Disease burden and trends of malignant neoplasm of bone and articular cartilage in childhood in China, 1990–2021 and comparison with United States and India: findings from the Global Burden of Disease Study 2021

ObjectivesThis study aims to analyze the disease burden and trends of malignant neoplasm of bone and articular cartilage (MNBAC) in Chinese children from 1990 to 2021 using data from GBD 2021, and to compare them with the United States and India.MethodsData on incidence, prevalence, mortality, and d...

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Main Authors: Ruibo Li, Xingyue Yuan
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Frontiers in Public Health
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Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2025.1481304/full
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author Ruibo Li
Xingyue Yuan
author_facet Ruibo Li
Xingyue Yuan
author_sort Ruibo Li
collection DOAJ
description ObjectivesThis study aims to analyze the disease burden and trends of malignant neoplasm of bone and articular cartilage (MNBAC) in Chinese children from 1990 to 2021 using data from GBD 2021, and to compare them with the United States and India.MethodsData on incidence, prevalence, mortality, and disability-adjusted life years (DALYs) for MNBAC in children aged 0–14 years were extracted from GBD 2021. The joinpoint regression analysis model was employed to assess temporal trends, and the average annual percent change (AAPC) was calculated to summarize the trends over the study period.ResultsGlobally, the number of incident childhood cases of MNBAC increased from 9,827 in 1990 to 12,294 in 2021, with an AAPC of 0.38. Similarly, the prevalence of the disease also increased, with an AAPC of 0.39. However, the mortality rate and DALYs rate showed a slight decline, with an AAPC of −0.16 and −0.16 respectively. At the national level, the United States had the highest incidence and prevalence rates, while India had the highest number of incident cases and DALYs. China showed the largest increase in prevalence, with an AAPC of 1.88. India also demonstrated the most significant decline in mortality and DALYs rates. Additionally, the mortality rate and DALYs rate were slightly higher for male children compared to female patients.ConclusionMalignant bone and articular cartilage tumors in children remain a significant public health challenge globally. By strengthening monitoring, increasing investment in medical resources, promoting early screening and intervention, and enhancing international cooperation and exchange, we hope to further reduce the burden of childhood bone cancer and improve children's quality of life and health standards.
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spelling doaj-art-ec1d6a9d5dc243a7af7f8c873f0089442025-07-03T05:26:43ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.14813041481304Disease burden and trends of malignant neoplasm of bone and articular cartilage in childhood in China, 1990–2021 and comparison with United States and India: findings from the Global Burden of Disease Study 2021Ruibo Li0Xingyue Yuan1Department of Orthopaedics, Deyang Peoples' Hospital, Deyang, Sichuan, ChinaDepartment of Pathology, Deyang Peoples' Hospital, Deyang, Sichuan, ChinaObjectivesThis study aims to analyze the disease burden and trends of malignant neoplasm of bone and articular cartilage (MNBAC) in Chinese children from 1990 to 2021 using data from GBD 2021, and to compare them with the United States and India.MethodsData on incidence, prevalence, mortality, and disability-adjusted life years (DALYs) for MNBAC in children aged 0–14 years were extracted from GBD 2021. The joinpoint regression analysis model was employed to assess temporal trends, and the average annual percent change (AAPC) was calculated to summarize the trends over the study period.ResultsGlobally, the number of incident childhood cases of MNBAC increased from 9,827 in 1990 to 12,294 in 2021, with an AAPC of 0.38. Similarly, the prevalence of the disease also increased, with an AAPC of 0.39. However, the mortality rate and DALYs rate showed a slight decline, with an AAPC of −0.16 and −0.16 respectively. At the national level, the United States had the highest incidence and prevalence rates, while India had the highest number of incident cases and DALYs. China showed the largest increase in prevalence, with an AAPC of 1.88. India also demonstrated the most significant decline in mortality and DALYs rates. Additionally, the mortality rate and DALYs rate were slightly higher for male children compared to female patients.ConclusionMalignant bone and articular cartilage tumors in children remain a significant public health challenge globally. By strengthening monitoring, increasing investment in medical resources, promoting early screening and intervention, and enhancing international cooperation and exchange, we hope to further reduce the burden of childhood bone cancer and improve children's quality of life and health standards.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1481304/fullbone cancerdisease burdenchildhoodpreventionChina
spellingShingle Ruibo Li
Xingyue Yuan
Disease burden and trends of malignant neoplasm of bone and articular cartilage in childhood in China, 1990–2021 and comparison with United States and India: findings from the Global Burden of Disease Study 2021
Frontiers in Public Health
bone cancer
disease burden
childhood
prevention
China
title Disease burden and trends of malignant neoplasm of bone and articular cartilage in childhood in China, 1990–2021 and comparison with United States and India: findings from the Global Burden of Disease Study 2021
title_full Disease burden and trends of malignant neoplasm of bone and articular cartilage in childhood in China, 1990–2021 and comparison with United States and India: findings from the Global Burden of Disease Study 2021
title_fullStr Disease burden and trends of malignant neoplasm of bone and articular cartilage in childhood in China, 1990–2021 and comparison with United States and India: findings from the Global Burden of Disease Study 2021
title_full_unstemmed Disease burden and trends of malignant neoplasm of bone and articular cartilage in childhood in China, 1990–2021 and comparison with United States and India: findings from the Global Burden of Disease Study 2021
title_short Disease burden and trends of malignant neoplasm of bone and articular cartilage in childhood in China, 1990–2021 and comparison with United States and India: findings from the Global Burden of Disease Study 2021
title_sort disease burden and trends of malignant neoplasm of bone and articular cartilage in childhood in china 1990 2021 and comparison with united states and india findings from the global burden of disease study 2021
topic bone cancer
disease burden
childhood
prevention
China
url https://www.frontiersin.org/articles/10.3389/fpubh.2025.1481304/full
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