Evidence map›Paper›PMID 40713505›Full record

ArticleBMC pediatrics2025

Global, regional, and National burden of childhood leukemia from 1990 to 2021.

Wenyuan Liu, Jing Fang, Meiping Zhu, Jing Zhou, Chen Yuan

Abstract read
In one paragraph

Article in BMC pediatrics, 2025. 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
–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

13 citing papers in PubMed.

  1. Review
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  8. Beyond XX and XY, Understanding Sex Differences in Leukemia.Medical sciences (Basel, Switzerland) · 2026
    Review
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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

5 authors.

Wenyuan Liu *Department of Pediatrics, First affiliated Hospital of Huzhou University, Huzhou, 313000, China.
Jing Fang *Department of Dermatology, Changxing County Traditional Chinese Medicine Hospital, Huzhou, China.
Meiping Zhu *Department of Pediatrics, First affiliated Hospital of Huzhou University, Huzhou, 313000, China.
Jing ZhouDepartment of Pediatrics, First affiliated Hospital of Huzhou University, Huzhou, 313000, China. zhoujing982020@163.com.
Chen YuanDepartment of Pediatrics, First affiliated Hospital of Huzhou University, Huzhou, 313000, China. 1243660363@qq.com.

Funding

Huzhou Municipal Bureau of Science and Technology, Zhejiang Province 2024GY37
6 · The paper itself

Abstract

backgroundChildhood leukemia is the most common malignant tumor in children and a leading cause of pediatric mortality, imposing substantial economic and health burdens on families.

methodsThis cross-sectional study analyzed 2021 Global Burden of Disease (GBD) data from 204 countries and regions, focusing on children aged 0 to 14 years diagnosed with leukemia. The study examined trends in childhood leukemia incidence, mortality, and disability-adjusted life years (DALYs) from 1990 to 2021, alongside risk factors for leukemia-related deaths. Trends were stratified by region, country, age, sex, and Sociodemographic Index (SDI). Key metrics included incidence rate, mortality rate, DALYs, and estimated annual percentage change (EAPC).

resultsFrom 1990 to 2021, global incidence, mortality, and DALYs associated with childhood leukemia declined. In 2021, 58,785 new cases were reported worldwide, with an incidence rate of 2.92 per 100,000 population and an EAPC of -0.91%. Boys exhibited higher incidence and mortality rates than girls (incidence:3.31 vs. 2.20; mortality:3.31 vs. 2.50), while children under 1 year old had significantly higher rates than other age groups (incidence: <1 year, boys, 8.05; girls, 6.13; mortality: <1 year, boys, 2.61; girls, 2.14;). Low-SDI regions had the highest number of deaths (7,082 cases), whereas middle-high SDI regions experienced the largest reductions in mortality (EAPC: -4.26). China reported the highest number of cases and deaths (20,321 cases;4,241 cases), while Tokelau had the highest mortality rate and DALYs (7.92 per 100,000;658.54 per 100,000). EAPC was negatively correlated with DALYs (Pearson r = -0.26, P < 0.001). Additionally, the EAPC for DALYs was negatively correlated with SDI (Pearson r = -0.49, P < 0.001), underscoring the impact of SDI levels and baseline disease burden on trends in childhood leukemia.

conclusionsChildhood leukemia remains a pressing global health challenge, with incidence rates continuing to rise in some regions. Despite reductions in global mortality and DALYs, the burden of deaths and DALYs among children with leukemia remains significant, particularly in low-SDI regions. Enhanced understanding of the epidemiology of childhood leukemia may support the development of innovative therapeutic strategies.

Indexed as

Global Burden of DiseaseGlobal HealthLeukemiaAdolescentChildChild, PreschoolCross-Sectional StudiesDisability-Adjusted Life YearsFemaleHumansIncidenceInfantInfant, NewbornMaleRisk FactorsCancer epidemiologyCancer statisticsChildhood leukemiaEstimated annual percentage changeGlobal burden of diseaseSociodemographic index

Identifiers

PMID40713505
PMCPMC12297649

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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.