Evidence map›Paper›PMID 41630487›Full record

ArticleAnnals of medicine2026

Geographic disparities and health inequality evolution in the disease burden of tracheal, bronchus, and lung cancer in Asia: a 33-year longitudinal analysis and future projections.

Hongming Wang, Xuebo Qin, Xing'e Zhang, Nuoni Wang, Zhijun Wu, Zemin Xiao

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Article in Annals of medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hongming WangDepartment of Oncology, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), Changde, China.ORCID 0009-0007-8883-5780
Xuebo QinDepartment of Thoracic Surgery, Hebei Chest Hospital, Shijiazhuang, China.
Xing'e ZhangDepartment of Environmental Health, Hunan Provincial Center for Disease Control and Prevention, Hunan Academy of Preventive Medicine, Changsha, China.
Nuoni WangDepartment of Cardiac Electrophysiology, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), Changde, China.
Zhijun WuDepartment of Oncology, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), Changde, China.
Zemin XiaoDepartment of Oncology, Changde Hospital, Xiangya School of Medicine, Central South University (The First People's Hospital of Changde City), Changde, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study examined geographic patterns, temporal trends, and determinants of tracheal, bronchus, and lung (TBL) cancer burden in Asia (1990-2023), evaluated disparities in health outcomes, and developed projections for targeted prevention initiatives.

methodsData were obtained from the Global Burden of Disease Study 2023. We estimated age-standardized rates (ASPR, ASIR, ASMR, ASDR). Joinpoint regression assessed temporal trends; age-period-cohort and Das Gupta analyses identified underlying mechanisms and drivers. Data envelopment analysis (DEA) evaluated efficiency relative to the Human Development Index (HDI). Health inequalities were measured with the slope index of inequality (SII) and concentration index (CI). Bayesian age-period-cohort (BAPC) modeling projected trends to 2038.

resultsAsian populations experienced 2.05 million prevalent cases, 1.40 million incident cases, 1.26 million fatalities, and 29.45 million DALYs in 2023. East Asia had the highest burden. From 1990 to 2023, ASPR increased, while ASMR and ASDR declined. Males and older adults carried disproportionately higher burdens. Decomposition analysis revealed that epidemiological changes and population growth were the major contributors. Inequality worsened, with SII rising from 275.8 to 311.6 and CI consistently negative, indicating concentration in low-HDI regions. Projections suggested further increases in ASPR (+28.7%) and ASIR (+21.6%) by 2038.

conclusionThe TBL cancer burden in Asia is rising, with marked regional, gender, age disparities and deteriorating health equity. East Asia is most affected. Targeted strategies, including enhanced early screening in high-burden areas and improved healthcare accessibility in low-HDI regions, are essential to reduce the disease burden and promote equity.

Indexed as

Bronchial NeoplasmsHealth Status DisparitiesLung NeoplasmsTracheal NeoplasmsAdolescentAdultAgedAsiaBayes TheoremCost of IllnessFemaleHumansIncidenceLongitudinal StudiesMaleMiddle AgedAsian epidemiologydisease burdenhealth inequalityprediction modelTBL cancertrend analysis

Identifiers

PMID41630487
PMCPMC12872098

What Socratic holds

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LicenceCC BY-NC
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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 Socratic graph.