Global trends in thyroid cancer 1990–2021: an analysis based on the GBD 2021

in Endocrine-Related Cancer
Authors:
Tong Deng Department of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China
Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China

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Qing Liu Department of Physical Examination, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan, China

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Hao Zi Evidence-Based Medicine Center, Xiangyang No.1 People’s Hospital, Hubei University of Medicine, Xiangyang, China

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Xingpei Guo Department of General Surgery, Zhengzhou Central Hospital Affiliated to Zhengzhou University, Zhengzhou, Henan, China

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Qiao Huang Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China

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Yalong Yang Department of breast surgery, Hubei Cancer Hospital, Tongji Medical College, Huazhong University of Science and Technology, Hubei Provincial Clinical Research Center for Breast Cancer, Wuhan Clinical Research Center for Breast Cancer, Wuhan, Hubei, China

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Lisha Luo Center for Evidence-Based and Translational Medicine, Zhongnan Hospital of Wuhan University, Wuhan, China

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Jingxuan Hou Department of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China

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Rui Zhou Department of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China

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Qianqian Yuan Department of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China

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GaoSong Wu Department of Thyroid and Breast Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China

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https://orcid.org/0000-0001-9296-7080

Correspondence should be addressed to G Wu: wugaosong@whu.edu.cn
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This study evaluated the global burden of thyroid cancer (TC) from 1990 to 2021, analyzing its association with sociodemographic factors, sex, age, risk factors and future projections. Using 2021 global burden of disease data, we analyzed TC incidence, mortality and disability-adjusted life years (DALYs) across populations. Risk factors were assessed, and future trends were forecasted using the Bayesian age-period-cohort model. In 2021, global TC incidence was 249,538 cases (age-standardized incidence rate (ASIR): 2.91 per 100,000). Mortality reached 44,799 cases, with a slight decrease in the age-standardized mortality rate (ASMR). DALYs increased by 92.73%, though the age-standardized DALY rate (ASDR) declined. East Asia had the highest incidence, while South Asia led in mortality and DALYs. TC burden showed a strong negative correlation with socioeconomic development, especially in high- and medium-sociodemographic index countries. High body mass index (BMI) contributed significantly to DALYs and mortality, particularly in the Middle East and North Africa. Population growth emerged as the key driver of the rising global TC burden. Projections suggest ASIR will increase by 2050, while ASMR and ASDR will decline. Global TC incidence has risen markedly, particularly among males, while mortality and DALYs have decreased due to improved healthcare. High BMI increasingly contributes to the TC burden. Projections highlight a continued rise in incidence but declining mortality and DALYs, reflecting advancements in treatment and management.

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