Disparities in impact of nasopharyngeal cancer: An analysis of global health burden

Objectives Nasopharyngeal carcinoma has a unique worldwide racial and geographic distribution. Our objective was to evaluate socioeconomic disparities in the burden of nasopharyngeal cancer (NPC) between endemic and nonendemic regions. Methods To demonstrate trends regarding societal burden of NPC a...

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Bibliographic Details
Published in:The Laryngoscope 2019-11, Vol.129 (11), p.2482-2486
Main Authors: Ramsey, Tam, Hojjat, Houmehr, Yuhan, Brian, Svider, Peter F., Eloy, Jean Anderson, Folbe, Adam J., Raza, Syed Naweed, Fribley, Andrew M.
Format: Article
Language:English
Subjects:
Adult
Aged
concentration index
Cost of Illness
DALY
Endemic Diseases - statistics & numerical data
Female
Gini coefficient
Global Health - statistics & numerical data
health burden
Health disparities
health disparity
Health Status Disparities
Humans
inequality
Male
Middle Aged
Nasopharyngeal carcinoma
Nasopharyngeal Neoplasms - epidemiology
NPC
Quality-Adjusted Life Years
Socioeconomic Factors
Throat cancer
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Summary:Objectives Nasopharyngeal carcinoma has a unique worldwide racial and geographic distribution. Our objective was to evaluate socioeconomic disparities in the burden of nasopharyngeal cancer (NPC) between endemic and nonendemic regions. Methods To demonstrate trends regarding societal burden of NPC and socioeconomic development, national disability‐adjusted life year (DALY) rates and human development indices (HDI) between 1990 and 2015 were evaluated. Countries were divided based on the endemic versus nonendemic presence of NPC and further analyzed by HDI status as specified by the United Nations Development Program. Gini coefficients and concentration index were used to evaluate global equality in NPC burden over this period. Results Age‐standardized DALYs dropped from 36.1 in 1990 to 26.5 in 2015 (26.6% decline) (r = −0.991, P 
ISSN:0023-852X
1531-4995
DOI:10.1002/lary.27532