title: [The disease burden of malignant tumor in China, 1990 and 2010].
abstract: OBJECTIVE
  To analyze and compare burden of disease caused by malignant tumor in China, 1990 and 2010.
  
  
  METHODS
  The indicators including prevalence, death, years of life lost (YLL), years lived with disability (YLD), and disability adjusted of life years (DALY) of malignant tumor from the results of Global Burden of Disease (GBD) 2010 were used to calculate the standardized prevalence rate, mortality rate, YLL rate, YLD rate and DALY rate with the 2010 national census data. The research described the prevalence, death, and burden of disease caused by malignant tumor and analyze the trend of these indicators in 1990 and 2010 in China.
  
  
  RESULTS
  In China from 1990 to 2010, the standardized prevalence rate of malignant tumor increased from 529.76/100 000 to 749.57/100 000 (increased by 41.49%); the standardized mortality rate decreased from 196.57/100 000 to 169.88/100 000 (decreased by 13.58%); the standardized DALY rate decreased from 5 206.56/100 000 to 4 150.86/100 000. In 2010, the top five standardized DALY rate of malignant tumor were lung cancer, liver cancer, gastric cancer, esophageal cancer, and colorectal cancer. Their standardized DALY rate were 892.21/100 000, 787.40/100 000, 521.36/100 000, 303.95/100 000, and 269.94/100 000, respectively. In all kind of malignant tumors, the burden of disease of lung cancer had the fastest-growing rate. The standardized mortality rate of lung cancer increased from 34.78/100 000 in 1990 to 41.09/100 000 in 2010; the standardized DALY rate increased from 830.77/100 000 in 1990 to 892.21/100 000 in 2010. The burden of disease of gastric cancer had the fastest-falling rate. The standardized mortality rate of gastric cancer decreased from 39.65/100 000 in 1990 to 23.79/100 000 in 2010; the standardized DALY rate decreased from 968.96/100 000 in 1990 to 521.36/100 000 in 2010.
  
  
  CONCLUSIONS
  The burden of disease caused by malignant tumor in China remained at high levels in 2010. The top five burden of disease of malignant tumor were lung cancer, liver cancer, gastric cancer, esophageal cancer, and colorectal cancer. The burden of disease of lung cancer had the fastest-growing rate and gastric cancer had the fastest-falling rate from 1990 to 2010 in China. Prevention and control of malignant tumor was still difficult.
authors.affiliation: National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
authors.forename: Yunning
authors.initials: Y
authors.lastname: Liu
authors.forename: Jiangmei
authors.initials: J
authors.lastname: Liu
authors.forename: Peng
authors.initials: P
authors.lastname: Yin
authors.forename: Shiwei
authors.initials: S
authors.lastname: Liu
authors.forename: Yue
authors.initials: Y
authors.lastname: Cai
authors.forename: Jinling
authors.initials: J
authors.lastname: You
authors.forename: Xinying
authors.initials: X
authors.lastname: Zeng
authors.forename: Lijun
authors.initials: L
authors.lastname: Wang
authors.affiliation: Email: maigengzhou@126.com.
authors.forename: Maigeng
authors.initials: M
authors.lastname: Zhou
mesh_terms: D002681:China; D015179:Colorectal Neoplasms; D017281:Cost of Illness; D004938:Esophageal Neoplasms; D006801:Humans; D008113:Liver Neoplasms; D008175:Lung Neoplasms; D009026:Mortality; D009369:Neoplasms; D015995:Prevalence; D019057:Quality-Adjusted Life Years; D013274:Stomach Neoplasms