Abstract
Background and aim
Breast cancer (BC) is one of the leading causes of cancer deaths in females in South America. This study aims to examine the BC burden in 12 South American countries between 1990 and 2019.
Data and methods
The estimates of BC burden and risk factors were procured from the Global Burden of Disease 2019 study for the period 1990–2019. Development levels of countries were gauged using socio-demographic index (SDI). Decomposition analysis was employed to categorize the change in incidence between 1990 and 2019 into three factors: population growth, population aging and age-specific incidence rate. Estimated annual percent changes were calculated for each country and bivariate association between country-level age-standardized rates and SDI was examined using pooled regression.
Results
The age-standardized rates of breast cancer were the highest in Uruguay [incidence: 72.65 per 100,000 (55.79–92.57); mortality: 29.97 per 100,000 (27.54–32.27); disability-adjusted life years (DALYs: 810.49 per 100,000 (746.22–884.55)] and lowest in Peru [incidence: 27.63 per 100,000 (20.44–36.85); mortality: 10.79 per 100,000 (8.14–14.11); DALYs: 318.27 per 100,000 (234.47–421.16)]. Mortality-to-incidence ratio (MIR) across countries varied from 0.30 in Colombia to 0.55 in Bolivia in 2019. SDI had a positive and strong association with age-standardized incidence rate \(\left( {R^2 = 0.27} \right)\) and weaker positive association with age-standardized mortality rate \(\left( {R^2 = 0.07} \right)\) and age-standardized DALYs rate \(\left( {R^2 = 0.04} \right)\). Most countries experienced more than 70% increase in incident cases owing to population aging and age-specific incidence rates. Alcohol Use, diet high in red meat and smoking contributed the maximum DALYs in most countries in 2019 whereas DALYs due to high body-mass index and high fasting plasma glucose increased most substantially between 1990 and 2019.
Conclusion
With increasing incidence, high MIR and rising BC burden due to modifiable risk factors, several public health interventions are required in South America focusing on prevention, BC awareness among general public, cost-effective early detection and treatments that suit the socio-economic setup of South American countries.
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Data availability
Enquiries about data availability should be directed to the authors.
Notes
Also see Supplementary Fig. S4 for temporal pattern of adult obesity prevalence between 1990 and 2016 using data from [56].
References
Kocarnik JM, Compton K, Dean FE et al (2022) Cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life years for 29 cancer groups from 2010 to 2019: a systematic analysis for the global burden of disease study 2019. JAMA Oncol 8(3):420–444
Sharma R (2019) Breast cancer incidence, mortality and mortality-to-incidence ratio (MIR) are associated with human development, 1990–2016: evidence from Global Burden of Disease Study 2016. Breast Cancer 26:428–445
Brinton LA, Gaudet MM, Gierach GL (2018) Breast cancer. In: Thun M, Linet MS, Cerhan JR, Haiman CA, Schottenfeld D (eds) Cancer epidemiology and prevention, 4th edn. Oxford University Press, Oxford, pp 861–888
Diet N (2018) Physical activity and cancer: a global perspective. Continuous Update Project Expert Report 2018. World Cancer Research Fund. American Institute for Cancer Research
Ferlay J, Colombet M, Soerjomataram I, Parkin DM, Piñeros M, Znaor A, Bray F (2021) Cancer statistics for the year 2020: an overview. Int J Cancer 149(4):778–789
Sung H, Ferlay J, Siegel RL, Laversanne M, Soerjomataram I, Jemal A, Bray F (2021) Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 71(3):209–249
Arnold M, Morgan E, Rumgay H, Mafra A, Singh D, Laversanne M, Vignat J, Gralow JR, Cardoso F, Siesling S, Soerjomataram I (2022) Current and future burden of breast cancer: global statistics for 2020 and 2040. Breast 66:15–23
Sharma R (2021) Examination of incidence, mortality and disability-adjusted life years and risk factors of breast cancer in 49 Asian countries, 1990–2019: estimates from Global Burden of Disease Study 2019. Jpn J Clin Oncol 51(5):826–835
Dafni U, Tsourti Z, Alatsathianos I (2019) Breast cancer statistics in the European Union: incidence and survival across European countries. Breast Care 14(6):344–353
Sharma R (2021) Breast cancer burden in Africa: evidence from GLOBOCAN 2018. J Public Health 43(4):763–771
Pou SA, Tumas N, Coquet JB, Niclis C, Román MD, Díaz MD (2017) Burden of cancer mortality and differences attributable to demographic aging and risk factors in Argentina, 1986–2011. Cad Saude Publica 2017:33
Cecilio AP, Takakura ET, Jumes JJ, Dos Santos JW, Herrera AC, Victorino VJ, Panis C (2015) Breast cancer in Brazil: epidemiology and treatment challenges. Breast Cancer Targets Therapy 7:43
Duarte C, Salazar A, Strasser-Weippl K, de Vries E, Wiesner C, Arango-Gutiérrez A, Krush L, Goss PE (2021) Breast cancer in Colombia: a growing challenge for the healthcare system. Breast Cancer Res Treat 186:15–24
Di Sibio A, Abriata G, Forman D, Sierra MS (2016) Female breast cancer in Central and South America. Cancer Epidemiol 1(44):S110–S120
Cazap E (2018) Breast cancer in Latin America: a map of the disease in the region. Am Soc Clin Oncol Educ Book 38:451–456
Strasser-Weippl K, Chavarri-Guerra Y, Villarreal-Garza C, Bychkovsky BL, Debiasi M, Liedke PE, Soto-Perez-de-Celis E, Dizon D, Cazap E, de Lima LG, Touya D (2015) Progress and remaining challenges for cancer control in Latin America and the Caribbean. Lancet Oncol 16(14):1405–1438
Piñeros M, Laversanne M, Barrios E, de Camargo Cancela M, de Vries E, Pardo C, Bray F (2022) An updated profile of the cancer burden, patterns and trends in Latin America and the Caribbean. Lancet Regional Health Am 2022:13
Piñeros M, Ramos W, Antoni S, Abriata G, Medina LE, Miranda JJ, Payet E, Bray F (2017) Cancer patterns, trends, and transitions in Peru: a regional perspective. Lancet Oncol 18(10):e573–e586
Pou SA, Tumas N, Coquet JB, Niclis C, Román MD, Díaz MD (2017) Burden of cancer mortality and differences attributable to demographic aging and risk factors in Argentina, 1986–2011. Cad Saude Publica 9:33
Guerra MR, Bustamante-Teixeira MT, Corrêa CSL, Abreu DMXD, Curado MP, Mooney M, Naghavi M, Teixeira R, França EB, Malta DC (2017) Magnitude and variation of the burden of cancer mortality in Brazil and Federation Units, 1990 and 2015. Rev Bras Epidemiol 20:102–115
Vries ED, Meneses MX, Piñeros M (2016) Years of life lost as a measure of cancer burden in Colombia, 1997–2012. Biomedica 36(4):547–555
Sierra MS, Soerjomataram I, Antoni S, Laversanne M, Pineros M, de Vries E, Forman D (2016) Cancer patterns and trends in Central and South America. Cancer Epidemiol 44:S23-42
Vos T, Lim SS, Abbafati C et al (2020) Global burden of 369 diseases and injuries in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 396(10258):1204–1222
Wang H, Abbas KM, Abbasifard M et al (2020) Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950–2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019. Lancet 396(10258):1160–1203
Murray CJ, Aravkin AY, Zheng P et al (2020) Global burden of 87 risk factors in 204 countries and territories, 1990–2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet 396(10258):1223–1249
Fitzmaurice C, Allen C, Barber RM et al (2017) Global, regional, and national cancer incidence, mortality, years of life lost, years lived with disability, and disability-adjusted life-years for 32 cancer groups, 1990 to 2015: a systematic analysis for the global burden of disease study. JAMA Oncol 3(4):524–548
Junior NL, Silva GD (2018) Late-stage diagnosis of breast cancer in Brazil: analysis of data from hospital-based cancer registries (2000–2012). Rev Br Ginecol Obstetr RBGO Gynecol Obstetr 40(03):127–136
Walters S, Maringe C, Butler J et al (2013) Breast cancer survival and stage at diagnosis in Australia, Canada, Denmark, Norway, Sweden and the UK, 2000–2007: a population-based study. Br J Cancer 108(5):1195–1208
Piñeros M, Sánchez R, Perry F, García OA, Ocampo R, Cendales R (2011) Delay for diagnosis and treatment of breast cancer in Bogota. Colomb Salud Publ Mexico 53(6):478–485
Valencia D, Granda P, Pesce V et al (2022) Argentina’s national program for control of breast cancer: time 1, patient navigation, and patient cancer education experience. J Cancer Educ 37(6):1669–1676
van Leeuwaarde RS, Vrede MA, Henar F et al (2011) A nationwide analysis of incidence and outcome of breast cancer in the country of Surinam, during 1994–2003. Breast Cancer Res Treat 128:873–881
Marmot M, Altman DG, Cameron DA et al (2012) Independent UK panel on breast cancer screening. The benefits and harms of breast cancer screening: an independent review. Lancet 380:1778e86
Medeiros GC, Thuler LC, Bergmann A (2019) Delay in breast cancer diagnosis: a Brazilian cohort study. Public Health 167:88–95
Bleyer A, Welch HG (2012) Effect of three decades of screening mammography on breast-cancer incidence. N Engl J Med 367(21):1998–2005
Barton A, A pilot survey of access to breast cancer treatment in Guyana. https://open.library.ubc.ca/media/stream/pdf/42591/1.0402372/5
Sharma R (2021) Global, regional, national burden of breast cancer in 185 countries: evidence from GLOBOCAN 2018. Breast Cancer Res Treat 187:557–567
Roa T, DuCharme PA, Desperito E (2023) Evaluating a comprehensive and cost-effective accelerated breast health curriculum in Guyana for healthcare providers. J Radiol Nurs 2023:1
de Paula FB, Albuquerque PC, de Freitas SR et al (2022) Geographic accessibility to cancer treatment in Brazil: a network analysis. Lancet Region Health Am 7:100153
Ambroggi M, Biasini C, Del Giovane C, Fornari F, Cavanna L (2015) Distance as a barrier to cancer diagnosis and treatment: review of the literature. Oncologist 20(12):1378–1385
de Vries E, Buitrago G, Quitian H, Wiesner C, Castillo JS (2018) Access to cancer care in Colombia, a middle-income country with universal health coverage. J Cancer Policy 15:104–112
Onega T, Duell EJ, Shi X, Wang D, Demidenko E, Goodman D (2008) Geographic access to cancer care in the US. Cancer 112(4):909–918
Tanaka H, Ishikawa KB, Katanoda K (2018) Geographic access to cancer treatment in Japan: results from a combined dataset of the patient survey and the survey of medical institutions in 2011. J Epidemiol 28(11):470–475
Longacre CF, Neprash HT, Shippee ND, Tuttle TM, Virnig BA (2021) Travel, treatment choice, and survival among breast cancer patients: a population-based analysis. Women’s Health Reports 2(1):1
IARC Monograph Volume 1-133. List of classifications by cancer sites with sufficient or limited evidence in humans. Available at: https://monographs.iarc.who.int/wp-content/uploads/2019/07/Classifications_by_cancer_site.pdf. Accessed 5 May 2023
World Cancer Research Fund/American Institute for Cancer Research. Continuous Update Project Expert Report 2018. Diet, nutrition, physical activity and breast cancer. Available at https://www.wcrf.org/wp-content/uploads/2021/02/Breast-cancer-report.pdf. Accessed 7 June 2023
Willett WC, Stampfer MJ, Colditz GA, Rosner BA, Hennekens CH, Speizer FE (1987) Moderate alcohol consumption and the risk of breast cancer. N Engl J Med 316(19):1174–1180
Smith-Warner SA, Spiegelman D, Yaun SS et al (1998) Alcohol and breast cancer in women: a pooled analysis of cohort studies. JAMA 279:535–540
Ellison RC, Zhang Y, McLennan CE, Rothman KJ (2001) Exploring the relation of alcohol consumption to risk of breast cancer. Am J Epidemiol 154:740–747
Beasley JM, Coronado GD, Livaudais J et al (2020) Alcohol and risk of breast cancer in Mexican women. Cancer Causes Control 21:863–870
Cogliano VJ, Baan R, Straif K et al (2011) Preventable exposures associated with human cancers. J Natl Cancer Inst 103(24):1827–1839
Shield KD, Soerjomataram I, Rehm J (2016) Alcohol use and breast cancer: a critical review. Alcoholism Clin Exp Res 40(6):1166–1181
Donat-Vargas C, Guerrero-Zotano Á, Casas A et al (2021) Trajectories of alcohol consumption during life and the risk of developing breast cancer. Br J Cancer 125:1168–1176
Doyle A, O’Dwyer C, Mongan D, Millar SR, Galvin B (2023) Factors associated with public awareness of the relationship between alcohol use and breast cancer risk. BMC Public Health 23(1):577
Chambers SE, Copson ER, Dutey-Magni PF et al (2019) Alcohol use and breast cancer risk: a qualitative study of women’s perspectives to inform the development of a preventative intervention in breast clinics. Eur J Cancer Care 28(4):e13075
Islam T, Ito H, Sueta A et al (2013) Alcohol and dietary folate intake and the risk of breast cancer. Eur J Cancer Prev 22(4):358–366
NCD Risk Factor Collaboration (NCD-RisC) (2017) Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet 390:2627–2642
de Rezende LF, Arnold M, Rabacow FM et al (2018) The increasing burden of cancer attributable to high body mass index in Brazil. Cancer Epidemiol 54:63–70
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Sharma, R. Temporal patterns of breast cancer incidence, mortality, disability-adjusted life years and risk factors in 12 South American Countries, 1990–2019: an examination using estimates from the global burden of disease 2019 study. Breast Cancer Res Treat 202, 529–540 (2023). https://doi.org/10.1007/s10549-023-07075-y
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DOI: https://doi.org/10.1007/s10549-023-07075-y