The global, regional, and national burden of colorectal cancer and its attributable risk factors in 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017


Por: Safiri, Saeid, Sepanlou, Sadaf G., Ikuta, Kevin S., Bisignano, Catherine, Salimzadeh, Hamideh, Delavari, Alireza, Ansari, Reza, Roshandel, Gholamreza, Merat, Shahin, Fitzmaurice, Christina, Force, Lisa M., Nixon, Molly R., Abbastabar, Hedayat, Abegaz, Kedir Hussein, Afarideh, Mohsen, Ahmadi, Ayat, Ahmed, Muktar Beshir, Akinyemiju, Tomi, Alahdab, Fares, Ali, Raghib, Alikhani, Mahtab, Alipour, Vahid, Aljunid, Syed Mohamed, Almadi, Majid Abdulrahman Hamad, Almasi-Hashiani, Amir, Al-Raddadi, Rajaa M., Alvis-Guzman, Nelson, Amini, Saeed, Anber, Nahla Hamed, Ansari-Moghaddam, Alireza, Arabloo, Jalal, Arefi, Zohreh, Jafarabadi, Mohammad Asghari, Azadmehr, Abbas, Badawi, Alaa, Baheiraei, Nafiseh, Barnighausen, Till Winfried, Basaleem, Huda, Behzadifar, Masoud, Behzadifar, Meysam, Belayneh, Yaschilal Muche, Berhe, Kidanemaryam, Bhattacharyya, Krittika, Biadgo, Belete, Bijani, Ali, Biondi, Antonio, Bjorge, Tone, Borzi, Antonio M., Bosetti, Cristina, Bou-Orm, Ibrahim R., Brenner, Hermann, Briko, Andrey Nikolaevich, Briko, Nikolay Ivanovich, Carreras, Giulia, Carvalho, Felix, Castaneda-Orjuela, Carlos A., Cerin, Ester, Chiang, Peggy Pei-Chia, Chido-Amajuoyi, Onyema Greg, Daryani, Ahmad, Davitoiu, Dragos Virgil, Demoz, Gebre Teklemariam, Desai, Rupak, Nasab, Mostafa Dianati, Eftekhari, Aziz, El Sayed, Iman, Elbarazi, Iffat, Emamian, Mohammad Hassan, Endries, Aman Yesuf, Esmaeilzadeh, Firooz, Esteghamati, Alireza, Etemadi, Arash, Farzadfar, Farshad, Fernandes, Eduarda, Fernandes, Joao C., Filip, Irina, Fischer, Florian, Foroutan, Masoud, Gad, Mohamed M., Gallus, Silvano, Ghaseni-Kebria, Fatemeh, Ghashghaee, Ahmad, Gorini, Giuseppe, Hafezi-Nejad, Nima, Haj-Mirzaian, Arvin, Haj-Mirzaian, Arya, Hasanpour-Heidari, Susan, Hasanzadeh, Amir, Hassanipour, Soheil, Hay, I, Simon, Hoang, Chi Linh, Hostiuc, Mihaela, Househ, Mowafa, Ilesanmi, Olayinka Stephen, Ilic, Milena D., Innos, Kaire, Irvani, Seyed Sina Naghibi, Islami, Farhad, Jaca, Anelisa, Balalami, Nader Jafari, Delouei, Nastaran Jafari, Jafarinia, Morteza, Jahani, Mohammad Ali, Jakovljevic, Mihajlo, James, Spencer L., Javanbakht, Mehdi, Jenabi, Ensiyeh, Jha, Ravi Prakash, Joukar, Farahnaz, Kasaeian, Amir, Kassa, Tesfaye Dessale, Kassaw, Mesfin Wudu, Kengne, Andre Pascal, Khader, Yousef Saleh, Khaksarian, Mojtaba, Khalilov, Rovshan, Khan, Ejaz Ahmad, Khayamzadeh, Maryam, Khazaee-Pool, Maryam, Khazaei, Salman, Khosravi Shadmani, Fatemeh, Khubchandani, Jagdish, Kim, Daniel, Kisa, Adnan, Kisa, Sezer, Kocarnik, Jonathan M., Komaki, Hamidreza, Kopec, Jacek A., Koyanagi A, Kuipers, Ernst J., Kumar, Vivek, La Vecchia, Carlo, Lami, Faris Hasan, Lopez, Alan D., Lopukhov, Platon D., Lunevicius, Raimundas, Majeed, Azeem, Majidinia, Maryam, Manafi, Amir, Manafi, Navid, Manda, Ana-Laura, Mansour-Ghanaei, Fariborz, Mantovani, Lorenzo Giovanni, Mehta, Dhruv, Meier, Toni, Meles, Hagazi Gebre, Mendoza, Walter, Mestrovic, Tomislav, Miazgowski, Bartosz, Miazgowski, Tomasz, Mir, Seyed Mostafa, Mirzaei, Hamed, Mohammad, Karzan Abdulmuhsin, Mezerji, Naser Mohammad Gholi, Mohammadian-Hafshejani, Abdollah, Mohammadoo-Khorasani, Milad, Mohammed, Shafiu, Mohebi, Farnam, Mokdad, Ali H., Monasta, Lorenzo, Moossavi, Maryam, Moradi, Ghobad, Moradpour, Farhad, Moradzadeh, Rahmatollah, Nahvijou, Azin, Naik, Gurudatta, Najafi, Farid, Nazari, Javad, Negoi, Ionut, Negru, Serban, Cuong Tat Nguyen, Trang Huyen Nguyen, Ningrum, Dina Nur Anggraini, Ogbo, Felix Akpojene, Olagunju, Andrew T., Olagunju, Tinuke O., Pana, Adrian, Pereira, David M., Pirestani, Majid, Pourshams, Akram, Poustchi, Hossein, Qorbani, Mostafa, Rabiee, Mohammad, Rabiee, Navid, Radfar, Amir, Rahmati, Marveh, Rajati, Fatemeh, Raoofi, Samira, Rawaf, David Laith, Rawaf, Salman, Reiner, Jr., Robert C., Renzaho, Andre M. N., Rezaei, Nima, Rezapour, Aziz, Saad, Anas M., Saadatagah, Seyedmohammad, Saddik, Basema, Salehi, Farkhonde, Zahabi, Saleh Salehi, Salz, Inbal, Samy, Abdallah M., Sanabria, Juan, Milicevic, Milena M. Santric, Sarveazad, Arash, Satpathy, Maheswar, Schneider, Ione J. C., Sekerija, Mario, Shaahmadi, Faramarz, Shabaninejad, Hosein, Shamsizadeh, Morteza, Sharafi, Zeinab, Sharif, Mehdi, Sharifi, Amrollah, Sheikhbahaei, Sara, Shirkoohi, Reza, Malleshappa, Sudeep K. Siddappa, Silva, Diego Augusto Santos, Sisay, Mekonnen, Smarandache, Catalin-Gabriel, Soofi, Moslem, Soreide, Kjetil, Soshnikov, Sergey, Starodubov, I, Vladimir, Tabares-Seisdedos, Rafael, Sullman, Mark, Taherkhani, Amir, Tesfay, Berhe Etsay, Topor-Madry, Roman, Traini, Eugenio, Bach Xuan Tran, Khanh Bao Tran, Ullah, Irfan, Uthman, Olalekan A., Vacante, Marco, Vahedian-Azimi, Amir, Valli, Alessandro, Varavikova, Elena, Vujcic, Isidora S., Westerman, Ronny, Yazdi-Feyzabadi, Vahid, Yisma, Engida, Yu, Chuanhua, Zadnik, Vesna, Moghadam, Telma Zahirian, Zaki, Leila, Zandian, Hamed, Zhang, Zhi-Jiang, Murray, Christopher J. L., Naghavi, Mohsen, Malekzadeh, Reza and GBD 2017 Colorectal Canc Collabora

Publicada: 1 dic 2019
Resumen:
Background Data about the global, regional, and country-specific variations in the levels and trends of colorectal cancer are required to understand the impact of this disease and the trends in its burden to help policy makers allocate resources. Here we provide a status report on the incidence, mortality, and disability caused by colorectal cancer in 195 countries and territories between 1990 and 2017. Methods Vital registration, sample vital registration, verbal autopsy, and cancer registry data were used to generate incidence, death, and disability-adjusted life-year (DALY) estimates of colorectal cancer at the global, regional, and national levels. We also determined the association between development levels and colorectal cancer age-standardised DALY rates, and calculated DALYs attributable to risk factors that had evidence of causation with colorectal cancer. All of the estimates are reported as counts and age-standardised rates per 100 000 person-years, with some estimates also presented by sex and 5-year age groups. Findings In 2017, there were 1.8 million (95% UI 1.8-1.9) incident cases of colorectal cancer globally, with an age-standardised incidence rate of 23.2 (22.7-23.7) per 100 000 person-years that increased by 9.5% (4.5-13.5) between 1990 and 2017. Globally, colorectal cancer accounted for 896 000 (876 300-915 700) deaths in 2017, with an age-standardised death rate of 11.5 (11.3-11.8) per 100 000 person-years, which decreased between 1990 and 2017 (-13.5% [-18.4 to -10.0]). Colorectal cancer was also responsible for 19.0 million (18.5-19.5) DALYs globally in 2017, with an age-standardised rate of 235.7 (229.7-242.0) DALYs per 100 000 person-years, which decreased between 1990 and 2017 (-14.5% [-20.4 to -10.3]). Slovakia, the Netherlands, and New Zealand had the highest age-standardised incidence rates in 2017. Greenland, Hungary, and Slovakia had the highest age-standardised death rates in 2017. Numbers of incident cases and deaths were higher among males than females up to the ages of 80-84 years, with the highest rates observed in the oldest age group (>= 95 years) for both sexes in 2017. There was a non-linear association between the Socio-demographic Index and the Healthcare Access and Quality Index and age-standardised DALY rates. In 2017, the three largest contributors to DALYs at the global level, for both sexes, were diet low in calcium (20.5% [12.9-28.9]), alcohol use (15.2% [12.1-18.3]), and diet low in milk (14.3% [5.1-24.8]). Interpretation There is substantial global variation in the burden of colorectal cancer. Although the overall colorectal cancer age-standardised death rate has been decreasing at the global level, the increasing age-standardised incidence rate in most countries poses a major public health challenge across the world. The results of this study could be useful for policy makers to carry out cost-effective interventions and to reduce exposure to modifiable risk factors, particularly in countries with high incidence or increasing burden. Copyright (C) 2019 The Author(s). Published by Elsevier Ltd.

Filiaciones:
Safiri, Saeid:
 Thbriz Univ Med Sci, Aging Res Inst, Tabriz, Iran

 Thbriz Univ Med Sci, Dept Community Med, Tabriz, Iran

Sepanlou, Sadaf G.:
 Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran

 Shiraz Univ Med Sci, Noncommunicable Dis Res Ctr, Shiraz, Iran

Ikuta, Kevin S.:
 Univ Washington, Div Allergy & Infect Dis, Seattle, WA 98121 USA

 Hay, Simon, I Reiner, Robert C

Bisignano, Catherine:
 Hay, Simon, I Reiner, Robert C

Salimzadeh, Hamideh:
 Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran

Delavari, Alireza:
 Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran

 Univ Tehran Med Sci, Dept Internal Med, Tehran, Iran

Ansari, Reza:
 Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran

Roshandel, Gholamreza:
 Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran

 Golestan Univ Med Sci, Golestan Res Ctr Gastroenterol & Hepatol, Gorgan, Golestan, Iran

Merat, Shahin:
 Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran

Fitzmaurice, Christina:
 Univ Washington, Div Hematol, Seattle, WA 98121 USA

 Hay, Simon, I Reiner, Robert C

Force, Lisa M.:
 Hay, Simon, I Reiner, Robert C

 St Jude Childrens Res Hosp, Dept Oncol, 332 N Lauderdale St, Memphis, TN 38105 USA

 St Jude Childrens Res Hosp, Dept Global Pediat Med, 332 N Lauderdale St, Memphis, TN 38105 USA

Nixon, Molly R.:
 Hay, Simon, I Reiner, Robert C

Abbastabar, Hedayat:
 Univ Tehran Med Sci, Iranian Ctr Neurol Res, Tehran, Iran

Abegaz, Kedir Hussein:
 Madda Walabu Univ, Biostat & Hlth Informat Dept, Bale Robe, Oromia, Ethiopia

 Addis Ababa Univ, Radiotherapy Ctr, Addis Ababa, Ethiopia

Afarideh, Mohsen:
 Univ Tehran Med Sci, Endocrinol & Metab Res Ctr, Tehran, Iran

Ahmadi, Ayat:
 Univ Tehran Med Sci, Knowledge Utilizat Res Ctr, Tehran, Iran

Ahmed, Muktar Beshir:
 Jimma Univ, Dept Epidemiol, Jimma, Oromia, Ethiopia

Akinyemiju, Tomi:
 Duke Univ, Dept Populat Hlth Sci, Durham, NC USA

 Duke Univ, Duke Global Hlth Inst, Durham, NC USA

Alahdab, Fares:
 Mayo Clin Fdn Med Educ & Res, Evidence Based Practice Ctr, Rochester, MN USA

Ali, Raghib:
 New York Univ Abu Dhabi, Publ Hlth Res Ctr, Abu Dhabi, U Arab Emirates

 Univ Oxford, Nuffield Dept Populat Hlth, Oxford, England

Alikhani, Mahtab:
 Iran Univ Med Sci, Dept Hlth Serv Management, Tehran, Iran

Alipour, Vahid:
 Iran Univ Med Sci, Hlth Econ Dept, Tehran, Iran

 Iran Univ Med Sci, Hlth Management & Econ Res Ctr, Tehran, Iran

Aljunid, Syed Mohamed:
 Kuwait Univ, Dept Hlth Policy & Management, Kuwait, Kuwait

 Natl Univ Malaysia, Int Ctr Casemix & Clin Coding, Bandar Tun Razak, Malaysia

Almadi, Majid Abdulrahman Hamad:
 King Saud Univ, Coll Med, Riyadh, Central, Saudi Arabia

 McGill Univ, Div Gastroenterol & Lepatol, Montreal, PQ, Canada

Almasi-Hashiani, Amir:
 Arak Univ Med Sci, Dept Epidemiol, Arak, Iran

Al-Raddadi, Rajaa M.:
 King Abdulaziz Univ, Dept Family & Community Med, Jeddah, Saudi Arabia

Alvis-Guzman, Nelson:
 Univ Cartagena, Res Grp Hlth Econ, Cartagena, Colombia

 Univ Coast, Res Grp Hosp Management & Hlth Policies, Barranquilla, Colombia

Amini, Saeed:
 Arak Univ Med Sci, Hlth Serv Management Dept, Arak, Iran

Anber, Nahla Hamed:
 Mansoura Univ, Fac Med, Mansoura, Egypt

Ansari-Moghaddam, Alireza:
 Hlth Promot Res Ctr, Dept Epidemiol & Biostat, Zahedan, Iran

Arabloo, Jalal:
 Iran Univ Med Sci, Hlth Management & Econ Res Ctr, Tehran, Iran

Arefi, Zohreh:
 Univ Tehran Med Sci, Dept Hlth Promot & Educ, Tehran, Iran

Jafarabadi, Mohammad Asghari:
 Thbriz Univ Med Sci, Dept Biostat & Epidemiol, Tabriz, Iran

 Zanjan Univ Med Sci, Dept Biostat & Epidemiol, Zanjan, Iran

Azadmehr, Abbas:
 Babol Univ Med Sci, Cellular & Mol Biol Res Ctr, Babol Sar, Iran

Badawi, Alaa:
 Publ Hlth Agcy Canada, Publ Hlth Risk Sci Div, Toronto, ON, Canada

 Univ Toronto, Dept Nutr Sci, Toronto, ON, Canada

Baheiraei, Nafiseh:
 Tarbiat Modares Univ, Tissue Engn & Appl Cell Sci Div, Tehran, Iran

 Adv Technol Res Grp, Div Dis, Tehran, Iran

Barnighausen, Till Winfried:
 Heidelberg Univ, Heidelberg Inst Global Hlth, Heidelberg, Germany

 Harvard Univ, TH Chan Sch Publ Hlth, Boston, MA 02115 USA

Basaleem, Huda:
 Univ Aden, Aden, Yemen

Behzadifar, Masoud:
 Lorestan Univ Med Sci, Social Determinants Hlth Res Ctr, Khorramabad, Iran

Behzadifar, Meysam:
 Lorestan Univ Med Sci, Hepatitis Res Ctr, Khorramabad, Iran

Belayneh, Yaschilal Muche:
 Wollo Univ, Dept Pharm, Dessie, Ethiopia

Berhe, Kidanemaryam:
 Dept Nutr & Dietet, Mekelle, Ethiopia

Bhattacharyya, Krittika:
 Natl Inst Biomed Genom, Dept Stat & Computat Genom, Kalyani, W Bengal, India

 Univ Calcutta, Dept Stat, Kolkata, India

Biadgo, Belete:
 Univ Gondar, Dept Clin Chem, Gondar, Ethiopia

Bijani, Ali:
 Babol Univ Med Sci, Social Determinants Hlth Res Ctr, Babol Sar, Iran

Biondi, Antonio:
 Univ Catania, Dept Gen Surg & Med Surg Specialties, Catania, Italy

Bjorge, Tone:
 Univ Bergen, Dept Global Publ Hlth & Primary Care, Bergen, Norway

 Canc Registry Norway, Oslo, Norway

Borzi, Antonio M.:
 Univ Catania, Dept Clin & Mol Biomed MEDBIO, Catania, Italy

Bosetti, Cristina:
 Mario Negri Inst Pharmacol Res, Dept Oncol, Milan, Italy

Bou-Orm, Ibrahim R.:
 Minist Publ Hlth, Beirut, Lebanon

Brenner, Hermann:
 German Canc Res Ctr, Div Clin Epidemiol & Aging Res, Heidelberg, Germany

Briko, Andrey Nikolaevich:
 Bauman Moscow State Tech Univ, Biomed Technol, Moscow, Russia

Briko, Nikolay Ivanovich:
 IM Sechenov First Moscow State Med Univ, Epidemiol & Evidence Based Med, Moscow, Russia

Carreras, Giulia:
 Inst Canc Res, Prevent & Clin Network, Florence, Italy

Carvalho, Felix:
 Univ Porto, Appl Mol Biosci Unit, Porto, Portugal

 Univ Porto, Inst Publ Hlth, Porto, Portugal

Castaneda-Orjuela, Carlos A.:
 Natl Inst Hlth, Colombian Natl Hlth Observ, Bogota, Colombia

 Univ Nacl Colombia, Epidemiol & Publ Hlth Evaluat Grp, Bogota, Colombia

Cerin, Ester:
 Australian Catholic Univ, Mary Mackillop Inst Hlth Res, Melbourne, Vic, Australia

 Univ Hong Kong, Sch Publ Hlth, Hong Kong, Peoples R China

Chiang, Peggy Pei-Chia:
 Gold Coast Hlth, Clin Governance, Gold Coast, Qld, Australia

Chido-Amajuoyi, Onyema Greg:
 Univ Texas Houston, Dept Epidemiol Human Genet & Environm Sci, Houston, TX USA

Daryani, Ahmad:
 Mazandaran Univ Med Sci, Toucoplasmosis Res Ctr, Sari, Mazandaran, Iran

Davitoiu, Dragos Virgil:
 Carol Davila Univ Med & Pharm, Dept Gen Surg, 2nd Sect, Bucharest, Romania

 Clin Emergency Hosp Sf Pantelimon, Dept Surg, Bucharest, Romania

Demoz, Gebre Teklemariam:
 Aksum Univ, Sch Pharm, Aksum, Ethiopia

Desai, Rupak:
 Atlanta Vet Affairs Med Ctr, Div Cardiol, Decatur, GA USA

Nasab, Mostafa Dianati:
 Shiraz Univ Med Sci, Dept Epidemiol, Shiraz, Iran

Eftekhari, Aziz:
 Thbriz Univ Med Sci, Dept Pharmacol & Toxicol, Tabriz, Iran

 Pharmacol & Toxicol Dept, Maragheh, Iran

El Sayed, Iman:
 Alexandria Univ, Biomed Informat & Med Stat, Alexandria, Egypt

Elbarazi, Iffat:
 United Arab Emirates Univ, Inst Publ Hlth, Al Ain, U Arab Emirates

Emamian, Mohammad Hassan:
 Shahroud Univ Med Sci, Ophthalm Epidemiol Res Ctr, Shahroud, Semnan, Iran

Endries, Aman Yesuf:
 St Pauls Hosp, Millennium Med Coll, Publ Hlth Dept, Addis Ababa, Ethiopia

Esmaeilzadeh, Firooz:
 Maragheh Univ Med Sci, Maragheh, Iran

Esteghamati, Alireza:
 Univ Tehran Med Sci, Endocrinol & Metab Res Ctr, Tehran, Iran

Etemadi, Arash:
 NCI, Div Canc Epidemiol & Genet, Bethesda, MD 20892 USA

Farzadfar, Farshad:
 Univ Tehran Med Sci, Noncommunicable Dis Res Ctr, Tehran, Iran

Fernandes, Eduarda:
 Univ Porto, REQUIMTE LAQV, Porto, Portugal

Fernandes, Joao C.:
 Catholic Univ Portugal, Ctr Biotechnol & Fine Chem, Porto, Portugal

Filip, Irina:
 Kaiser Permanente, Psychiat Dept, Fontana, CA USA

 AT Still Univ, Dept Hlth Sci, Mesa, AZ 85206 USA

Fischer, Florian:
 Bielefeld Univ, Dept Publ Hlth Med, Bielefeld, Germany

Foroutan, Masoud:
 Abadan Sch Med Sci, Abadan, Iran

Gad, Mohamed M.:
 Cleveland Clin, Dept Cardiovasc Med, Cleveland, OH 44106 USA

 Univ North Carolina Chapel Hill, Gillings Sch Global Publ Hlth, Chapel Hill, NC USA

Gallus, Silvano:
 Mario Negri Inst Pharmacol Res, Dept Environm Hlth Sci, Milan, Italy

Ghaseni-Kebria, Fatemeh:
 Golestan Univ Med Sci, Golestan Res Ctr Gastroenterol & Hepatol, Gorgan, Golestan, Iran

Ghashghaee, Ahmad:
 Iran Univ Med Sci, Dept Hlth Serv Management, Tehran, Iran

Gorini, Giuseppe:
 Canc Prevent & Res Inst, Occupat & Environm Epidemiol Sect, Florence, Italy

Hafezi-Nejad, Nima:
 Univ Tehran Med Sci, Sch Med, Tehran, Iran

 Johns Hopkins Univ, Dept Radiol, Baltimore, MD USA

Haj-Mirzaian, Arvin:
 Univ Tehran Med Sci, Dept Pharmacol, Tehran, Iran

 Shahid Beheshti Univ Med Sci, Obes Res Ctr, Tehran, Iran

Haj-Mirzaian, Arya:
 Johns Hopkins Univ, Dept Radiol, Baltimore, MD USA

Hasanpour-Heidari, Susan:
 Golestan Univ Med Sci, Golestan Res Ctr Gastroenterol & Hepatol, Gorgan, Golestan, Iran

Hasanzadeh, Amir:
 Univ Tehran Med Sci, Dept Microbiol, Tehran, Iran

 Dept Microbiol, Maragheh, Iran

Hassanipour, Soheil:
 Guilan Univ Med Sci, Gastrointestinal & Liver Dis Res Ctr, Rasht, Guilan, Iran

Hoang, Chi Linh:
 Nguyen Tat Thanh Univ, Ctr Excellence Behav Med, Ho Chi Minh City, Vietnam

Hostiuc, Mihaela:
 Carol Davila Univ Med & Pharm, Dept Gen Surg, 2nd Sect, Bucharest, Romania

 Bucharest Emergency Hosp, Dept Internal Med, Bucharest, Romania

Househ, Mowafa:
 Hamad Bin Khalifa Univ, Div Informat & Comp Technol, Doha, Qatar

 Qatar Fdn Educ Sci & Community Dev, Doha, Qatar

Ilesanmi, Olayinka Stephen:
 Univ Ibadan, Dept Community Med, Ibadan, Nigeria

Ilic, Milena D.:
 Univ Kragujevac, Dept Epidemiol, Kragujevac, Serbia

Innos, Kaire:
 Natl Inst Hlth Dev, Dept Epidemiol & Biostat, Tallinn, Estonia

Irvani, Seyed Sina Naghibi:
 Shahid Beheshti Univ Med Sci, Res Inst Endocrine Sci, Tehran, Iran

Islami, Farhad:
 Amer Canc Soc, Surveillance & Hlth Serv Res, Atlanta, GA 30329 USA

Jaca, Anelisa:
 Med Res Council South Africa, Cochrane South Africa, Cape Town, Western Cape, South Africa

 Stellenbosch Univ, Ctr Evidence Based Hlth Care, Cape Town, Western Cape, South Africa

Balalami, Nader Jafari:
 Babol Nushirvani Univ Technol, Dept Psychosis, Babol Sar, Iran

Delouei, Nastaran Jafari:
 Golestan Univ Med Sci, Golestan Res Ctr Gastroenterol & Hepatol, Gorgan, Golestan, Iran

Jafarinia, Morteza:
 ACS Med Coll & Hosp, Dept Immunol, Esfahan, Iran

Jahani, Mohammad Ali:
 Babol Univ Med Sci, Fac Med, Babol Sar, Iran

Jakovljevic, Mihajlo:
 Univ Kragujevac, Dept Global Hlth Econ & Policy, Kragujevac, Serbia

James, Spencer L.:
 Hay, Simon, I Reiner, Robert C

Javanbakht, Mehdi:
 Newcastle Univ, Tyne, England

Jenabi, Ensiyeh:
 Hamadan Univ Med Sci, Autism Spectrum Disorders Res Ctr, Hamadan, Iran

Jha, Ravi Prakash:
 Banaras Hindu Univ, Dept Community Med, Varanasi, Uttar Pradesh, India

Joukar, Farahnaz:
 Guilan Univ Med Sci, Gastrointestinal & Liver Dis Res Ctr, Rasht, Guilan, Iran

Kasaeian, Amir:
 Univ Tehran Med Sci, Hematol Malignancies Res Ctr, Tehran, Iran

 Univ Tehran Med Sci, Hematol Oncol & Stem Cell Transplantat Res Ctr, Tehran, Iran

Kassa, Tesfaye Dessale:
 Clin Pharm Unit, Mekelle, Ethiopia

Kassaw, Mesfin Wudu:
 Woldia Univ, Dept Nursing, Woldia, Amhara, Ethiopia

 Amhara Publ Hlth Inst, Bair Dar, Amhara, Ethiopia

Kengne, Andre Pascal:
 Med Res Council South Africa, Noncommunicable Dis Res Unit, Cape Town, Western Cape, South Africa

 Univ Cape Town, Dept Med, Cape Town, Western Cape, South Africa

Khader, Yousef Saleh:
 Jordan Univ Sci & Technol, Dept Publ Hlth & Community Med, Irbid, Jordan

Khaksarian, Mojtaba:
 Lorestan Univ Med Sci, Dept Physiol, Khorramabad, Iran

Khalilov, Rovshan:
 Baku State Univ, Dept Physiol, Baku, Azerbaijan

Khan, Ejaz Ahmad:
 Hlth Serv Acad, Epidemiol & Biostat Dept, Islamabad, Islamabad Capit, Pakistan

Khayamzadeh, Maryam:
 Shahid Beheshti Univ Med Sci, Canc Res Ctr, Tehran, Iran

Khazaee-Pool, Maryam:
 Mazandaran Univ Med Sci, Dept Publ Hlth, Sari, Mazandaran, Iran

Khazaei, Salman:
 Hamadan Univ Med Sci, Dept Epidemiol, Hamadan, Iran

Khosravi Shadmani, Fatemeh:
 Kermanshah Univ Med Sci, Dept Epidemiol & Biostat, Kermanshah, Iran

Khubchandani, Jagdish:
 Ball State Univ, Dept Nutr & Hlth Sci, Muncie, IN 47306 USA

Kim, Daniel:
 Northeastern Univ, Dept Hlth Sci, Boston, MA 02115 USA

Kisa, Adnan:
 Krisriania Univ Coll, Dept Hlth Management & Hlth Econ, Oslo, Norway

 Univ South Carolina, Dept Hlth Serv Policy & Management, Columbia, SC 29208 USA

Kisa, Sezer:
 Oslo Metropolitan Univ, Dept Nursing & Hlth Promot, Oslo, Norway

Kocarnik, Jonathan M.:
 Hay, Simon, I Reiner, Robert C

 Fred Hutchinson Canc Res Ctr, Div Publ Hlth Sci, 1124 Columbia St, Seattle, WA 98104 USA

Komaki, Hamidreza:
 Hamadan Univ Med Sci, Neurophysiol Res Ctr, Hamadan, Iran

 Inst Res Fundamental Sci, Brain Engn Res Ctr, Tehran, Iran

Kopec, Jacek A.:
 Univ British Columbia, Vancouver, BC, Canada

 Arthrit Res Canada, Richmond, BC, Canada

Koyanagi A:
 San Juan de Dios Sanitary Pk, CIBERSAM, Barcelona, Spain

 Catalan Inst Res & Adv Studies ICREA, Barcelona, Spain

Kuipers, Ernst J.:
 Erasmus MC, Dept Gastroenterol & Hepatol, Rotterdam, Netherlands

Kumar, Vivek:
 Harvard Univ, Brigham & Womens Hosp, Dept Med, Boston, MA 02115 USA

La Vecchia, Carlo:
 ACS Med Coll & Hosp, Clin Med & Community Hlth, Esfahan, Iran

Lami, Faris Hasan:
 Acad Med Sci, Dept Community & Family Med, Tehran, Iran

Lopez, Alan D.:
 Hay, Simon, I Reiner, Robert C

 Univ Melbourne, Melbourne, Qld, Australia

Lopukhov, Platon D.:
 IM Sechenov First Moscow State Med Univ, Dept Epidemiol & Evidence Based Med, Sci Med, Moscow, Russia

Lunevicius, Raimundas:
 Aintree Univ Hosp Natl Hlth Serv NHS Fdn Trust, Gen Surg Dept, Liverpool, Merseyside, England

 Univ Liverpool, Surg Dept, Liverpool, Merseyside, England

Majeed, Azeem:
 Imperial Coll London, Dept Primary Care & Publ Hlth, London, England

Majidinia, Maryam:
 Urmia Univ Med Sci, Solid Tumor Res Ctr, Orumiyeh, Iran

Manafi, Amir:
 Univ Virginia, Dept Surg, Charlottesville, VA USA

Manafi, Navid:
 Iran Univ Med Sci, Ophthalmol Dept, Tehran, Iran

 Univ Manitoba, Ophthalmol Dept, Winnipeg, MB, Canada

Manda, Ana-Laura:
 Emergency Univ Hosp Bucharest, Surg Dept, 5th Sect, Bucharest, Romania

Mansour-Ghanaei, Fariborz:
 Guilan Univ Med Sci, Gastrointestinal & Liver Dis Res Ctr, Rasht, Guilan, Iran

Mantovani, Lorenzo Giovanni:
 Univ Milano Bicocca, Sch Med & Surg, Monza, MB, Italy

Mehta, Dhruv:
 New York Med Coll, Div Gastroenterol & Hepatobiliary Dis, Valhalla, NY 10595 USA

Meier, Toni:
 Martin Luther Univ Halle Wittenberg, Inst Agr & Nutr Sci, Halle, Sachsen Anhalt, Germany

 Competence Cluster Nutr & Cardiovasc Hlth NutriCA, Innovat Off, Halle, Sachsen Anhalt, Germany

Meles, Hagazi Gebre:
 Mekelle Univ, Mekelle, Ethiopia

Mendoza, Walter:
 UN Populat Fund UNFPA, Peru Country Off, Lima, Peru

Mestrovic, Tomislav:
 Dr Zora Profozic Polyclin, Clin Microbiol & Parasitol Unit, Zagreb, Croatia

 Univ North, Univ Ctr Varazdin, Varazhdin, Croatia

Miazgowski, Bartosz:
 Pomeranian Med Univ, Ctr Innovat Med Educ, Szczecin, Poland

Miazgowski, Tomasz:
 Pomeranian Med Univ, Dept Propedeut Internal Dis & Arterial Hypertens, Szczecin, Poland

Mir, Seyed Mostafa:
 Babol Univ Med Sci, Clin Biochem, Babol Sar, Iran

Mirzaei, Hamed:
 Kashan Univ Med Sci, Res Ctr Biochem & Nutr Metab Dis, Esfahan, Iran

Mohammad, Karzan Abdulmuhsin:
 Salahaddin Univ, Dept Biol, Erbil, Iraq

 ISHIK Univ, Erbil, Iraq

Mezerji, Naser Mohammad Gholi:
 Hamadan Univ Med Sci, Dept Biostat, Hamadan, Iran

Mohammadian-Hafshejani, Abdollah:
 Shahrekord Univ Med Sci, Dept Epidemiol & Biostat, Shahrekord, Iran

Mohammadoo-Khorasani, Milad:
 Tarbiat Modares Univ, Dept Clin Biochem, Tehran, Iran

Mohammed, Shafiu:
 Heidelberg Univ, Inst Publ Hlth, Heidelberg, Germany

 Ahmadu Bello Univ, Hlth Syst & Policy Res Unit, Zaria, Nigeria

Mohebi, Farnam:
 Univ Tehran Med Sci, Iran Natl Inst Hlth Res, Tehran, Iran

Mokdad, Ali H.:
 Hay, Simon, I Reiner, Robert C

 Hay, Simon, I Reiner, Robert C

Monasta, Lorenzo:
 Burlo Garofolo Inst Maternal & Child Hlth, Clin Epidemiol & Publ & Hlth Res Unit, Trieste, Italy

Moossavi, Maryam:
 Birjand Univ Med Sci, Dept Mol Med, Birjand, Iran

Moradi, Ghobad:
 Kurdistan Univ Med Sci, Dept Epidemiol & Biostat, Sanandaj, Kurdistan, Iran

 Kurdistan Univ Med Sci, Social Determinants Hlth Res Ctr, Sanandaj, Kurdistan, Iran

Moradpour, Farhad:
 Kurdistan Univ Med Sci, Dept Epidemiol & Biostat, Sanandaj, Kurdistan, Iran

Moradzadeh, Rahmatollah:
 Arak Univ Med Sci, Dept Epidemiol, Arak, Iran

Nahvijou, Azin:
 Univ Tehran Med Sci, Canc Res Ctr, Tehran, Iran

Naik, Gurudatta:
 Univ Alabama Birmingham, Dept Epidemiol, Birmingham, AL USA

Najafi, Farid:
 Kermanshah Univ Med Sci, Dept Epidemiol & Biostat, Kermanshah, Iran

Nazari, Javad:
 Arak Univ Med Sci, Dept Pediat, Arak, Iran

 Iranian Minist Hlth & Med Educ, Tehran, Iran

Negoi, Ionut:
 Carol Davila Univ Med & Pharm, Emergency Hosp Bucharest, 2nd Sect, Bucharest, Romania

 Carol Davila Univ Med & Pharm, Gen Surg Dept, 2nd Sect, Bucharest, Romania

Negru, Serban:
 Univ Med & Pharm, Dept Oncol, Timisoara, Romania

Cuong Tat Nguyen:
 Duy Tan Univ, Inst Global Hlth Innovat, Hanoi, Vietnam

Trang Huyen Nguyen:
 Nguyen Tat Thanh Univ, Ctr Excellence Behav Med, Ho Chi Minh City, Vietnam

Ningrum, Dina Nur Anggraini:
 State Univ Semarang, Publ Hlth Sci Dept, Kota Semarang, Indonesia

 Taipei Med Univ, Grad Inst Biomed Informat, Taipei, Taiwan

Ogbo, Felix Akpojene:
 Western Sydney Univ, Translat Hlth Res Inst, Penrith, NSW, Australia

Olagunju, Andrew T.:
 McMaster Univ, Dept Psychiat & Behav Neurosci, Hamilton, ON, Canada

 Univ Lagos, Dept Psychiat, Lagos, Nigeria

Olagunju, Tinuke O.:
 McMaster Univ, Dept Pathol & Mol Med, Hamilton, ON, Canada

Pana, Adrian:
 Bucharest Univ Econ Studies, Dept Stat & Econometr, Bucharest, Romania

 Ctr Hlth Outcomes & Evaluat, Bucharest, Romania

Pereira, David M.:
 Univ Porto, REQUIMTE LAQV, Porto, Portugal

 Cartagena Univ, Cartagena, Colombia

Pirestani, Majid:
 Tarbiat Modares Univ, Dept Parasitol & Entomol, Tehran, Iran

Pourshams, Akram:
 Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran

Poustchi, Hossein:
 Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran

Qorbani, Mostafa:
 Alborz Univ Med Sci, Noncommunicable Dis Res Ctr, Karaj, Alborz, Iran

Rabiee, Mohammad:
 Amirkabir Univ Technol, Biomed Engn Dept, Tehran, Iran

Rabiee, Navid:
 Sharif Univ Technol, Dept Chem, Tehran, Iran

Radfar, Amir:
 AT Still Univ, Coll Grad Hlth Sci, Mesa, AZ 85206 USA

 Medichem, Barcelona, Spain

Rahmati, Marveh:
 Univ Tehran Med Sci, Canc Biol Res Ctr, Tehran, Iran

Rajati, Fatemeh:
 Kermanshah Univ Med Sci, Dept Hlth Educ & Promot, Kermanshah, Iran

Raoofi, Samira:
 Iran Univ Med Sci, Dept Hlth Serv Management, Tehran, Iran

Rawaf, David Laith:
 Imperial Coll London, WHO Collaborating Ctr Publ Hlth Educ & Training, London, England

 Univ Coll London Hosp, London, England

Rawaf, Salman:
 Imperial Coll London, Dept Primary Care & Publ Hlth, London, England

 Publ Hlth England, Acad Publ Hlth, London, England

Renzaho, Andre M. N.:
 Western Sydney Univ, Sch Social Sci & Psychol, Penrith, NSW, Australia

Rezaei, Nima:
 Univ Tehran Med Sci, Res Ctr Immunodeficiencies, Tehran, Iran

 USERN, NIIMA, Tehran, Iran

Rezapour, Aziz:
 Iran Univ Med Sci, Hlth Management & Econ Res Ctr, Tehran, Iran

Saad, Anas M.:
 Shams Univ, Fac Med, Cairo, Egypt

Saadatagah, Seyedmohammad:
 Univ Tehran Med Sci, Dept Cardiol, Tehran, Iran

Saddik, Basema:
 Univ Sharjah, Med Dept, Sharjah, U Arab Emirates

Salehi, Farkhonde:
 Kermanshah Univ Med Sci, Taleghani Hosp, Kermanshah, Iran

Zahabi, Saleh Salehi:
 Kermanshah Univ Med Sci, Radiol & Nucl Med, Kermanshah, Iran

 Taleghani Hosp, Res Deputy, Kermanshah, Iran

Salz, Inbal:
 Minist Hlth, Hlth & Disabil Intelligence Grp, Wellington, New Zealand

Samy, Abdallah M.:
 Shams Univ, Dept Entomol, Cairo, Egypt

Sanabria, Juan:
 Marshall Univ, Dept Surg, Huntington, WV USA

 Case Western Reserve Univ, Dept Nutr & Prevent Med, Cleveland, OH 44106 USA

Milicevic, Milena M. Santric:
 Univ Belgrade, Ctr Sch Publ Hlth & Hlth Management, Belgrade, Serbia

Sarveazad, Arash:
 Iran Univ Med Sci, Colorectal Res Ctr, Tehran, Iran

Satpathy, Maheswar:
 Utkal Univ, UGC Ctr Adv Study Psychol, Bhubaneswar, India

 Udyam Global Assoc Sustainable Dev, Bhubaneswar, Odisha, India

Schneider, Ione J. C.:
 Univ Fed Santa Catarina, Sch Hlth Sci, Ararangua, Brazil

Sekerija, Mario:
 Univ Zagreb, Dept Med Stat Epidemiol & Med Informat, Zagreb, Croatia

 Croatian Inst Publ Hlth, Div Epidemiol & Prevent Chron Noncommunicable Dis, Zagreb, Croatia

Shaahmadi, Faramarz:
 Alborz Univ Med Sci, Dept Hlth Promot & Educ, Karaj, Alborz, Iran

Shabaninejad, Hosein:
 Iran Univ Med Sci, Dept Hlth Policy, Tehran, Iran

Shamsizadeh, Morteza:
 Hamadan Univ Med Sci, Chron Dis Home Care Res Ctr, Hamadan, Iran

Sharafi, Zeinab:
 Lorestan Univ Med Sci, Razi Herbal Med Res Ctr, Khorramabad, Iran

Sharif, Mehdi:
 Islamic Azad Univ, Dept Basic Sci, Sari, Iran

 Islamic Azad Univ, Dept Lab Sci, Sari, Iran

Sharifi, Amrollah:
 Golestan Univ Med Sci, Golestan Res Ctr Gastroenterol & Hepatol, Gorgan, Golestan, Iran

Sheikhbahaei, Sara:
 Univ Tehran Med Sci, Endocrinol & Metab Res Ctr, Tehran, Iran

 Johns Hopkins Univ, Dept Radiol & Radiol Sci, Baltimore, MD USA

Shirkoohi, Reza:
 Univ Tehran Med Sci, Canc Res Inst, Tehran, Iran

Malleshappa, Sudeep K. Siddappa:
 Baystate Med Ctr, Dept Hematol Oncol, Springfield, MA USA

Silva, Diego Augusto Santos:
 Univ Fed Santa Catarina, Sch Hlth Sci, Ararangua, Brazil

Sisay, Mekonnen:
 Haramaya Univ, Sch Pharm, Harar, Ethiopia

Smarandache, Catalin-Gabriel:
 Carol Davila Univ Med & Pharm, Surg Dept SUUB 2, 2nd Sect, Bucharest, Romania

 Bucharest Emergency Hosp, Surg Dept 2, Bucharest, Romania

Soofi, Moslem:
 Kermanshah Univ Med Sci, Social Dev & Hlth Promot Res Ctr, Kermanshah, Iran

Soreide, Kjetil:
 Univ Bergen, Dept Clin Med, Bergen, Norway

 Stavanger Univ Hosp, Dept Gastrointestinal Surg, Stavanger, Rogaland, Norway

Soshnikov, Sergey:
 Minist Hlth FRIHOI, Res Dev, Moscow, Russia

Tabares-Seisdedos, Rafael:
 Univ Valencia, Dept Med, Valencia, Spain

 Biomed Res Networking Ctr Mental Hlth Network Cib, Carlos III Hlth Inst, Madrid, Spain

Sullman, Mark:
 Univ Nicosia, Dept Social Sci, Nicosia, Cyprus

Taherkhani, Amir:
 Hamadan Univ Med Sci, Res Ctr Mol Med, Hamadan, Iran

Tesfay, Berhe Etsay:
 Adigrat Univ, Dept Publ Hlth, Adigrat, Ethiopia

Topor-Madry, Roman:
 Jagiellonian Univ, Med Coll, Fac Hlth Sci, Krakow, Poland

 Agcy Hlth Technol Assessment & Tariff Syst, Warsaw, Poland

Traini, Eugenio:
 Burlo Garofolo Inst Maternal & Child Hlth, Clin Epidemiol & Publ & Hlth Res Unit, Trieste, Italy

Bach Xuan Tran:
 Hanoi Med Univ, Dept Hlth Econ, Hanoi, Vietnam

Khanh Bao Tran:
 Univ Auckland, Mol Med & Pathol, Auckland, New Zealand

 Mil Med Univ, Clin Hematol & Toxicol, Hanoi, Vietnam

Ullah, Irfan:
 Gomal Univ, Gomal Ctr Biochem & Biotechnol, Dera Ismail Khan, Pakistan

 Mufti Mehmood Mem Teaching Hosp, TB Culture Lab, Dera Ismail Khan, Pakistan

Uthman, Olalekan A.:
 Univ Warwick, Div Hlth Sci, Coventry, W Midlands, England

Vacante, Marco:
 Univ Catania, Dept Gen Surg & Med Surg Specialties, Catania, Italy

Vahedian-Azimi, Amir:
 Baqiyatallah Univ Med Sci, Tehran, Iran

Valli, Alessandro:
 Univ Catania, Dept Gen Surg & Med Surg Specialties, Catania, Italy

Varavikova, Elena:
 Minist Hlth FRIHOI, Cent Res Inst Cytol & Genet, Moscow, Russia

Vujcic, Isidora S.:
 Univ Belgrade, Fac Med, Inst Epidemiol, Belgrade, Serbia

Westerman, Ronny:
 Fed Inst Populat Res, Competence Ctr Mortal Follow Up, German Natl Cohort, Wiesbaden, Hesse, Germany

Yazdi-Feyzabadi, Vahid:
 Kerman Univ Med Sci, Dept Hlth Management Policy & Econ, Kerman, Iran

 Kerman Univ Med Sci, Hlth Serv Management Res Ctr, Kerman, Iran

Yisma, Engida:
 Addis Ababa Univ, Sch Allied Hlth Sci, Addis Ababa, Ethiopia

Yu, Chuanhua:
 Wuhan Univ, Dept Epidemiol & Biostat, Wuhan, Hubei, Peoples R China

 Wuhan Univ, Global Hlth Inst, Wuhan, Hubei, Peoples R China

Zadnik, Vesna:
 Inst Oncol Ljubljana, Epidemiol & Canc Registry Sect, Ljubljana, Slovenia

Moghadam, Telma Zahirian:
 Iran Univ Med Sci, Hlth Management & Econ Res Ctr, Tehran, Iran

 Ardabil Univ Med Sci, Social Determinants Hlth Res Ctr, Ardebil, Iran

Zaki, Leila:
 Tarbiat Modares Univ, Dept Parasitol & Entomol, Tehran, Iran

Zandian, Hamed:
 Ardabil Univ Med Sci, Dept Community Med, Ardebil, Iran

 Ardabil Univ Med Sci, Social Determinants Hlth Res Ctr, Ardebil, Iran

Zhang, Zhi-Jiang:
 Wuhan Univ, Dept Prevent Med, Wuhan, Hubei, Peoples R China

Murray, Christopher J. L.:
 Univ Washington, Sch Med, Dept Hlth Metr Sci, Seattle, WA 98121 USA

 Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA

Naghavi, Mohsen:
 Univ Washington, Sch Med, Dept Hlth Metr Sci, Seattle, WA 98121 USA

 Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA

Malekzadeh, Reza:
 Univ Tehran Med Sci, Digest Dis Res Inst, Tehran, Iran

 Shiraz Univ Med Sci, Noncommunicable Dis Res Ctr, Shiraz, Iran
ISSN: 24681253





Lancet Gastroenterology & Hepatology
Editorial
ELSEVIER INC, 525 B STREET, STE 1900, SAN DIEGO, CA 92101-4495, Reino Unido
Tipo de documento: Article
Volumen: 4 Número: 12
Páginas: 913-933
WOS Id: 000495074600019
ID de PubMed: 31648977
imagen hybrid, Green Published, Green Accepted

MÉTRICAS