The global burden of adolescent and young adult cancer in 2019: a systematic analysis for the Global Burden of Disease Study 2019

Alvarez E.M. Force L.M. Xu R. Compton K. Lu D. Henrikson H.J. Kocarnik J.M. Harvey J.D. Pennini A. Dean F.E. Fu W. Vargas M.T. Keegan T.H.M. Ariffin H. Barr R.D. Erdomaeva Y.A. Gunasekera D.S. John-Akinola Y.O. Ketterl T.G. Kutluk T. Malogolowkin M.H. Mathur P. Radhakrishnan V. Ries L.A.G. Rodriguez-Galindo C. Sagoyan G.B. Sultan I. Abbasi B. Abbasi-Kangevari M. Abbasi-Kangevari Z. Abbastabar H. Abdelmasseh M. Abd-Elsalam S. Abdoli A. Abebe H. Abedi A. Abidi H. Abolhassani H. Ali H.A. Abu-Gharbieh E. Achappa B. Acuna J.M. Adedeji I.A. Adegboye O.A. Adnani Q.E.S. Advani S.M. Afzal M.S. Meybodi M.A. Ahadinezhad B. Ahinkorah B.O. Ahmad S. Ahmadi S. Ahmed M.B. Rashid T.A. Salih Y.A. Aiman W. Akalu G.T. Hamad H.A. Alahdab F. AlAmodi A.A. Alanezi F.M. Alanzi T.M. Alem A.Z. Alem D.T. Alemayehu Y. Alhalaiqa F.N. Alhassan R.K. Ali S. Alicandro G. Alipour V. Aljunid S.M. Alkhayyat M. Alluri S. Almasri N.A. Al-Maweri S.A. Almustanyir S. Al-Raddadi R.M. Alvis-Guzman N. Ameyaw E.K. Amini S. Amu H. 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Chakraborty P.A. Chattu V.K. Chaturvedi P. Chaurasia A. Chavan P.P. Chimed-Ochir O. Choi J.-Y.J. Christopher D.J. Chu D.-T. Chung M.T. Conde J. Costa V.M. Da O.B. Dadras O. Dahlawi S.M.A. Dai X. Damiani G. DAmico E. Dandona L. Dandona R. Daneshpajouhnejad P. Darwish A.H. Daryani A. De La Hoz F.P. Debela S.A. Demie T.G.G. Demissie G.D. Demissie Z.G. Denova-Gutiérrez E. Molla M.D. Desai R. Desta A.A. Dhamnetiya D. Dharmaratne S.D. Dhimal M.L. Dhimal M. Dianatinasab M. Didehdar M. Diress M. Djalalinia S. Do H.P. Doaei S. Dorostkar F. Dos Santos W.M. Drake T.M. Ekholuenetale M. Sayed I.E. Zaki M.E.S. Tantawi M.E. El-Abid H. Elbahnasawy M.A. Elbarazi I. Elhabashy H.R. Elhadi M. El-Jaafary S.I. Enyew D.B. Erkhembayar R. Eshrati B. Eskandarieh S. Faisaluddin M. Fares J. Farooque U. Fasanmi A.O. Fatima W. De Oliveira J.M.P.F. Ferrero S. Desideri L.F. Fetensa G. Filip I. Fischer F. Fisher J.L. Foroutan M. Fukumoto T. Gaal P.A. Gad M.M. Gaewkhiew P. Gallus S. Garg T. Gebremeskel T.G. 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January 2022 Elsevier Ltd

The Lancet Oncology
2022 #23 Issue 1 27 - 52 pp.

Background: In estimating the global burden of cancer, adolescents and young adults with cancer are often overlooked, despite being a distinct subgroup with unique epidemiology, clinical care needs, and societal impact. Comprehensive estimates of the global cancer burden in adolescents and young adults (aged 15–39 years) are lacking. To address this gap, we analysed results from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, with a focus on the outcome of disability-adjusted life-years (DALYs), to inform global cancer control measures in adolescents and young adults. Methods: Using the GBD 2019 methodology, international mortality data were collected from vital registration systems, verbal autopsies, and population-based cancer registry inputs modelled with mortality-to-incidence ratios (MIRs). Incidence was computed with mortality estimates and corresponding MIRs. Prevalence estimates were calculated using modelled survival and multiplied by disability weights to obtain years lived with disability (YLDs). Years of life lost (YLLs) were calculated as age-specific cancer deaths multiplied by the standard life expectancy at the age of death. The main outcome was DALYs (the sum of YLLs and YLDs). Estimates were presented globally and by Socio-demographic Index (SDI) quintiles (countries ranked and divided into five equal SDI groups), and all estimates were presented with corresponding 95% uncertainty intervals (UIs). For this analysis, we used the age range of 15–39 years to define adolescents and young adults. Findings: There were 1·19 million (95% UI 1·11–1·28) incident cancer cases and 396 000 (370 000–425 000) deaths due to cancer among people aged 15–39 years worldwide in 2019. The highest age-standardised incidence rates occurred in high SDI (59·6 [54·5–65·7] per 100 000 person-years) and high-middle SDI countries (53·2 [48·8–57·9] per 100 000 person-years), while the highest age-standardised mortality rates were in low-middle SDI (14·2 [12·9–15·6] per 100 000 person-years) and middle SDI (13·6 [12·6–14·8] per 100 000 person-years) countries. In 2019, adolescent and young adult cancers contributed 23·5 million (21·9–25·2) DALYs to the global burden of disease, of which 2·7% (1·9–3·6) came from YLDs and 97·3% (96·4–98·1) from YLLs. Cancer was the fourth leading cause of death and tenth leading cause of DALYs in adolescents and young adults globally. Interpretation: Adolescent and young adult cancers contributed substantially to the overall adolescent and young adult disease burden globally in 2019. These results provide new insights into the distribution and magnitude of the adolescent and young adult cancer burden around the world. With notable differences observed across SDI settings, these estimates can inform global and country-level cancer control efforts. Funding: Bill & Melinda Gates Foundation, American Lebanese Syrian Associated Charities, St Baldricks Foundation, and the National Cancer Institute.

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Department of Pediatrics, University of California Davis, Sacramento, CA, United States
Department of Internal Medicine, University of California Davis, Sacramento, CA, United States
Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States
Division of Pediatric Hematology-Oncology, University of Washington, Seattle, WA, United States
Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States
Department of Pediatrics, University of Washington, Seattle, WA, United States
Division of Hematology, University of Washington, Seattle, WA, United States
Department of Dermatology, Boston University, Boston, MA, United States
Department of Computer Science, Boston University, Boston, MA, United States
Department of Paediatrics, University of Malaya, Kuala Lumpur, Malaysia
University of Malaya Medical Centre, University of Malaya, Kuala Lumpur, Malaysia
Department of Pediatrics, McMaster University, Hamilton, ON, Canada
Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada
Department of Pathology and Molecular Medicine, McMaster University, Hamilton, ON, Canada
Oncology Department, Children Republican Clinical Hospital, Ulan-Ude, Russian Federation
Department of Paediatrics, National Cancer Institute, Maharagama, Sri Lanka
Department of Health Promotion and Education, University of Ibadan, Ibadan, Nigeria
Department of Epidemiology and Medical Statistics, University of Ibadan, Ibadan, Nigeria
Faculty of Public Health, University of Ibadan, Ibadan, Nigeria
Department of Community Medicine, University of Ibadan, Ibadan, Nigeria
Department of Medicine, University of Ibadan, Ibadan, Nigeria
Division of Pediatric Hematology/Oncology, Seattle Childrens Hospital, Seattle, WA, United States
Pediatric Oncologist Department of Surgery No. 2 (Tumors of Thoracoabdominal Localization), N.N. Blokhin National Medical Research Center of Oncology, Moscow, Russian Federation
Department of Pediatric Oncology, Hacettepe University, Ankara, Turkey
National Centre for Disease Informatics and Research, Indian Council of Medical Research, Bengaluru, India
Department of Medical Oncology, Cancer Institute (W.I.A), Chennai, India
School of Nursing and Midwifery, Yasuj University of Medical Sciences, Yasuj, Iran
RiesSearch LLC, Rockville, MD, United States
Department of Global Pediatric Medicine, St. Jude Childrens Research Hospital, Memphis, TN, United States
Department of Oncology, St. Jude Childrens Research Hospital, Memphis, TN, United States
Pediatric Services, King Hussein Cancer Center, Amman, Jordan
Department of Cell Therapy and Applied Genomics, King Hussein Cancer Center, Amman, Jordan
Department of Pediatrics, University of Jordan, Amman, Jordan
Department of Physiotherapy, University of Jordan, Amman, Jordan
Uro-oncology Research Center, Tehran University of Medical Sciences, Tehran, Iran
Non-communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran
Advanced Diagnostic and Interventional Radiology Research Center, Tehran University of Medical Sciences, Tehran, Iran
Research Center for Immunodeficiencies, Tehran University of Medical Sciences, Tehran, Iran
Experimental Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran
Iranian Research Center for HIV/AIDS (IRCHA), Tehran University of Medical Sciences, Tehran, Iran
Multiple Sclerosis Research Center, Tehran University of Medical Sciences, Tehran, Iran
Department of Ophthalmology, Tehran University of Medical Sciences, Tehran, Iran
School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran
Pediatric Chronic Kidney Disease Research Center, Tehran University of Medical Sciences, Tehran, Iran
Students Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran
Metabolomics and Genomics Research Center, Tehran University of Medical Sciences, Tehran, Iran
Department of Cardiology, Tehran University of Medical Sciences, Tehran, Iran
Endocrinology and Metabolism Research Institute, Tehran University of Medical Sciences, Tehran, Iran
Cancer Research Center, Tehran University of Medical Sciences, Tehran, Iran
Cancer Biology Research Center, Tehran University of Medical Sciences, Tehran, Iran
Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran
Department of Pharmacology, Tehran University of Medical Sciences, Tehran, Iran
Reproductive Biomedicine Research Center, Royan Institution, Isfahan, Iran
Social Determinants of Health Research Center, Marshall University, Huntington, WV, United States
School of Advanced Technologies in Medicine, Marshall University, Huntington, WV, United States
Department of Community Nutrition, Marshall University, Huntington, WV, United States
Department of Pharmacology, Marshall University, Huntington, WV, United States
Obesity Research Center, Marshall University, Huntington, WV, United States
Department of Parasitology, Marshall University, Huntington, WV, United States
Department of Health & Community Medicine, Marshall University, Huntington, WV, United States
School of Medicine, Marshall University, Huntington, WV, United States
Department of Epidemiology, Marshall University, Huntington, WV, United States
Medical Ethics and Law Research Center, Marshall University, Huntington, WV, United States
Shahid Beheshti University of Medical Sciences, Tehran, Iran
Department of Surgery, Marshall University, Huntington, WV, United States
Department of Tropical Medicine, Tanta University, Tanta, Egypt
Department of Pediatrics, Tanta University, Tanta, Egypt
Zoonoses Research Center, Jahrom University of Medical Sciences, Jahrom, Iran
Master of Public Health in Reproductive Health, Wolkite University, Wolkite, Ethiopia
Department of Midwifery, Wolkite University, Wolkite, Ethiopia
Department of Neurosurgery, University of Southern California, Los Angeles, CA, United States
Keck School of Medicine, University of Southern California, Los Angeles, CA, United States
Department of Radiology, University of Southern California, Los Angeles, CA, United States
Laboratory Technology Sciences Department, Yasouj University, Yasuj, Iran
Department of Biosciences and Nutrition, Karolinska University Hospital, Huddinge, Sweden
Department of Computer Science, University of Sharjah, Sharjah, United Arab Emirates
Diplomacy and Public Relations Department, University of Sharjah, Sharjah, United Arab Emirates
University of Human Development, Sulaymaniyah, Iraq
Clinical Sciences Department, University of Sharjah, Sharjah, United Arab Emirates
College of Medicine, University of Sharjah, Sharjah, United Arab Emirates
Mass Communication Department, University of Sharjah, Sharjah, United Arab Emirates
Sharjah Institute for Medical Research University of Sharjah, Sharjah, United Arab Emirates
Department of Internal Medicine, Manipal Academy of Higher Education, Mangalore, India
Department of Community Medicine, Manipal Academy of Higher Education, Mangalore, India
Department of Obstetrics and Gynaecology, Manipal Academy of Higher Education, Mangalore, India
Department of Forensic Medicine and Toxicology, Manipal Academy of Higher Education, Mangalore, India
Kasturba Medical College, Manipal Academy of Higher Education, Mangalore, India
Department of Epidemiology and Population Health, Khalifa University, Abu Dhabi, United Arab Emirates
FIU Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
Department of Epidemiology, Florida International University, Miami, FL, United States
Department of Sociology, Olabisi Onabanjo University, Ago-Iwoye, Nigeria
Division of Public Health and Tropical Medicine, James Cook University, Townsville, QLD, Australia
Faculty of Medicine, Universitas Padjadjaran (Padjadjaran University), Bandung, Indonesia
Terasaki Institute for Biomedical Innovation, Los Angeles, CA, United States
School of Medicine, Georgetown University, Washington, DC, United States
Department of Life Sciences, University of Management and Technology, Lahore, Pakistan
Department of Medicine, Rutgers University, Newark, NJ, United States
Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran
Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran
The Australian Centre for Public and Population Health Research (ACPPHR), University of Technology Sydney, Sydney, NSW, Australia
School of Health, University of Technology Sydney, Sydney, NSW, Australia
Department of Health and Biological Sciences, Abasyn University, Peshawar, Pakistan
Department of Epidemiology, Jimma University, Jimma, Ethiopia
Department of Health, Behavior and Society, Jimma University, Jimma, Ethiopia
Department of Dietetics and Nutrition, Jimma University, Jimma, Ethiopia
Australian Center for Precision Health, University of South Australia, Adelaide, SA, Australia
Department of Computer Science and Engineering, University of Kurdistan Hewler, Erbil, Iraq
Database Technology Department, Sulaimani Polytechnic University, Sulaymaniyah, Iraq
College of Informatics, Sulaimani Polytechnic University, Sulaymaniyah, Iraq
Department of Neurology, Nishtar Medical University, Multan, Pakistan
Department of Microbiology, Immunology and Parasitology, St. Pauls Hospital Millennium Medical College, Addis Ababa, Ethiopia
Public Health Department, St. Pauls Hospital Millennium Medical College, Addis Ababa, Ethiopia
Department of Microbial, Cellular and Molecular Biology, Addis Ababa University, Addis Ababa, Ethiopia
Department of Surgery, Addis Ababa University, Addis Ababa, Ethiopia
College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia
School of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia
Geriatric and Long Term Care Department, Hamad Medical Corporation, Doha, Qatar
Rumailah Hospital, Hamad Medical Corporation, Doha, Qatar
Mayo Evidence-based Practice Center, Mayo Clinic Foundation for Medical Education and Research, Rochester, MN, United States
Department of Epidemiology and Biostatistics, Jackson State University, Jackson, MS, United States
Department of Health Policy and Management, Jackson State University, Jackson, MS, United States
Health Information Management and Technology Department, University of Gondar, Gondar, Ethiopia
Environmental Health Department, University of Gondar, Gondar, Ethiopia
Forensic Medicine Division, University of Gondar, Gondar, Ethiopia
Pharmacy Practice Department, University of Gondar, Gondar, Ethiopia
Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia
Institute of Public Health, University of Gondar, Gondar, Ethiopia
Department of Biochemistry, University of Gondar, Gondar, Ethiopia
Department of Surgical Nursing, University of Gondar, Gondar, Ethiopia
Department of Human Physiology, University of Gondar, Gondar, Ethiopia
School of Medicine, University of Gondar, Gondar, Ethiopia
Department of Midwifery, University of Gondar, Gondar, Ethiopia
Department of Nursing, Debre Markos University, Debre Markos, Ethiopia
Department of Midwifery, Arba Minch University, Arba Minch, Ethiopia
Department of Biomedical Science, Arba Minch University, Arba Minch, Ethiopia
Department of Public Health, Arba Minch University, Arba Minch, Ethiopia
Arba Minch College of Health Science, Arba Minch University, Arba Minch, Ethiopia
School of Public Health, Arba Minch University, Arba Minch, Ethiopia
College of Medicine and Health Science, Arba Minch University, Arba Minch, Ethiopia
Faculty of Nursing, Philadelphia University, Amman, Jordan
Psychological Sciences Association, Amman, Jordan
Institute of Health Research, University of Health and Allied Sciences, Ho, Ghana
Department of Population and Behavioural Sciences, University of Health and Allied Sciences, Ho, Ghana
Department of Information Systems, Sultan Qaboos University, Muscat, Oman
Department of Maternal and Child Health, Sultan Qaboos University, Muscat, Oman
Department of Pathophysiology and Transplantation, Università degli Studi di Milano (University of Milan), Milan, Italy
Cystic Fibrosis Center, Fondazione IRCCS Ospedale Maggiore Policlinico (IRCCS Ca Granda Maggiore Policlinico Hospital Foundation), Milan, Italy
Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
Department of Health Economics, Iran University of Medical Sciences, Tehran, Iran
Department of Medical Laboratory Sciences, Iran University of Medical Sciences, Tehran, Iran
Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
Student Research Committee, Iran University of Medical Sciences, Tehran, Iran
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran
Colorectal Research Center, Iran University of Medical Sciences, Tehran, Iran
Department of Internal Medicine, Iran University of Medical Sciences, Tehran, Iran
Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran
Research Center of Pediatric Infectious Diseases, Iran University of Medical Sciences, Tehran, Iran
Department of Medical Virology, Iran University of Medical Sciences, Tehran, Iran
Department of Community and Family Medicine, Iran University of Medical Sciences, Tehran, Iran
Department of Health Policy and Management, Kuwait University, Safat, Kuwait
International Centre for Casemix and Clinical Coding, National University of Malaysia, Bandar Tun Razak, Malaysia
Department of Internal Medicine, Cleveland Clinic, Cleveland, OH, United States
Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, United States
Lerner Research Institute, Cleveland Clinic, Cleveland, OH, United States
Division of Hematology-Oncology, University of Massachusetts Medical School, Springfield, MA, United States
College of Dental Medicine, Qatar University, Doha, Qatar
Faculty of Dentistry, Sanaa University, Sanaa, Yemen
College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
Ministry of Health, Riyadh, Saudi Arabia
Department of Family and Community Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Rabigh Faculty of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia
Research Group in Hospital Management and Health Policies, Universidad de la Costa (University of the Coast), Barranquilla, Colombia
Research Group in Health Economics, University of Cartagena, Cartagena, Colombia
Department of Health Services Management, Khomein University of Medical Sciences, Khomein, Iran
Department of Pharmacy, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Department of Cardiology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Department of Internal Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Department of Legal Medicine and Bioethics, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Department of Dermatology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Department of General Surgery, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
Department of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania
Research Center for Evidence Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Department of Biostatistics and Epidemiology, Tabriz University of Medical Sciences, Tabriz, Iran
Department of Medical Surgical Nursing, Tabriz University of Medical Sciences, Tabriz, Iran
Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
Department of Immunology, Tabriz University of Medical Sciences, Tabriz, Iran
Department of Parasitology, Tabriz University of Medical Sciences, Tabriz, Iran
School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, Iran
School of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
Razi Vaccine and Serum Research Institute, Agricultural Research, Education, and Extension Organization (AREEO), Tehran, Iran
Department of Epidemiology and Biostatistics, Zahedan University of Medical Sciences, Zahedan, Iran
Department of Parasitology, Mazandaran University of Medical Sciences, Sari, Iran
Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran
Department of Immunology, Mazandaran University of Medical Sciences, Sari, Iran
Molecular and Cell Biology Research Center, Mazandaran University of Medical Sciences, Sari, Iran
Department of Environmental Health, Mazandaran University of Medical Sciences, Sari, Iran
Department of Parasitology, Iranshahr University of Medical Sciences, Iranshahr, Iran
School of Community Health, Charles Sturt University, Orange, NSW, Australia
Social Determinants of Health Research Center, Birjand University of Medical Sciences, Birjand, Iran
Medical Toxicology & Drug Abuse Research Center, Birjand University of Medical Sciences, Birjand, Iran
Madda Walabu University Goba Referral Hospital, Madda Walabu University, Robe, Ethiopia
Department of Public Health, Madda Walabu University, Robe, Ethiopia
School of Health Sciences, Madda Walabu University, Robe, Ethiopia
Department of Midwifery, Madda Walabu University, Robe, Ethiopia
College of Allied Health Sciences, Khyber Medical University, Lower Dir, Timergara, Pakistan
Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of Medical Sciences, Kashan, Iran
Department of Biostatistics and Epidemiology, Zanjan University of Medical Sciences, Zanjan, Iran
Department of Anatomical Sciences, Zanjan University of Medical Sciences, Zanjan, Iran
Faculty of Pharmacy, Zanjan University of Medical Sciences, Zanjan, Iran
Department of Immunology, Fasa University of Medical Sciences, Fasa, Iran
School of Medicine, Fasa University of Medical Sciences, Fasa, Iran
School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia
Research Centre for Generational Health and Ageing, University of Newcastle, Newcastle, NSW, Australia
Hunter New England Population Health, Wallsend, NSW, Australia
Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal
Department of Oral and Maxillofacial Surgery, Justus Liebig University of Giessen, Giessen, Germany
Northumbria HealthCare NHS Foundation Trust, National Health Service (NHS) Scotland, Newcastle upon Tyne, United Kingdom
School of Business, University of Leicester, Leicester, United Kingdom
Center for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico
Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Mexico
Health Systems Research Center, National Institute of Public Health, Cuernavaca, Mexico
The Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia
School of Nursing and Midwifery, La Trobe University, Melbourne, VIC, Australia
San Martin de Porres University, Lima, Peru
Department of Midwifery, Debre Tabor University, Debre Tabor, Ethiopia
Department of Pharmacy, Debre Tabor University, Debre Tabor, Ethiopia
Department of General Practice, University of Melbourne, Melbourne, VIC, Australia
Department of Neurosurgery, Cairo University, Cairo, Egypt
Department of Neurology, Cairo University, Cairo, Egypt
Department of Medical-Surgical Nursing, Hamadan University of Medical Sciences, Hamadan, Iran
Department of Environmental Health Engineering, Hamadan University of Medical Sciences, Hamadan, Iran
Department of Pharmacology and Toxicology, Hamadan University of Medical Sciences, Hamadan, Iran
Department of Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
Department of Health Management and Economics, Hamadan University of Medical Sciences, Hamadan, Iran
Research Center for Molecular Medicine, Hamadan University of Medical Sciences, Hamadan, Iran
School of Medicine, Shahroud University of Medical Sciences, Shahroud, Iran
Department of Epidemiology, Shahroud University of Medical Sciences, Shahroud, Iran
Faculty of Medicine, October 6 University, 6th October City, Egypt
Department of Parasitology, Tarbiat Modares University, Tehran, Iran
Department of Parasitology, Alborz University of Medical Sciences, Karaj, Iran
Dietary Supplements and Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran
Department of Epidemiology and Biostatistics, Wuhan University, Wuhan, China
School of Health Sciences, Wuhan University, Wuhan, China
School of Medicine, Wuhan University, Wuhan, China
Unit of Biochemistry, Universiti Sultan Zainal Abidin (Sultan Zainal Abidin University), Kuala Terengganu, Malaysia
Center for Clinical Research and Prevention, Bispebjerg University Hospital, Frederiksberg, Denmark
Department of Hypertension, Medical University of Lodz, Lodz, Poland
Polish Mothers Memorial Hospital Research Institute, Lodz, Poland
Heidelberg Institute of Global Health (HIGH), Heidelberg University, Heidelberg, Germany
T.H. Chan School of Public Health, Harvard University, Boston, MA, United States
Department of Global Health and Social Medicine, Harvard University, Boston, MA, United States
Department of Translational Medicine, University of Eastern Piedmont, Novara, Italy
Academic Unit of Obstetrics and Gynecology, University of Genoa, Genoa, Italy
Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DINOGMI), University of Genoa, Genoa, Italy
University Eye Clinic, University of Genoa, Genoa, Italy
Department of Public & Environmental Health, University of The Gambia, Brikama, Gambia
Epidemiology and Disease Control Unit, Ministry of Health, Kotu, Gambia
School of Public Health and Community Medicine, Aden College, Aden, Yemen
Social Determinants of Health Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran
Department of Public health, Wollo University, Dessie, Ethiopia
Department of Biomedical Science, Wollo University, Dessie, Ethiopia
Department of Medical Laboratory Sciences, Haramaya University, Harar, Ethiopia
Department of Health Informatics, Haramaya University, Harar, Ethiopia
School of Public Health, Haramaya University, Harar, Ethiopia
Department of Oral Pathology and Microbiology, Krishna Institute of Medical Sciences Deemed To Be University, Karad, India
Public Health Dentistry Department, Krishna Institute of Medical Sciences Deemed To Be University, Karad, India
Department of Social Services, Tufts Medical Center, Boston, MA, United States
School of Nursing, University of Gondar, Bahir Dar, Ethiopia
Department of Forensic Chemistry, Government Institute of Forensic Science, Aurangabad, India
Department of Social and Clinical Pharmacy, Charles University, Hradec Kralova, Czech Republic
Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates
Department of Medical Microbiology & Immunology, United Arab Emirates University, Al Ain, United Arab Emirates
Family Medicine Department, United Arab Emirates University, Al Ain, United Arab Emirates
Department of Anatomy, All India Institute of Medical Sciences, Jodhpur, India
Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Jodhpur, India
School of Public Health, All India Institute of Medical Sciences, Jodhpur, India
Department of Surgical Oncology, All India Institute of Medical Sciences, Jodhpur, India
Department of Pharmacology, All India Institute of Medical Sciences, Jodhpur, India
Neurovascular Imaging Laboratory, NSW Brain Clot Bank, Sydney, NSW, Australia
Department of Neurology and Neurophysiology, South West Sydney Local Heath District and Liverpool Hospital, Sydney, NSW, Australia
Department of Statistical and Computational Genomics, National Institute of Biomedical Genomics, Kalyani, India
Department of Statistics, University of Calcutta, Kolkata, India
Department of Anatomy, Manipal University College Melaka, Melaka, Malaysia
Institute of Soil and Environmental Sciences, University of Agriculture, Faisalabad, Faisalabad, Pakistan
Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran
Student Research Committee, Babol University of Medical Sciences, Babol, Iran
Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy
Department of Medical, Surgical Sciences and Advanced Technologies, University of Catania, Catania, Italy
Clinical and Experimental Medicine, University of Catania, Catania, Italy
Department of Public Health, Samara University, Samara, Ethiopia
Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway
Cancer Registry of Norway, Oslo, Norway
Discipline of Public Health Medicine, University of KwaZulu-Natal, Durban, South Africa
Department of Biomedical Sciences, Nazarbayev University, Nur-Sultan City, Kazakhstan
Department of Epidemiology, University of Florida, Gainesville, FL, United States
Cancer Population Sciences Program, University of Florida Health Cancer Center, Gainesville, FL, United States
Division of Clinical Epidemiology and Aging Research, German Cancer Research Center, Heidelberg, Germany
Flinders Health and Medical Research Institute, Flinders University, Adelaide, SA, Australia
Health Economics Unit, Flinders University, Adelaide, SA, Australia
College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia
Health and Social Care Economics Group, Flinders University, Adelaide, SA, Australia
Southgate Institute for Health and Society, Flinders University, Adelaide, SA, Australia
Department of Public Health, Federal University of Juiz de Fora, Juiz de Fora, Brazil
School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada
Al Shifa School of Public Health, Al Shifa Trust Eye Hospital, Rawalpindi, Pakistan
Institute of Microengineering, Federal Polytechnic School of Lausanne, Lausanne, Switzerland
Program in Physical Therapy, Washington Universtiy in St. Louis, St. Louis, MO, United States
Department of Surgery, Washington Universtiy in St. Louis, St. Louis, MO, United States
Oncological Network, Prevention and Research Institute, Florence, Italy
Institute for Cancer Research, Prevention and Clinical Network, Florence, Italy
National School of Public Health, Institute of Health Carlos III, Madrid, Spain
Department of Public Health and Mental Health, Institute of Health Carlos III, Madrid, Spain
Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, ON, Canada
Department of Nutrition, Federal University of Santa Catarina, Florianópolis, Brazil
Department of Physical Education, Federal University of Santa Catarina, Florianópolis, Brazil
Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, VIC, Australia
School of Public Health, University of Hong Kong, Hong Kong
Hospitalist Department, Geisinger Health System, Danville, PA, United States
School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
Department of Medicine, University of Toronto, Toronto, ON, Canada
Saveetha Medical College, Saveetha University, Chennai, India
Center for Cancer Epidemiology, Tata Memorial Hospital, Navi Mumbai, India
Department of Head and Neck Surgery, Tata Memorial Hospital, Navi Mumbai, India
Department of Oral Medicine and Radiology, King Georges Medical University, Lucknow, India
Department of Epidemiology and Environmental Health, University at Buffalo, Buffalo, NY, United States
Department of Public Health and Health Policy, Hiroshima University, Hiroshima, Japan
Division of Biomedical Informatics, Seoul National University Hospital, Seoul, South Korea
Department of Pulmonary Medicine, Vellore, India
Department of Endocrinology, Diabetes and Metabolism, Christian Medical College and Hospital (CMC), Vellore, India
Department of Radiation Medicine, Oregon Health and Science University, Portland, OR, United States
Center for Biomedicine and Community Health, VNU-International School, Hanoi, Viet Nam
Department of Otolaryngology, Wayne State University, Detroit, MI, United States
Nova Medical School, Nova University of Lisbon, Lisbon, Portugal
Research Unit on Applied Molecular Biosciences (UCIBIO), University of Porto, Porto, Portugal
Associated Laboratory for Green Chemistry (LAQV), University of Porto, Porto, Portugal
Laboratory for Process Engineering, Environment, Biotechnology and Energy (LEPABE), University of Porto, Porto, Portugal
Department of Chemistry, University of Porto, Porto, Portugal
Health Systems Management, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
School of Public Health, Walailak University, Nakhon Si Thammarat, Thailand
IRCCS Istituto Ortopedico Galeazzi (Galeazzi Orthopedic Institute IRCCS), University of Milan, Milan, Italy
Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
Department of Dermatology, Case Western Reserve University, Cleveland, OH, United States
Harrington Heart and Vascular Institute, Case Western Reserve University, Cleveland, OH, United States
Department of Quantitative Health Science, Case Western Reserve University, Cleveland, OH, United States
Department of Nutrition and Preventive Medicine, Case Western Reserve University, Cleveland, OH, United States
Division of Pediatric Gastroenterology, Case Western Reserve University, Cleveland, OH, United States
Health Policy Research, Public Health Foundation of India, Gurugram, India
Department of Research, Public Health Foundation of India, Gurugram, India
India Cancer Research Consortium, New Delhi, India
Indian Council of Medical Research, New Delhi, India
Department of Pathology, Johns Hopkins University Schoo

Department of Pediatrics
Department of Internal Medicine
Department of Health Metrics Sciences
Division of Pediatric Hematology-Oncology
Institute for Health Metrics and Evaluation
Department of Pediatrics
Division of Hematology
Department of Dermatology
Department of Computer Science
Department of Paediatrics
University of Malaya Medical Centre
Department of Pediatrics
Department of Psychiatry and Behavioural Neurosciences
Department of Pathology and Molecular Medicine
Oncology Department
Department of Paediatrics
Department of Health Promotion and Education
Department of Epidemiology and Medical Statistics
Faculty of Public Health
Department of Community Medicine
Department of Medicine
Division of Pediatric Hematology/Oncology
Pediatric Oncologist Department of Surgery No. 2 (Tumors of Thoracoabdominal Localization)
Department of Pediatric Oncology
National Centre for Disease Informatics and Research
Department of Medical Oncology
School of Nursing and Midwifery
RiesSearch LLC
Department of Global Pediatric Medicine
Department of Oncology
Pediatric Services
Department of Cell Therapy and Applied Genomics
Department of Pediatrics
Department of Physiotherapy
Uro-oncology Research Center
Non-communicable Diseases Research Center
Advanced Diagnostic and Interventional Radiology Research Center
Research Center for Immunodeficiencies
Experimental Medicine Research Center
Iranian Research Center for HIV/AIDS (IRCHA)
Multiple Sclerosis Research Center
Department of Ophthalmology
School of Medicine
Digestive Diseases Research Institute
Department of Epidemiology and Biostatistics
Pediatric Chronic Kidney Disease Research Center
Students Scientific Research Center (SSRC)
Metabolomics and Genomics Research Center
Department of Cardiology
Endocrinology and Metabolism Research Institute
Cancer Research Center
Cancer Biology Research Center
Faculty of Medicine
Department of Pharmacology
Reproductive Biomedicine Research Center
Social Determinants of Health Research Center
School of Advanced Technologies in Medicine
Department of Community Nutrition
Department of Pharmacology
Obesity Research Center
Department of Parasitology
Department of Health & Community Medicine
School of Medicine
Department of Epidemiology
Medical Ethics and Law Research Center
Shahid Beheshti University of Medical Sciences
Department of Surgery
Department of Tropical Medicine
Department of Pediatrics
Zoonoses Research Center
Master of Public Health in Reproductive Health
Department of Midwifery
Department of Neurosurgery
Keck School of Medicine
Department of Radiology
Laboratory Technology Sciences Department
Department of Biosciences and Nutrition
Department of Computer Science
Diplomacy and Public Relations Department
University of Human Development
Clinical Sciences Department
College of Medicine
Mass Communication Department
Sharjah Institute for Medical Research University of Sharjah
Department of Internal Medicine
Department of Community Medicine
Department of Obstetrics and Gynaecology
Department of Forensic Medicine and Toxicology
Kasturba Medical College
Department of Epidemiology and Population Health
FIU Robert Stempel College of Public Health & Social Work
Department of Epidemiology
Department of Sociology
Division of Public Health and Tropical Medicine
Faculty of Medicine
Terasaki Institute for Biomedical Innovation
School of Medicine
Department of Life Sciences
Department of Medicine
Social Determinants of Health Research Center
Research Institute for Prevention of Non-Communicable Diseases
The Australian Centre for Public and Population Health Research (ACPPHR)
School of Health
Department of Health and Biological Sciences
Department of Epidemiology
Department of Health
Department of Dietetics and Nutrition
Australian Center for Precision Health
Department of Computer Science and Engineering
Database Technology Department
College of Informatics
Department of Neurology
Department of Microbiology
Public Health Department
Department of Microbial
Department of Surgery
College of Health Sciences
School of Nursing and Midwifery
Geriatric and Long Term Care Department
Rumailah Hospital
Mayo Evidence-based Practice Center
Department of Epidemiology and Biostatistics
Department of Health Policy and Management
Health Information Management and Technology Department
Environmental Health Department
Forensic Medicine Division
Pharmacy Practice Department
Imam Abdulrahman Bin Faisal University
Department of Epidemiology and Biostatistics
Institute of Public Health
Department of Biochemistry
Department of Surgical Nursing
Department of Human Physiology
School of Medicine
Department of Midwifery
Department of Nursing
Department of Midwifery
Department of Biomedical Science
Department of Public Health
Arba Minch College of Health Science
School of Public Health
College of Medicine and Health Science
Faculty of Nursing
Psychological Sciences Association
Institute of Health Research
Department of Population and Behavioural Sciences
Department of Information Systems
Department of Maternal and Child Health
Department of Pathophysiology and Transplantation
Cystic Fibrosis Center
Health Management and Economics Research Center
Department of Health Economics
Department of Medical Laboratory Sciences
Preventive Medicine and Public Health Research Center
Student Research Committee
Minimally Invasive Surgery Research Center
Colorectal Research Center
Department of Internal Medicine
Trauma and Injury Research Center
Research Center of Pediatric Infectious Diseases
Department of Medical Virology
Department of Community and Family Medicine
Department of Health Policy and Management
International Centre for Casemix and Clinical Coding
Department of Internal Medicine
Department of Cardiovascular Medicine
Lerner Research Institute
Division of Hematology-Oncology
College of Dental Medicine
Faculty of Dentistry
College of Medicine
Ministry of Health
Department of Family and Community Medicine
Rabigh Faculty of Medicine
Research Group in Hospital Management and Health Policies
Research Group in Health Economics
Department of Health Services Management
Department of Pharmacy
Department of Cardiology
Department of Internal Medicine
Department of Legal Medicine and Bioethics
Department of Dermatology
Department of General Surgery
Department of Statistics and Econometrics
Research Center for Evidence Based Medicine
Department of Biostatistics and Epidemiology
Department of Medical Surgical Nursing
Student Research Committee
Department of Immunology
Department of Parasitology
School of Management and Medical Informatics
School of Medicine
Razi Vaccine and Serum Research Institute
Department of Epidemiology and Biostatistics
Department of Parasitology
Toxoplasmosis Research Center
Department of Immunology
Molecular and Cell Biology Research Center
Department of Environmental Health
Department of Parasitology
School of Community Health
Social Determinants of Health Research Center
Medical Toxicology & Drug Abuse Research Center
Madda Walabu University Goba Referral Hospital
Department of Public Health
School of Health Sciences
Department of Midwifery
College of Allied Health Sciences
Research Center for Biochemistry and Nutrition in Metabolic Diseases
Department of Biostatistics and Epidemiology
Department of Anatomical Sciences
Faculty of Pharmacy
Department of Immunology
School of Medicine
School of Medicine and Public Health
Research Centre for Generational Health and Ageing
Hunter New England Population Health
Department of Forensic Medicine
Department of Oral and Maxillofacial Surgery
Northumbria HealthCare NHS Foundation Trust
School of Business
Center for Health Systems Research
Center for Nutrition and Health Research
Health Systems Research Center
The Judith Lumley Centre
School of Nursing and Midwifery
San Martin de Porres University
Department of Midwifery
Department of Pharmacy
Department of General Practice
Department of Neurosurgery
Department of Neurology
Department of Medical-Surgical Nursing
Department of Environmental Health Engineering
Department of Pharmacology and Toxicology
Department of Midwifery
Department of Health Management and Economics
Research Center for Molecular Medicine
School of Medicine
Department of Epidemiology
Faculty of Medicine
Department of Parasitology
Department of Parasitology
Dietary Supplements and Probiotic Research Center
Department of Epidemiology and Biostatistics
School of Health Sciences
School of Medicine
Unit of Biochemistry
Center for Clinical Research and Prevention
Department of Hypertension
Polish Mothers Memorial Hospital Research Institute
Heidelberg Institute of Global Health (HIGH)
T.H. Chan School of Public Health
Department of Global Health and Social Medicine
Department of Translational Medicine
Academic Unit of Obstetrics and Gynecology
Department of Neurosciences
University Eye Clinic
Department of Public & Environmental Health
Epidemiology and Disease Control Unit
School of Public Health and Community Medicine
Social Determinants of Health Research Center
Department of Public health
Department of Biomedical Science
Department of Medical Laboratory Sciences
Department of Health Informatics
School of Public Health
Department of Oral Pathology and Microbiology
Public Health Dentistry Department
Department of Social Services
School of Nursing
Department of Forensic Chemistry
Department of Social and Clinical Pharmacy
Institute of Public Health
Department of Medical Microbiology & Immunology
Family Medicine Department
Department of Anatomy
Department of Community Medicine and Family Medicine
School of Public Health
Department of Surgical Oncology
Department of Pharmacology
Neurovascular Imaging Laboratory
Department of Neurology and Neurophysiology
Department of Statistical and Computational Genomics
Department of Statistics
Department of Anatomy
Institute of Soil and Environmental Sciences
Social Determinants of Health Research Center
Student Research Committee
Department of General Surgery and Medical-Surgical Specialties
Department of Medical
Clinical and Experimental Medicine
Department of Public Health
Department of Global Public Health and Primary Care
Cancer Registry of Norway
Discipline of Public Health Medicine
Department of Biomedical Sciences
Department of Epidemiology
Cancer Population Sciences Program
Division of Clinical Epidemiology and Aging Research
Flinders Health and Medical Research Institute
Health Economics Unit
College of Medicine and Public Health
Health and Social Care Economics Group
Southgate Institute for Health and Society
Department of Public Health
School of Public Health and Health Systems
Al Shifa School of Public Health
Institute of Microengineering
Program in Physical Therapy
Department of Surgery
Oncological Network
Institute for Cancer Research
National School of Public Health
Department of Public Health and Mental Health
Clinical Epidemiology Program
Department of Nutrition
Department of Physical Education
Mary MacKillop Institute for Health Research
School of Public Health
Hospitalist Department
School of Population and Public Health
Department of Medicine
Saveetha Medical College
Center for Cancer Epidemiology
Department of Head and Neck Surgery
Department of Oral Medicine and Radiology
Department of Epidemiology and Environmental Health
Department of Public Health and Health Policy
Division of Biomedical Informatics
Department of Pulmonary Medicine
Department of Endocrinology
Department of Radiation Medicine
Center for Biomedicine and Community Health
Department of Otolaryngology
Nova Medical School
Research Unit on Applied Molecular Biosciences (UCIBIO)
Associated Laboratory for Green Chemistry (LAQV)
Laboratory for Process Engineering
Department of Chemistry
Health Systems Management
College of Public Health and Health Informatics
School of Public Health
IRCCS Istituto Ortopedico Galeazzi (Galeazzi Orthopedic Institute IRCCS)
Department of Clinical Sciences and Community Health
Department of Dermatology
Harrington Heart and Vascular Institute
Department of Quantitative Health Science
Department of Nutrition and Preventive Medicine
Division of Pediatric Gastroenterology
Health Policy Research
Department of Research
India Cancer Research Consortium
Indian Council of Medical Research
Department of Pathology

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