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Peer-reviewedCC BY-NC-NDCancer medicine

Global, Regional, and National Trends in Lip and Oral Cavity Cancer Incidence From 1990 to 2021 and Projection to 2040: A Systematic Analysis.

  1. 1Department of Otolaryngology Head and Neck Surgery, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, China.
  2. 2Department of Otorhinolaryngology, Shanxi Provincial People's Hospital Affiliated to Shanxi Medical University, Taiyuan, China.

Abstract

Background

Lip and oral cavity cancer (LOCC) represents a significant global health burden, with varying incidence rates across regions and populations. Understanding these trends is crucial for effective resource allocation and the development of targeted public health interventions.Methods

We extracted LOCC incidence data from the GBD 2021 study, covering the period from 1990 to 2021. Age-standardized incidence rates (ASRs) were calculated, and temporal trends were assessed across geographical and socioeconomic strata. The Estimated Annual Percentage Change (EAPC) was calculated to assess temporal trends. A Bayesian age-period-cohort (BAPC) model was applied to predict future incidence rates up to 2040 under the scenario of unchanged population-level risk-factor exposure and no large-scale public-health interventions.Results

Global new LOCC cases reached 421.6 thousand in 2021, up by 142.2% relative to 1990; the global ASR increased 0.40% annually to 4.9 per 100,000. Regional disparities were striking: South Asia, Australasia and Eastern Europe bore the highest ASRs, while several high-income countries showed decreasing incidence. Females demonstrated a higher EAPC of ASR compared with males. National-level trends could not be directly predicted by sociodemographic index. In the absence of effective interventions, the global ASR is projected to rise to 5.26 per 100,000 and new cases to 610.1 thousand by 2040.Conclusion

The global incidence of LOCC has increased significantly over the past three decades, with substantial regional variations. Effective prevention and early detection strategies are crucial for reducing the incidence and improving outcomes for LOCC globally.

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BibTeX
@article{wang2026global,
  title = {{Global, Regional, and National Trends in Lip and Oral Cavity Cancer Incidence From 1990 to 2021 and Projection to 2040: A Systematic Analysis.}},
  author = {Jing-Yuan Wang and Kai-Xue Wen and Shu-Xin Wen and Lin Li and Li-Xia Zhang and Yu-Hao Zhang and Qiang-Wei Zhang},
  journal = {Cancer medicine},
  year = {2026},
  month = nov,
  doi = {10.1002/cam4.72417},
  url = {https://europepmc.org/article/MED/42968431},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Global, Regional, and National Trends in Lip and Oral Cavity Cancer Incidence From 1990 to 2021 and Projection to 2040: A Systematic Analysis.
AU  - Jing-Yuan Wang
AU  - Kai-Xue Wen
AU  - Shu-Xin Wen
AU  - Lin Li
AU  - Li-Xia Zhang
AU  - Yu-Hao Zhang
AU  - Qiang-Wei Zhang
PY  - 2026
DA  - 2026/11/01
JO  - Cancer medicine
DO  - 10.1002/cam4.72417
UR  - https://europepmc.org/article/MED/42968431
AB  - Background  Lip and oral cavity cancer (LOCC) represents a significant global health burden, with varying incidence rates across regions and populations. Understanding these trends is crucial for effective resource allocation and the development of targeted public health interventions.Methods  We extracted LOCC incidence data from the GBD 2021 study, covering the period from 1990 to 2021. Age-standardized incidence rates (ASRs) were calculated, and temporal trends were assessed across geographical and socioeconomic strata. The Estimated Annual Percentage Change (EAPC) was calculated to assess temporal trends. A Bayesian age-period-cohort (BAPC) model was applied to predict future incidence rates up to 2040 under the scenario of unchanged population-level risk-factor exposure and no large-scale public-health interventions.Results  Global new LOCC cases reached 421.6 thousand in 2021, up by 142.2% relative to 1990; the global ASR increased 0.40% annually to 4.9 per 100,000. Regional disparities were striking: South Asia, Australasia and Eastern Europe bore the highest ASRs, while several high-income countries showed decreasing incidence. Females demonstrated a higher EAPC of ASR compared with males. National-level trends could not be directly predicted by sociodemographic index. In the absence of effective interventions, the global ASR is projected to rise to 5.26 per 100,000 and new cases to 610.1 thousand by 2040.Conclusion  The global incidence of LOCC has increased significantly over the past three decades, with substantial regional variations. Effective prevention and early detection strategies are crucial for reducing the incidence and improving outcomes for LOCC globally.
SN  - 2045-7634
ER  -