The non-fatal burden of cancer in Belgium, 2004-2019: a nationwide registry-based study.

Gorasso, V., Silversmit, G., Arbyn, M., Cornez, A., De Pauw, R., De Smedt, D., Grant, I., Wyper, G. M. A. , Devleesschauwer, B. and Speybroeck, N. (2022) The non-fatal burden of cancer in Belgium, 2004-2019: a nationwide registry-based study. BMC Cancer, 22, 58. (doi: 10.1186/s12885-021-09109-4) (PMID:35026995) (PMCID:PMC8756629)

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Abstract

Background: The importance of assessing and monitoring the health status of a population has grown in the last decades. Consistent and high quality data on the morbidity and mortality impact of a disease represent the key element for this assessment. Being increasingly used in global and national burden of diseases (BoD) studies, the Disability-Adjusted Life Year (DALY) is an indicator that combines healthy life years lost due to living with disease (Years Lived with Disability; YLD) and due to dying prematurely (Years of Life Lost; YLL). As a step towards a comprehensive national burden of disease study, this study aims to estimate the non-fatal burden of cancer in Belgium using national data. Methods: We estimated the Belgian cancer burden from 2004 to 2019 in terms of YLD, using national population-based cancer registry data and international disease models. We developed a microsimulation model to translate incidence- into prevalence-based estimates, and used expert elicitation to integrate the long-term impact of increased disability due to surgical treatment. Results: The age-standardized non-fatal burden of cancer increased from 2004 to 2019 by 6 and 3% respectively for incidence- and prevalence-based YLDs. In 2019, in Belgium, breast cancer had the highest morbidity impact among women, followed by colorectal and non-melanoma skin cancer. Among men, prostate cancer had the highest morbidity impact, followed by colorectal and non-melanoma skin cancer. Between 2004 and 2019, non-melanoma skin cancer significantly increased for both sexes in terms of age-standardized incidence-based YLD per 100,000, from 49 to 111 for men and from 15 to 44 for women. Important decreases were seen for colorectal cancer for both sexes in terms of age-standardized incidence-based YLD per 100,000, from 105 to 84 for men and from 66 to 58 for women. Conclusions: Breast and prostate cancers represent the greatest proportion of cancer morbidity, while for both sexes the morbidity burden of skin cancer has shown an important increase from 2004 onwards. Integrating the current study in the Belgian national burden of disease study will allow monitoring of the burden of cancer over time, highlighting new trends and assessing the impact of public health policies.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Wyper, Dr Grant
Authors: Gorasso, V., Silversmit, G., Arbyn, M., Cornez, A., De Pauw, R., De Smedt, D., Grant, I., Wyper, G. M. A., Devleesschauwer, B., and Speybroeck, N.
College/School:College of Medical Veterinary and Life Sciences > School of Health & Wellbeing > General Practice and Primary Care
Journal Name:BMC Cancer
Publisher:BMC
ISSN:1471-2407
ISSN (Online):1471-2407
Published Online:13 January 2022
Copyright Holders:Copyright © The Author(s) 2022
First Published:First published in BMC Cancer 22: 58
Publisher Policy:Reproduced under a Creative Commons License

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