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Global, regional, and national quality of care index of cervical and ovarian cancer: a systematic analysis for the global burden of disease study 1990-2019.
Azangou-Khyavy, Mohammadreza; Ghasemi, Erfan; Rezaei, Negar; Khanali, Javad; Kolahi, Ali-Asghar; Malekpour, Mohammad-Reza; Heidari-Foroozan, Mahsa; Nasserinejad, Maryam; Mohammadi, Esmaeil; Abbasi-Kangevari, Mohsen; Ghamari, Seyyed-Hadi; Ebrahimi, Narges; Koolaji, Sogol; Khosravifar, Mina; Fateh, Sahar Mohammadi; Larijani, Bagher; Farzadfar, Farshad.
Affiliation
  • Azangou-Khyavy M; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-E-Ahmad and Chamran Highway Intersection, Tehran, Iran.
  • Ghasemi E; Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Rezaei N; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-E-Ahmad and Chamran Highway Intersection, Tehran, Iran.
  • Khanali J; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-E-Ahmad and Chamran Highway Intersection, Tehran, Iran.
  • Kolahi AA; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-E-Ahmad and Chamran Highway Intersection, Tehran, Iran.
  • Malekpour MR; Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Heidari-Foroozan M; Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Nasserinejad M; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-E-Ahmad and Chamran Highway Intersection, Tehran, Iran.
  • Mohammadi E; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-E-Ahmad and Chamran Highway Intersection, Tehran, Iran.
  • Abbasi-Kangevari M; Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Ghamari SH; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-E-Ahmad and Chamran Highway Intersection, Tehran, Iran.
  • Ebrahimi N; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-E-Ahmad and Chamran Highway Intersection, Tehran, Iran.
  • Koolaji S; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-E-Ahmad and Chamran Highway Intersection, Tehran, Iran.
  • Khosravifar M; Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Fateh SM; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-E-Ahmad and Chamran Highway Intersection, Tehran, Iran.
  • Larijani B; Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  • Farzadfar F; Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, No. 10, Al-E-Ahmad and Chamran Highway Intersection, Tehran, Iran.
BMC Womens Health ; 24(1): 69, 2024 01 25.
Article in En | MEDLINE | ID: mdl-38273304
ABSTRACT
BACKGROUND AND

OBJECTIVE:

Cervical cancer is the most preventable and ovarian cancer is the most lethal gynecological cancer. However, in the world, there are disparities in health care performances resulting in differences in the burden of these cancers. The objective of this study was to compare the health-system quality of care and inequities for these cancers using the Quality of Care Index (QCI). MATERIAL AND

METHODS:

The 1990-2019 data of the Global Burden of Disease (GBD) was analyzed to extract rates of incidence, prevalence, mortality, Disability-Adjusted Life Years (DALYs), Years of Life Lost (YLL), and Years of healthy life lost due to disability (YLD) of cervical and ovarian cancer. Four indices were developed as a proxy for the quality of care using the above-mentioned rates. Thereafter, a Principal Components Analysis (PCA) was applied to construct the Quality of Care Index (QCI) as a summary measure of the developed indices.

RESULTS:

The incidence of cervical cancer decreased from 1990 to 2019, whereas the incidence of ovarian cancer increased between these years. However, the mortality rate of both cancers decreased in this interval. The global age-standardized QCI for cervical cancer and ovarian cancer were 43.1 and 48.5 in 1990 and increased to 58.5 and 58.4 in 2019, respectively. QCI for cervical cancer and ovarian cancer generally decreased with aging, and different age groups had inequitable QCIs. Higher-income countries generally had higher QCIs for both cancers, but exceptions were also observed.

CONCLUSIONS:

Uncovering disparities in cervical and ovarian cancer care across locations, Socio-Demographic Index levels, and age groups necessitate urgent improvements in healthcare systems for equitable care. These findings underscore the need for targeted interventions and prompt future research to explore root causes and effective strategies for narrowing these gaps.
Subject(s)
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Ovarian Neoplasms / Uterine Cervical Neoplasms / Disabled Persons Type of study: Incidence_studies / Prognostic_studies / Risk_factors_studies Aspects: Patient_preference Limits: Female / Humans Language: En Journal: BMC Womens Health Year: 2024 Document type: Article

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Ovarian Neoplasms / Uterine Cervical Neoplasms / Disabled Persons Type of study: Incidence_studies / Prognostic_studies / Risk_factors_studies Aspects: Patient_preference Limits: Female / Humans Language: En Journal: BMC Womens Health Year: 2024 Document type: Article