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Epidemiology of childhood cancer in Asia
Kayo Nakata1, Yin Ting Cheung2, Miho Kato3,4
1Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan.
Insights
Childhood cancer impacts half of global cases in Asia, with survival rates significantly lower than in Europe or North America. Improving data collection is crucial for better childhood cancer outcomes in the region.
Area of Science:
- Pediatric Oncology
- Global Health
- Cancer Epidemiology
Background:
- Childhood cancer affects 280,000 children globally each year, with Asia bearing a disproportionate burden.
- The World Health Organization's Global Initiative for Childhood Cancer aims for a 60% survival rate by 2030.
- Asian childhood cancer survival rates (39.6%) lag behind Europe (74.3%) and North America (83.0%).
Purpose of the Study:
- To provide an overview of childhood cancer incidence, mortality, survival, and prevalence in Central, Southern, Eastern, and Southeastern Asia.
- To highlight data gaps and challenges in childhood cancer data collection across Asia.
- To propose strategies for improving childhood cancer data in Asia.
Main Methods:
- Review of available data on childhood cancer incidence, mortality, survival, and prevalence in specified Asian regions.
- Analysis of data limitations and challenges in comparable data collection.
- Identification of potential strategies for enhancing data quality and coverage.
Main Results:
- Less than 5% of Asia's pediatric population is covered by population-based cancer registries.
- Significant disparities exist in childhood cancer incidence and survival data across Asian regions.
- Lack of comparable data hinders accurate assessment of the childhood cancer burden in Asia.
Conclusions:
- Urgent need for improved and standardized childhood cancer data collection in Asia.
- Addressing data challenges is critical to achieving global survival goals for childhood cancer.
- This study serves as the foundational paper in a series addressing childhood cancer in Asia.
Abstract:
According to the 2022 estimates of the Global Cancer Observatory, 280,000 children (aged 0-19 years) are diagnosed with cancer worldwide, with more than 105,000 dying from it. Asia, with its population of 1.4 billion children, accounts for about half of these figures. In 2018, the World Health Organization launched the Global Initiative for Childhood Cancer (WHO GICC) with the goal of achieving at least 60% survival for children with cancer globally by 2030. In Asia, the 5-year net survival based on microsimulation model was estimated to be 39.6%, which was lower than the estimates reported for Europe (74.3%) and North America (83.0%). Incidence and survival data are essential to understanding the burden of childhood cancer, however, less than 5% of the childhood population is covered by population-based cancer registries providing comparable data on incidence in Asia. In this first paper of a Series on childhood cancer in Asia, we provide an overview of the available information on the childhood cancer incidence, mortality, survival and prevalence of survivors in Central, Southern, Eastern and Southeastern Asia. We highlight lack of comparable data, the challenges associated with data collection and propose strategies to improve childhood cancer data in Asia. This is the first in a Series of three papers on childhood cancer in Asia (Paper 2 appears also in eClinicalMedicine and paper 3 appears in The Lancet Child and Adolescence Health).
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