Evidence map›Paper›PMID 37620889›Full record

ArticleArchives of public health = Archives belges de sante publique2023

The burden of breast, cervical, and colon and rectum cancer in the Balkan countries, 1990-2019 and forecast to 2030.

Jovana Todorovic, Zeljka Stamenkovic, Aleksandar Stevanovic, Natasa Terzic, Katarzyna Kissimova-Skarbek, Fimka Tozija, Enkeleint A Mechili, Brecht Devleesschauwer, Zorica Terzic-Supic, Milena Vasic and 3 more

Open access · goldAbstract read
In one paragraph

Article in Archives of public health = Archives belges de sante publique, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 8 institutions in 9 countries.

Jovana TodorovicFaculty of Medicine, Institute of Social Medicine, School of Public Health and Health Management, University of Belgrade, Dr Subotica 15, Belgrade, 11000, Serbia.
Zeljka StamenkovicFaculty of Medicine, Institute of Social Medicine, School of Public Health and Health Management, University of Belgrade, Dr Subotica 15, Belgrade, 11000, Serbia.
Aleksandar StevanovicFaculty of Medicine, Institute of Social Medicine, School of Public Health and Health Management, University of Belgrade, Dr Subotica 15, Belgrade, 11000, Serbia.
Natasa TerzicInstitute of Public Health of Montenegro, Podgorica, Montenegro.
Katarzyna Kissimova-SkarbekJagiellonian University, Krakow, Poland.
Fimka TozijaSaints Cyril and Methodius University of Skopje, Skopje, North Macedonia.
Enkeleint A MechiliUniversity of Vlorë, Vlore, Albania.
Brecht DevleesschauwerSciensano (Belgium), Brussels, Belgium.
Zorica Terzic-SupicFaculty of Medicine, Institute of Social Medicine, School of Public Health and Health Management, University of Belgrade, Dr Subotica 15, Belgrade, 11000, Serbia.
Milena VasicInstitute of Public Health of Serbia, Belgrade, Serbia.
Vesna Bjegovic-MikanovicFaculty of Medicine, Institute of Social Medicine, School of Public Health and Health Management, University of Belgrade, Dr Subotica 15, Belgrade, 11000, Serbia.
Milena Santric-MilicevicFaculty of Medicine, Institute of Social Medicine, School of Public Health and Health Management, University of Belgrade, Dr Subotica 15, Belgrade, 11000, Serbia. milena.santric-milicevic@med.bg.ac.rs.
COST Action 18218 participants Burden of Disease Collaborator Network
University of Belgrade · RSAl-Farabi Kazakh National University · KZInstitute of Public Health of Serbia · RSJagiellonian University · PLSciensano (Belgium) · BESs. Cyril and Methodius University in Skopje · MKUniversity of Montenegro · MEUniversity of Vlora "Ismail Qemali" · AL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite effective prevention and control strategies, in countries of the Balkan region, cancers are the second leading cause of mortality, closely following circulatory system diseases.

objectiveTo describe trends in the burden of breast, cervical, and colon and rectum cancer in the Balkan region and per country between 1990 and 2019, including a forecast to 2030.

methodsWe described the 2019 Global Burden of Disease (GBD) estimates for breast, cervical, and colon and rectum cancers in eleven Balkan countries over the period 1990-2019, including incidence, years lived with disability (YLD), years of life lost (YLL), and disability-adjusted life years (DALYs) rates per 100,000 population and accompanied 95% uncertainty interval. With the Autoregressive Integrated Moving Average, we forecasted these rates per country up to 2030.

resultsIn the Balkan region, the highest incidence and DALYs rates in the study period were for colon and rectum, and breast cancers. Over the study period, the DALYs rates for breast cancer per 100,000 population were the highest in Serbia (reaching 670.84 in 2019) but the lowest in Albania (reaching 271.24 in 2019). In 2019, the highest incidence of breast cancer (85 /100,000) and highest YLD rate (64 /100,000) were observed in Greece. Romania had the highest incidence rates, YLD rates, DALY rates, and YLL rates of cervical cancer, with respective 20.59%, 23.39% 4.00%, and 3.47% increases for the 1990/2019 period, and the highest forecasted burden for cervical cancer in 2030. The highest incidence rates, YLD rates and DALY rates of colon and rectum cancers were continuously recorded in Croatia (an increase of 130.75%, 48.23%, and 63.28%, respectively), while the highest YLL rates were in Bulgaria (an increase of 63.85%). The YLL rates due to colon and rectum cancers are forecasted to progress by 2030 in all Balkan countries.

conclusionAs most of the DALYs burden for breast, cervical, and colon and rectum cancer is due to premature mortality, the numerous country-specific barriers to cancer early detection and quality and care continuum should be a public priority of multi-stakeholder collaboration in the Balkan region.

Identifiers

PMID37620889
PMCPMC10464494
OpenAlexW4386120335

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.