Evidence map›Paper›PMID 42253843›Full record

ArticleInternational journal of women's health2026

Epidemiological Trends, Inequalities, and Projections of Breast and Gynecological Cancers in Older Asian Women.

Kun Wang, Pingping Xu, Zuofei Song, Houhua Guo, Liancheng Zhu

Abstract read
In one paragraph

Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Kun Wang *Department of Obstetrics and Gynecology, General Hospital of Northern Theater Command, Shenyang, People's Republic of China.
Pingping Xu *Department of Obstetrics and Gynecology, General Hospital of Northern Theater Command, Shenyang, People's Republic of China.
Zuofei SongDepartment of Obstetrics and Gynecology, General Hospital of Northern Theater Command, Shenyang, People's Republic of China.
Houhua GuoDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.
Liancheng ZhuDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, Liaoning, People's Republic of China.ORCID 0000-0002-0814-5816

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Breast and gynecological cancers, including cervical, ovarian, and uterine cancers, are major contributors to disease burden among women. In Asia, rapid population ageing may further increase this burden among women aged 60 years and older. However, long-term trends, socioeconomic inequalities, and future burden in this population remain insufficiently characterized. Methods: Using data from the Global Burden of Disease Study 2021, we assessed the burden of breast, cervical, ovarian, and uterine cancers among Asian women aged ≥60 years from 1990 to 2021. Incidence, deaths, and disability-adjusted life years were evaluated by cancer type, age, location, and Socio-demographic Index. Temporal trends were assessed using age-standardized rates and estimated annual percentage changes. Inequality analyses were performed to examine disparities across socioeconomic development levels. Future trends were projected to 2051. Machine-learning-based analysis was further used to explore the relative importance of demographic and temporal factors, with SHAP interpretation applied to improve model explainability. Results: The burden of breast and gynecological cancers among older Asian women showed substantial heterogeneity across cancer types, countries, age groups, and socioeconomic settings. Long-term trends indicated persistent and uneven changes in incidence, mortality, and disability-adjusted life years from 1990 to 2021. Socioeconomic inequalities remained evident, with different patterns across cancer types and locations. Projection analyses suggested that the future burden may continue to rise in many Asian settings, largely influenced by population ageing and demographic expansion. Machine-learning interpretation further supported the important roles of age, calendar year, and population size in shaping cancer burden. Conclusion: Breast and gynecological cancers remain an important and evolving public health challenge among older Asian women. Continued surveillance, equitable cancer prevention, early detection, and age-sensitive health-service planning are needed to reduce future burden and address regional inequalities.

Indexed as

Asiabreast cancerdisease burdengynecological cancershealth inequalityolder women

Identifiers

PMID42253843
PMCPMC13242252

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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.