International trends in biliary tract cancer-related mortality, 2000-2022: An observational study of the World Health Organization Mortality Database

  • 0Department of Health Data Science, Graduate School of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University, Okayama, Japan.

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Summary

This summary is machine-generated.

Biliary tract cancer mortality remained stable internationally, but intrahepatic cholangiocarcinoma (iCCA) rates significantly increased. This highlights the need for targeted screening and management strategies for iCCA.

Area Of Science

  • Oncology
  • Epidemiology
  • Public Health

Background

  • Biliary tract cancers (BTCs), encompassing intrahepatic cholangiocarcinoma (iCCA), extrahepatic cholangiocarcinoma, gallbladder cancer, and ampullary cancer, are associated with poor prognoses.
  • Understanding temporal mortality trends is crucial for public health interventions.

Purpose Of The Study

  • To examine international, regional, and national temporal trends in mortality due to BTCs and their major subtypes.
  • To identify disparities in mortality rates and trends across different geographical areas and over time.

Main Methods

  • Utilized the World Health Organization mortality database for an observational study.
  • Employed Locally Weighted Regression (LOESS) for smoothed long-term mortality rate analysis (2000-2022).
  • Applied joinpoint regression analysis to examine age-standardized mortality rate (ASR) trends in individual countries (2013-2022).

Main Results

  • Internationally, BTC-associated ASRs showed a stable trend, decreasing slightly from 2.8/100,000 in 2000 to 2.7/100,000 in 2022.
  • The Western Pacific region exhibited the highest BTC-related ASRs (4.2/100,000) in 2022.
  • Significant subtype-specific trends were observed: iCCA ASRs increased by 120.0%, gallbladder cancer ASRs decreased by 45.5%, and extrahepatic cholangiocarcinoma ASRs remained stable.
  • Increasing iCCA-associated ASR trends were noted in numerous countries between 2013-2022.

Conclusions

  • Despite stable overall BTC mortality, the substantial rise in iCCA-associated ASRs is a significant public health concern.
  • Effective screening programs for high-risk populations and improved disease management strategies are urgently needed for iCCA.