Evidence map›Paper›PMID 40821922›Full record

ArticlePreventive medicine reports2025

The burden dynamics of leukemia in China from 1990 to 2021: an epidemiological analysis of trends, risk factors, and projections to 2036.

Renfang Zhang, Chunyue Guo, Yifang Liang, Siyu Qing, Ziyue Liang, Yongbin Wang, Chenguang Zhang

Abstract read
In one paragraph

Article in Preventive medicine reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Leukemia epidemiology in China: Burden, trends, and determinants in the 21st century.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
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

7 authors.

Renfang ZhangDepartment of Epidemiology and Health Statistics, School of Public Health, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, Henan Province 453003, People's Republic of China.
Chunyue GuoResearch Center, The Third Central Hospital of Tianjin; Tianjin Key Laboratory of Extracorporeal Life Support for Critical Diseases; Artificial Cell Engineering Technology Research Center; Tianjin Institute of Hepatobiliary Disease, Tianjin 300170, China.
Yifang LiangDepartment of Epidemiology and Health Statistics, School of Public Health, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, Henan Province 453003, People's Republic of China.
Siyu QingDepartment of Epidemiology and Health Statistics, School of Public Health, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, Henan Province 453003, People's Republic of China.
Ziyue LiangDepartment of Epidemiology and Health Statistics, School of Public Health, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, Henan Province 453003, People's Republic of China.
Yongbin WangDepartment of Epidemiology and Health Statistics, School of Public Health, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, Henan Province 453003, People's Republic of China.
Chenguang ZhangDepartment of Epidemiology and Health Statistics, School of Public Health, Xinxiang Medical University, No. 601 Jinsui Road, Hongqi District, Xinxiang, Henan Province 453003, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Leukemia is a key public health challenge in China, with epidemiological patterns shifting due to demographics, environment, and healthcare advances. This study analyzes its trends, risks, and projects future burdens. Methods: Using the Global Burden of Disease Study 2021 database, we evaluated China's leukemia incidence and mortality during 1990-2021. Joinpoint regression identified temporal trends, while age-period-cohort (APC) models dissected age, period, and birth cohort effects. Decomposition analysis quantified contributions of population aging, growth, and epidemiological changes. Bayesian APC models were used to forecast trends into 2036. Risk factors for leukemia-related deaths and disability-adjusted life years (DALYs) were also analyzed. Results: During 1990-2021, leukemia incidence increased by 38.7 %, while mortality declined by 47.1 %. Males exhibited higher mortality and incidence than females. Age-specific trends revealed dual incidence peaks in children (<5 years) and the elderly (>80 years). Decomposition analysis attributed 76.9 % to population expansion. Smoking and high BMI were leading risk factors. The projections to 2036 show the incidence rate for men will rise. Conclusions: Despite therapeutic advances reflected in mortality reductions, escalating incidence among aging populations and occupational hazards necessitate urgent action. Prioritizing sex-specific policies, smoking cessation initiatives, and stricter occupational safety regulations is crucial to curbing future burdens.

Indexed as

EpidemiologyLeukemiaProjectionsRisk factorsSex disparities

Identifiers

PMID40821922
PMCPMC12355580

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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.