Dr. Sulaiman Al Habib Medical Journal

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Volume 2, Issue 3, September 2020, Pages 115 - 122

National Burden of Cancers in Tunisia: A Disability Adjusted Life–year Approach

Authors
Houda Ben Ayed1, *, Mohamed Hsairi2, Sourour Yaich1, Habib Feki1, Jihene Jedidi1, Raouf Karray1, Mondher Kassis1, Jamel Damak1
1Community Health and Epidemiology Department, Hedi Chaker University Hospital, University of Sfax, Tunisia
2Department of Epidemiology, Salah Azaiez Institute of Tunis, Tunisia
*Corresponding author. Email: drhoudabayed@gmail.com
Corresponding Author
Houda Ben Ayed
Received 13 June 2020, Accepted 3 August 2020, Available Online 4 September 2020.
DOI
10.2991/dsahmj.k.200901.001How to use a DOI?
Keywords
Burden of diseases; cancer; disability adjusted life years; years lived with disability; years of life lost
Abstract

Cancer places a considerable burden on society that is reflected in both economic and humanitarian costs. We aimed to estimate the disease burden of cancers in Tunisia using the Disability Adjusted Life Years (DALYs) as a health measure. We performed the methodology suggested in the Global Burden of Disease. The DALYs were calculated as the arithmetic addition of Years of Life Lost (YLLs) and years lived with disability. National cancer data for all cancers were extracted from the GLOBOCAN database 2012. The overall age-standardized incidence rate was 127/100,000 males and 96/100,000 females. The total number of DALYs was 60,678.33 and 47,326.36 in males and females, respectively. Ranked by the age-standardized DALY rate, the top three cancers were lung (463.6/100,000 population), prostate (128/100,000 population), and colorectum (117.5/100,000 population) in males and breast (241/100,000 population), colorectum (111.7/100,000 population), and ovary cancer (86.5/100,000 population) in females. Among males, cancers with the highest YLL/DALY ratio were pancreas (93.95%), stomach (94%), and leukemia (93.5%). For females, ovary (96%), esophagus (94.4%), and stomach (94.4%) had the highest proportion of YLL toward DALY. According to age groups, brain and nervous system cancer, leukemia, and non-Hodgkin lymphoma were ranked first, second, or third in both sexes until the age of 30 years. Our study provides an insight into the magnitude of the disease burden of cancers in Tunisia. There is an urgent need to emphasize on cancer prevention, screening, early diagnosis, and curative care, notably for breast and lung cancers.

Copyright
© 2020 Dr. Sulaiman Al Habib Medical Group. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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<Previous Article In Issue
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Journal
Dr. Sulaiman Al Habib Medical Journal
Volume-Issue
2 - 3
Pages
115 - 122
Publication Date
2020/09/04
ISSN (Online)
2590-3349
ISSN (Print)
2666-819X
DOI
10.2991/dsahmj.k.200901.001How to use a DOI?
Copyright
© 2020 Dr. Sulaiman Al Habib Medical Group. Publishing services by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Houda Ben Ayed
AU  - Mohamed Hsairi
AU  - Sourour Yaich
AU  - Habib Feki
AU  - Jihene Jedidi
AU  - Raouf Karray
AU  - Mondher Kassis
AU  - Jamel Damak
PY  - 2020
DA  - 2020/09/04
TI  - National Burden of Cancers in Tunisia: A Disability Adjusted Life–year Approach
JO  - Dr. Sulaiman Al Habib Medical Journal
SP  - 115
EP  - 122
VL  - 2
IS  - 3
SN  - 2590-3349
UR  - https://doi.org/10.2991/dsahmj.k.200901.001
DO  - 10.2991/dsahmj.k.200901.001
ID  - Ayed2020
ER  -