Research Article

Cancer Burden in China during 1990–2019: Analysis of the Global Burden of Disease

Table 4

All-age disability-adjusted life-years (DALYs) and age-standardized DALY rates for different types of cancer and their percentage change by gender in China, 1990–2019.

MorphologyGenderAll-age DALYs, no. 103(95% UI)Age-standardized DALY Rate (95% UI), per 100,000
19902019Change, %19902019Change, %

All neoplasmsMale26665.90 (20491.53, 32634.11)42241.06 (32906.13, 52726.38)58.415642.34 (4386.93,6859.92)4375.35 (3430.65,5424.80)-22.46
Female16502.20 (12752.07, 20516.94)23028.20 (17744.80,28622.55)39.553456.54 (2687.74,4276.93)2301.10 (1773.10,2853.61)-33.43
Both43168.10 (35243.76,51219.97)65269.26 (53487.48,77903.09)51.204516.45 (3703.94,5337.17)3288.22 (2704.53,3910.50)-27.19

Tracheal, bronchus, and lung cancerMale4864.23 (3954.89,5914.77)11967.77 (9374.37,14952.33)146.041084.53 (891.58,1310.23)1203.78 (950.19,1495.1)11.00
Female2096.64 (1730.33,2468.93)5160.82 (4138.83,6353.14)146.15456.89 (377.41,535.53)492.17 (393.74,604.27)7.72
Both6960.87 (5966.96,8039.13)17128.58 (14340.49,20231.34)146.07760.68 (654.28,875.37)831.27 (699.11,979.99)9.28

Stomach cancerMale5409.61 (4428.71,6387.35)7135.99 (5633.55,8786.15)31.911205.79 (992.78,1421.38)718.79 (571.96,877.30)-40.39
Female2839.18 (2341.70,3338.41)2689.00 (2162.24,3333.93)-5.29619.82 (513.84,726.15)260.97 (209.75,323.21)-57.90
Both8248.79 (7173.64,9366.34)9824.99 (8191.72,11632.86)19.11905.54 (791.75,1024.49)481.15 (403.20,567.36)-46.87

Colorectal cancerMale1237.93 (1024.37,1469.8)4168.63 (3354.03,5154.83)236.74272.77 (228.96,321.10)434.5 (353.42,531.60)59.29
Female1033.38 (860.91,1210.10)2226.29 (1811.95,2708.17)115.44223.02 (186.75,260.80)217.28 (176.73,264.24)-2.57
Both2271.31 (1988.09,2566.70)6394.92 (5462.29,7408.70)181.55245.60 (215.43,276.40)320.57 (275.4,370.70)30.53

Esophageal cancerMale3127.52 (1947.69,3810.76)4622.3 (3552.36,5810.37)47.79707.12 (443.86,855.35)458.55 (354.39,572.18)-35.15
Female1366.55 (742.99,1637.54)1137.70 (809.67,1428.72)-16.75311.63 (172.06,371.98)108.46 (76.74,135.97)-65.20
Both4494.07 (2848.08,5295.22)5760.00 (4581.77,6999.57)28.17506.98 (321.63,593.47)277.50 (221.69,335.87)-45.26

Liver cancerMale5590.40 (4500.90,6841.76)4145.80 (3241.13,5167.31)-25.841102.84 (889.18,1343.26)414.90 (326.97,514.24)-62.38
Female1987.37 (1593.34,2470.03)1179.67 (936.01,1453.06)-40.64420.06 (338.28,520.01)115.85 (92.14,142.16)-72.42
Both7577.77 (6419.83,8981.02)5325.46 (4425.69,6374.59)-29.72769.11 (653.21,913.07)264.31 (220.69,315.14)-65.63

LeukemiaMale2130.99 (1362.49,2578.72)1365.39 (1030.96,1668.32)-35.93352.83 (229.15,429.38)190.81 (144.9,235.81)-45.92
Female1762.75 (1317.40,2177.36)943.92 (729.07,1151.66)-46.45315.55 (238.95,387.64)135.97 (106.51,162.94)-56.91
Both3893.74 (3068.11,4551.14)2309.31 (1924.58,2691.12)-40.69333.77 (263.69,390.45)163.82 (136.6,189.48)-50.92

Cervical cancerFemale855.36 (654.48,1432.99)1622.24 (892.58,2090.86)89.66176.4 (135.68,294.69)157.50 (86.90,202.91)-10.71

Breast cancerMale11.62 (9.46,14.00)80.21 (61.44,100.88)590.282.45 (2.00,2.93)7.73 (5.98,9.62)215.51
Female1423.49 (1173.66,1696.00)2877.24 (2323.69,3513.54)102.13294.04 (243.51,349.12)277.98 (224.35,339.93)-5.46
Both1435.10 (1184.14,1708.68)2957.45 (2408.51,3590.17)106.08145.67 (121.08,172.57)144.15 (117.26,174.99)-1.04

Pancreatic cancerMale455.55 (367.84,555.91)1760.52 (1381.02,2203.79)286.4699.25 (81.00,120.14)176.41 (139.31,219.18)77.74
Female293.87 (243.00,345.65)1044.66 (837.73,1279.10)255.4864.48 (53.69,75.61)98.93 (79.22,121.02)53.43
Both749.41 (644.18,863.72)2805.18 (2368.77,3276.55)274.3281.48 (70.48,93.24)136.57 (115.59,158.93)67.61

Brain and central nervous system cancerMale1005.83 (655.96,1568.96)1178.28 (743.32,1566.66)17.15178.20 (117.52,276.17)143.02 (89.74,189)-19.74
Female763.83 (493.38,1042.82)875.14 (649.70,1156.06)14.57144.01 (93.80,195.96)109.48 (80.78,144.78)-23.98
Both1769.66 (1286.81,2432.38)2053.42 (1584.34,2524.97)16.03161.29 (118.00,220.25)126.24 (96.01,154.80)-21.73

Prostate cancerMale403.11 (306.18,488.11)1002.59 (794.01,1322.63)148.71125.93 (99.53,151.84)118.94 (95.05,154.14)-5.55

Ovarian cancerFemale275.06 (212.26,377.97)835.06 (612.56,1063.25)203.5955.57 (42.86,77.80)80.52 (59.44,102.57)44.90

Non-Hodgkin lymphomaMale379.06 (316.14,449.30)878.86 (702.20,1085.95)131.8570.67 (59.36,83.47)95.58 (77.16,116.59)35.25
Female271.02 (228.59,317.56)427.38 (345.89,521.43)57.6952.27 (44.2,61.23)46.95 (38.28,56.63)-10.18
Both650.08 (572.42,734.67)1306.25 (1103.33,1521.35)100.9461.41 (54.34,69.17)71.00 (60.64,81.81)15.62

Nasopharynx cancerMale624.47 (514.94,742.33)692.83 (547.16,856.24)10.95120.19 (99.50,142.34)69.51 (55.30,85.49)-42.17
Female311.06 (248.27,375.31)219.28 (172.23,273.09)-29.5162.44 (49.82,75.26)21.97 (17.34,27.27)-64.81
Both935.53 (799.02,1072.20)912.11 (760.83,1081.93)-2.5091.67 (78.49,104.64)45.60 (38.3,53.80)-50.26

Bladder cancerMale280.05 (232.44,326.32)651.10 (528.55,791.98)132.4976.38 (64.43,87.29)73.49 (60.47,88.56)-3.78
Female125.51 (103.00,150.03)165.02 (132.47,202.22)31.4828.99 (23.89,34.61)16.22 (13.05,19.85)-44.05
Both405.56 (353.23,459.12)816.12 (691.35,967.38)101.2349.41 (43.22,55.60)41.88 (35.59,49.34)-15.24

Gallbladder and biliary tract cancerMale146.74 (115.52,241.03)410.61 (293.21,522.30)179.8234.26 (27.38,56.37)42.60 (30.64,53.79)24.34
Female162.28 (123.28,279.48)352.97 (220.46,453.95)117.5136.46 (27.95,62.67)33.57 (20.96,43.23)-7.93
Both309.02 (254.14,486.15)763.58 (566.76,920.49)147.1035.18 (29.16,56.02)37.71 (27.91,45.35)7.19

Uterine cancerFemale332.05 (238.02,411.58)364.28 (286.56,503.57)9.7169.61 (50.73,85.85)34.93 (27.27,47.77)-49.82

Kidney cancerMale121.56 (100.81,146.97)462.87 (363.08,571.56)280.7724.44 (20.39,29.50)49.65 (39.57,60.57)103.15
Female94.21 (81.14,107.59)179.93 (147.91,216.68)90.9919.04 (16.49,21.63)20.07 (16.75,23.75)5.41
Both215.76 (190.36,243.56)642.8 (533.66,763.98)197.9221.59 (19.04,24.40)34.28 (28.95,40.16)58.78

Lip and oral cavity cancerMale138.59 (112.35,166.48)454.78 (360.26,571.48)228.1529.96 (24.49,35.71)45.75 (36.55,56.94)52.70
Female84.05 (69.03,99.39)121.02 (97.7,147.27)43.9917.75 (14.66,21.05)11.94 (9.65,14.51)-32.73
Both222.65 (192.53,252.40)575.81 (479.52,690.74)158.6223.63 (20.48,26.66)28.27 (23.59,33.71)19.64

Larynx cancerMale249.57 (201.04,296.26)421.57 (337.84,519.58)68.9255.71 (45.4,65.32)41.54 (33.47,51.01)-25.44
Female68.15 (56.64,79.70)76.36 (61.43,92.81)12.0514.87 (12.41,17.29)7.34 (5.92,8.90)-50.64
Both317.72 (268.27,367.83)497.93 (411.84,600.18)56.7234.78 (29.53,40.08)23.85 (19.81,28.62)-31.43

Multiple myelomaMale75.98 (57.16,114.32)203.66 (130.78,268.80)168.0416.32 (12.36,24.48)20.57 (13.12,26.99)26.04
Female72.50 (54.07,109.05)143.79 (99.65,187.87)98.3315.77 (11.8,23.42)13.79 (9.45,17.82)-12.56
Both148.48 (120.36,211.47)347.45 (253.91,424.33)134.0016.03 (13.02,22.62)17.05 (12.31,20.77)6.36

Non-melanoma skin cancerMale69.06 (56.89,81.03)169.95 (136.49,208.25)146.0916.78 (13.93,19.51)18.90 (15.39,22.89)12.63
Female59.94 (48.96,72.39)154.42 (116.41,191.68)157.6213.21 (10.81,15.87)15.23 (11.52,18.82)15.29
Both128.99 (112.67,146.36)324.38 (272.52,376.46)151.4814.60 (12.82,16.49)16.76 (14.18,19.38)14.79

Thyroid cancerMale38.44 (31.36,46.79)107.11 (81.45,133.26)178.648.36 (6.89,10.21)11.64 (8.91,14.29)39.23
Female65.05 (52.36,80.81)80.21 (64.74,99.49)23.3113.48 (10.98,16.66)8.11 (6.55,10.07)-39.84
Both103.49 (87.96,124.72)187.32 (156.24,219.11)81.0010.87 (9.33,13.21)9.7 (8.11,11.27)-10.76

Malignant skin melanomaMale53.37 (32.04,74.11)79.89 (45.35,108.93)49.6910.25 (6.22,14.22)8.57 (4.96,11.69)-16.39
Female42.42 (25,70.61)70.23 (37.33,96.33)65.568.62 (5.18,14.29)7.32 (3.94,9.99)-15.08
Both95.79 (63.30,137.80)150.12 (93.91,189.54)56.729.48 (6.41,13.87)7.96 (5.06,9.99)-16.03

Other pharynx cancerMale68.13 (55.59,81.27)121.75 (92.99,152.68)78.7014.66 (12.10,17.33)11.83 (9.13,14.79)-19.30
Female20.48 (16.67,24.36)23.73 (18.84,29.23)15.874.38 (3.59,5.21)2.30 (1.82,2.82)-47.49
Both88.61 (75.24,102.57)145.47 (117.12,176.32)64.179.42 (8.06,10.85)6.95 (5.61,8.40)-26.22

Testicular cancerMale39.45 (33.11,45.47)51.15 (42.02,61.19)29.666.43 (5.42,7.41)6.70 (5.52,7.90)4.20

Hodgkin lymphomaMale127.11 (60.21,167.15)56.81 (39.45,75.09)-55.3122.73 (10.79,29.93)6.50 (4.61,8.58)-71.40
Female77.23 (31.88,110.31)29.36 (20.85,38.34)-61.9814.31 (5.91,20.26)3.44 (2.49,4.52)-75.96
Both204.34 (103.13,269.11)86.17 (65.53,105.33)-57.8318.56 (9.44,24.32)4.95 (3.85,6.08)-73.33

MesotheliomaMale17.53 (13.46,25.13)50.64 (39.12,65.81)188.883.49 (2.71,5.05)5.09 (3.94,6.55)45.85
Female18.79 (11.73,30.96)28.48 (18.31,37.08)51.573.87 (2.49,6.34)2.81 (1.81,3.66)-27.39
Both36.32 (27.23,51.58)79.12 (65.07,94.57)117.843.68 (2.80,5.23)3.94 (3.24,4.7)7.07