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The burden of prostate cancer in North Africa and Middle East, 1990–2019: Findings from the global burden of disease study

  • GBD 2019 NAME Prostate Cancer Collaborators
  • Tehran University of Medical Sciences
  • Shahid Beheshti University of Medical Sciences
  • University of Washington
  • Islamic Azad University
  • COMSATS University Islamabad
  • Royan Institution
  • Iran University of Medical Sciences
  • Jazan University
  • Shiraz University of Medical Sciences
  • Yasuj University of Medical Sciences
  • University of Sharjah
  • University of Management and Technology
  • Pakistan Health Research Council
  • International Relations & Diplomacy
  • Tishk International University
  • Abasyn University
  • Shahrekord University of Medical Sciences
  • Tabriz University of Medical Sciences
  • Hamad Medical Corporation
  • Bournemouth University
  • Philadelphia University
  • Psychological Sciences Association
  • Birjand University of Medical Sciences
  • Kuwait University
  • Universiti Kebangsaan Malaysia
  • Cleveland Clinic Abu Dhabi
  • University of Oxford
  • Zanjan University of Medical Sciences
  • School of Medicine
  • Saveh University of Medical Sciences
  • Isfahan University of Medical Sciences
  • Charles University
  • United Arab Emirates University
  • Babol University of Medical Sciences
  • King Abdulaziz University
  • The University of Lahore
  • Harvard University
  • Arak University of Medical Sciences
  • Mazandaran University of Medical Sciences
  • Maastricht University
  • Alexandria University
  • University of Tripoli
  • Ahvaz Jundishapur University of Medical Sciences
  • Abadan University of Medical Sciences
  • Sana Institute of Higher Education
  • University of Sulaimani
  • Johns Hopkins University
  • Hamdan Bin Mohammed Smart University
  • University of Veterinary and Animal Sciences, Lahore, Pakistan
  • Xi'an Jiaotong University
  • Hamad bin Khalifa University
  • University of Lausanne
  • Guilan University of Medical Sciences
  • Guilan University of Medical Sciences
  • Qazvin University of Medical Sciences
  • Jordan University of Science and Technology
  • Mashhad University of Medical Sciences
  • Golestan University of Medical Sciences
  • Yazd University
  • King Saud University
  • King Abdullah University of Science and Technology
  • Health Promotion Research Center (ZAUMS)
  • Ilam University of Medical Sciences
  • Health Services Academy
  • Imam Abdulrahman Bin Faisal University
  • Jahrom University of Medical Science
  • Sirjan University of Medical Sciences
  • Kerman University of Medical Sciences
  • Rafsanjan University of Medical Sciences
  • Islamabad Diagnostic Center
  • Ministry of National Health Services, Regulations and Coordination
  • Ain Shams University
  • University of Swat
  • Xiamen University
  • Iqra National University
  • Ministry of Science and Technology
  • Milad General Hospital
  • Hacettepe University
  • Sina Medical Biochemistry Technologies

Research output: Contribution to journalArticlepeer-review

22 Scopus citations

Abstract

Background: Prostate cancer (PCa) is the second most prevalent cancer among men worldwide. This study presents estimates of PCa prevalence, incidence, death, years-of-life-lost (YLLs), years-lived-with-disability (YLDs), disability-adjusted-life-years (DALYs), and the burden attributable to smoking during 1990-2019 in North Africa and Middle East using data of Global Burden of Diseases (GBD) Study 2019. Methods: This study is a part of GBD 2019. Using vital registration and cancer registry data, the estimates on PCa burden were modeled. Risk factor analysis was performed through the six-step conceptual framework of Comparative Risk Assessment. Results: The age-standardized rates (95% UI) of PCa incidence, prevalence, and death in 2019 were 23.7 (18.5-27.9), 161.1 (126.6-187.6), and 11.7 (9.4-13.9) per 100,000 population. While PCa incidence and prevalence increased by 77% and 144% during 1990-2019, respectively, the death rate stagnated. Of the 397% increase in PCa new cases, 234% was due to a rise in the age-specific incidence rate, 79% due to population growth, and 84% due to population aging. The YLLs, YLDs, and DALYs of PCa increased by 2% (-11.8-23.1), 108% (75.5-155.1), and 6% (-8.9-28.1). The death rate and DALYs rate attributable to smoking have decreased 12% and 10%, respectively. The DALYs rate attributable to smoking was 37.4 (15.9-67.8) in Lebanon and 5.9 (2.5-10.6) in Saudi Arabia, which were the highest and lowest in the region, respectively. Conclusions: The PCa incidence and prevalence rates increased during 1990-2019; however, the death rate stagnated. The increase in the incidence was mostly due to the rise in the age-specific incidence rate, rather than population growth or aging. The burden of PCa attributable to smoking has decreased in the past 30 years.

Original languageEnglish
Article number961086
JournalFrontiers in Oncology
Volume12
DOIs
StatePublished - 13 Sep 2022
Externally publishedYes

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • cancer
  • global burden of disease
  • incidence
  • mortality
  • prostate-specific antigen
  • prostatic neoplasms

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