Evidence map›Paper›PMID 39580764›Full record

ArticleHepatology international2025

Global, regional, and national epidemiology of hepatoblastoma in children from 1990 to 2021: a trend analysis.

Chengnan Guo, Zhenqiu Liu, Xin Zhang, Shuzhen Zhao, Hong Fan, Haili Wang, Yi Li, Tianye Wang, Luojia Dai, Jiayi Huang and 2 more

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Article in Hepatology international, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

12 authors.

Chengnan Guo *Shanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, China.ORCID http://orcid.org/0000-0003-2275-3575
Zhenqiu Liu *State Key Laboratory of Genetic Engineering, Fudan University, Human Phenome Institute, and School of Life Sciences, 825 Zhangheng Road, Shanghai, 201203, China.
Xin ZhangDepartment of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety (Fudan University), Ministry of Education, Fudan University, Shanghai, 200032, China.
Shuzhen ZhaoDepartment of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety (Fudan University), Ministry of Education, Fudan University, Shanghai, 200032, China.
Hong FanDepartment of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety (Fudan University), Ministry of Education, Fudan University, Shanghai, 200032, China.
Haili WangDepartment of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety (Fudan University), Ministry of Education, Fudan University, Shanghai, 200032, China.
Yi LiDepartment of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety (Fudan University), Ministry of Education, Fudan University, Shanghai, 200032, China.
Tianye WangDepartment of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety (Fudan University), Ministry of Education, Fudan University, Shanghai, 200032, China.
Luojia DaiDepartment of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety (Fudan University), Ministry of Education, Fudan University, Shanghai, 200032, China.
Jiayi HuangDepartment of Epidemiology, School of Public Health, Key Laboratory of Public Health Safety (Fudan University), Ministry of Education, Fudan University, Shanghai, 200032, China.
Xingdong Chen *State Key Laboratory of Genetic Engineering, Fudan University, Human Phenome Institute, and School of Life Sciences, 825 Zhangheng Road, Shanghai, 201203, China. xingdongchen@fudan.edu.cn.
Tiejun Zhang *Shanghai Institute of Infectious Disease and Biosecurity, Fudan University, Shanghai, China. tjzhang@shmu.edu.cn.

Funding

National Key Research and Development Program of China No. 2022YFC3400700Natural Science Foundation of China 81772170Natural Science Foundation of China 82204125Special Foundation for Science and Technology Basic Research Program 2019FY101103
6 · The paper itself

Abstract

background and purposeHepatoblastoma is the most common primary liver cancer in children, yet comprehensive understanding of its epidemiology is limited globally. We aimed to estimate the global trend of hepatoblastoma in children from 1990 to 2021.

methodsWe collected data on hepatoblastoma in children aged 0 to 10 years from 1990 to 2021, derived from Global Burden of Disease (GBD) 2021. Three disease burden indicators, including incidence, mortality, and disability-adjusted life-years (DALYs), were studied. The corresponding average annual percentage changes (AAPCs) were used to explore the temporal trends of hepatoblastoma.

resultsIn 2021, hepatoblastoma accounted for 4048 incident cases, 2416 deaths, and 213,478 DALYs globally. Incidence, mortality, and DALYs of hepatoblastoma decreased significantly from 1990 to 2021, with AAPCs of -2.12, -2.53, and -2.53. The highest incidence of hepatoblastoma was observed among those aged < 28 days in 2021 (2.57 per 100,000 individuals). Only high-income region showed an upward trend in incidence from 1990 to 2021, with an AAPC of 0.57. The Western Pacific region had the fastest decrease in the incidence, mortality, and DALY rate of hepatoblastoma. Human development level (HDI) was positively associated with the AAPC in incidence from 1990 to 2021, while HDI was negatively associated with the incidence, mortality, and DALY rate of hepatoblastoma in 2021.

conclusionGlobal efforts over the past 3 decades have substantially decreased the disease burden of hepatoblastoma in children. However, increases in the incidence of hepatoblastoma in high-income region merit attention. The highest disease burden of hepatoblastoma was observed in the neonatal period. Improved understanding of hepatoblastoma epidemiology may facilitate prevention and management.

Indexed as

HepatoblastomaLiver NeoplasmsChildChild, PreschoolDisability-Adjusted Life YearsFemaleGlobal Burden of DiseaseGlobal HealthHumansIncidenceInfantInfant, NewbornMalePattern Analysis, MachineAverage annual percentage changeEpidemiologyGlobal burden of diseaseHepatoblastoma

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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.