Deaths, DALY and other related measures of breast cancer in Yemeni women: Findings of the Global Burden of Disease Study (1990–2010)

摘要

Background Although the rate of breast cancer in Yemen is not high in comparable to other high developed indexed countries, it is among the highest rate of incidence among Yemeni women. Objective The aim of the study is to estimate the main outcomes of breast cancer using some other parameters such as death rates, Disability Adjusted Life Years (DALY); Years Lived with Disability (YLD); and Years of Life Lost (YLL) among the Yemeni women. Methods Data from Aden Cancer registry was used to describe the incidence of the breast cancer cases over 15 years period (1997–2011). Also data from the Global Burden of Diseases (GBD) from the Institute for Health Metrics and Evaluation (IHME) were used for the analysis of the death rate, DALY, YLD and LLY. Results The age standardized rate of breast cancer among female showed the highest peak at the age group of 45–49 years old (35.1/100,000). Death rates, DALY, YLD and YLL were reported higher in 2010 than in 1990 with almost two folds and show steady increase with increase of age. By using the analysis of the DALY for cases with breast cancer for the year 2009 and YLL analysis for the same year has shown a peak of the mean at the age-group of 50–54 (915.9 and 505.2 per 100,000, respectively). Conclusion Findings from this study support the use of other epidemiological parameters used to express the burden of breast cancer in Yemen by other method than the incidence rate. The burden of breast cancer among Yemeni women was clear health priority and needs a rigorous plan for implementing prevention, and early detection for better control.