-of-care index (QCI) as a summary measure using principal component analysis. QCI ranged between 0 and 100, and higher amounts of QCI indicate higher quality of care. Gender disparity ratio was calculated by dividing QCI for females by males to show gender inequity. The global age-standardized incidence and mortality rates of KC increased by 29.1% (95% uncertainty interval 18.7–40.7) and 11.6% (4.6–20.0) between 1990 and 2019, respectively. Globally, the QCI score for KC increased by 14.6% during 30 years, from 71.3 to 81.6. From 1990 to 2019, the QCI score has increased in all socio-demographic index (SDI) quintiles. By 2019, the highest QCI score was in regions with a high SDI (93.0), and the lowest was in low SDI quintiles (38.2). Based on the World Health Organization regions, the QCI score was highest in the region of America, with Canada having the highest score (99.6) and the lowest in the African Region, where the Central African Republic scored the lowest (17.2). In 1990, the gender disparity ratio was 0.98, and in 2019, it was 0.97 showing an almost similar QCI score for females and males. Although the quality of care for KC has improved from 1990 to 2019, there is a significant gap between nations and different socioeconomic levels. This study provides clinicians and health authorities with a global perspective on the quality of care for KC and identifies the existing disparities.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health Policy,General Medicine

Reference43 articles.

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