Evidence map›Paper›PMID 40247202›Full record

ArticleBMC cancer2025

Global disparities in the burden of pancreatic cancer (1990-2021): insights from the 2021 Global Burden of Disease study.

Wei Liu, Li Rao, Zhengguo Qiao, Gang Wang, Bin Li, Genhai Shen

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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

9 citing papers in PubMed.

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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

6 authors.

Wei Liu *Department of Minimally Invasive Common Surgery, Suzhou Ninth People's Hospital, Xuzhou Medical University Suzhou Bay Clinical College, Suzhou, Jiangsu Province, China.
Li Rao *Department of Geriatrics, Renmin Hospital of Wuhan University, Wuhan, Hubei, China.
Zhengguo QiaoDepartment of Gastroenterology, Suzhou Ninth People's Hospital, Xuzhou Medical University, Suzhou Bay Clinical College, Suzhou, Jiangsu Province, China.
Gang WangDepartment of Minimally Invasive Common Surgery, Suzhou Ninth People's Hospital, Xuzhou Medical University Suzhou Bay Clinical College, Suzhou, Jiangsu Province, China.
Bin LiDepartment of Minimally Invasive Common Surgery, Suzhou Ninth People's Hospital, Xuzhou Medical University Suzhou Bay Clinical College, Suzhou, Jiangsu Province, China.
Genhai ShenDepartment of Minimally Invasive Common Surgery, Suzhou Ninth People's Hospital, Xuzhou Medical University Suzhou Bay Clinical College, Suzhou, Jiangsu Province, China. wjshengenhai@163.com.

Funding

Development Fund Project of the Affiliated Hospital of Xuzhou Medical University XYFM202426Development Fund Project of the Affiliated Hospital of Xuzhou Medical University XYFZ202404Suzhou Applied Basic Research (Medical and Health) Science and Technology Innovation Project SYWD2024077
6 · The paper itself

Abstract

backgroundPancreatic cancer (PC) is a highly lethal malignancy, ranking seventh among cancer-related deaths worldwide. This study utilizes data from the 2021 Global Burden of Disease (GBD) study to examine the global burden of PC and associated health inequalities from 1990 to 2021, with a focus on key risk factors such as obesity, high fasting plasma glucose, and the Socio-Demographic Index (SDI).

methodsDisability-Adjusted Life Years (DALYs) for PC were estimated using GBD 2021 data. The analysis incorporated SDI, age, gender, and major risk factors, including obesity and high fasting plasma glucose. Descriptive statistics and visualizations, such as age-sex pyramids and geographic maps, were employed to assess global, regional, and national burdens. Health disparities were quantified using the Concentration Index (CI) and the Slope Index of Inequality (SII), with CI assessing relative health distribution by income and SII measuring absolute socioeconomic inequality.

resultsGlobally, PC-related DALYs rose from 1.76 million in 1990 to 4.25 million in 2021 (141.48% increase), with the age-standardized DALY rate up 11.57% to 48.71 (95% UI 23.43 to 74.33). The burden was highest in high SDI regions, while low SDI areas still faced elevated rates; transitional and developing economies showed the highest age-standardized DALY rates. The SII increased from 189.63 (95% CI 177.65 to 245.17) in 1990 to 321.17 (95% CI 294.48 to 379.722) in 2021, indicating widening socioeconomic disparities.

conclusionPC remains a significant global health challenge with growing socioeconomic and geographic disparities. Urgent action is needed to address modifiable risk factors (e.g., obesity, diabetes) through enhanced healthcare infrastructure, early detection, and treatment access in low SDI countries, alongside improved data systems and international collaboration.

Indexed as

Global Burden of DiseaseHealthcare DisparitiesHealth Status DisparitiesPancreatic NeoplasmsAdultAgedDisability-Adjusted Life YearsFemaleGlobal HealthHumansMaleMiddle AgedObesityQuality-Adjusted Life YearsRisk FactorsSocioeconomic Factors2021 Global burden of diseaseDALYsHealth inequalityPancreatic cancerSocio-demographic index

Identifiers

PMID40247202
PMCPMC12007340

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Registered trials

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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.