Current and future burden of breast cancer: Global statistics for 2020 and 2040

Melina Arnold, Eileen Morgan, Harriet Rumgay, Allini Mafra, Deependra Singh, Mathieu Laversanne, Jerome Vignat, Julie R Gralow, Fatima Cardoso, Sabine Siesling, Isabelle Soerjomataram, Melina Arnold, Eileen Morgan, Harriet Rumgay, Allini Mafra, Deependra Singh, Mathieu Laversanne, Jerome Vignat, Julie R Gralow, Fatima Cardoso, Sabine Siesling, Isabelle Soerjomataram

Abstract

Background: Breast cancer is the most commonly diagnosed cancer worldwide, and its burden has been rising over the past decades. In this article, we examine and describe the global burden of breast cancer in 2020 and predictions for the year 2040.

Methods: Estimates of new female breast cancer cases and deaths in 2020 were abstracted from the GLOBOCAN database. Age-standardized incidence and mortality rates were calculated per 100,000 females by country, world region, and level of human development. Predicted cases and deaths were computed based on global demographic projections for the year 2040.

Results: Over 2.3 million new cases and 685,000 deaths from breast cancer occurred in 2020. Large geographic variation across countries and world regions exists, with incidence rates ranging from <40 per 100,000 females in some Asian and African countries, to over 80 per 100,000 in Australia/New Zealand, Northern America, and parts of Europe. Smaller geographical variation was observed for mortality; however, transitioning countries continue to carry a disproportionate share of breast cancer deaths relative to transitioned countries. By 2040, the burden from breast cancer is predicted to increase to over 3 million new cases and 1 million deaths every year because of population growth and ageing alone.

Conclusion: Breast cancer is the most common cancer worldwide and continues to have a large impact on the global number of cancer deaths. Global efforts are needed to counteract its growing burden, especially in transitioning countries where incidence is rising rapidly, and mortality rates remain high.

Keywords: Breast cancer; Global; Incidence; Mortality; Prediction.

Copyright © 2022 World Health Organization. Published by Elsevier Ltd.. All rights reserved.

Figures

Fig. 1
Fig. 1
Distribution of breast cancer cases and deaths by world area in 2020.
Fig. 2
Fig. 2
Age-standardized breast cancer incidence (top, blue) and mortality (bottom, red) rates per 100,000 females. Breast cancer cases and deaths by country. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
Fig. 3
Fig. 3
Age-standardized breast cancer incidence (top, blue) and mortality (bottom, red) rates per 100,000 females by country and world region; countries with highest and lowest rates within region mentioned with their name; full country-level results are available at gco.iarc.fr. (For interpretation of the references to colour in this figure legend, the reader is referred to the Web version of this article.)
Fig. 4
Fig. 4
Estimated number of breast cancer cases and deaths from 2020 to 2040, by level of Human Development Index (HDI).

References

    1. Sung H., Ferlay J., Siegel R.L., Laversanne M., Soerjomataram I., Jemal A., et al. Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA A Cancer J Clin. 2021;71:209–249.
    1. Heer E., Harper A., Escandor N., Sung H., McCormack V., Fidler-Benaoudia M.M. Global burden and trends in premenopausal and postmenopausal breast cancer: a population-based study. Lancet Global Health. 2020;8(8):e1027–e1037.
    1. Anderson B.O., Ilbawi A.M., Fidarova E., Weiderpass E., Stevens L., Abdel-Wahab M., Mikkelsen B. The Global Breast Cancer Initiative: a strategic collaboration to strengthen health care for non-communicable diseases. Lancet Oncol. 2021;22(5):578–581.
    1. Ferlay J., Colombet M., Soerjomataram I., Parkin D.M., Piñeros M., Znaor A., et al. Cancer statistics for the year 2020: an overview. Int J Cancer. 2021;149:778–789.
    1. Global Cancer Observatory: Cancer Today [].
    1. United Nations Statistics Division Standard country or area codes for statistical use (M49).https:// 30 Apr 2021).
    1. Ferlay J., Colombet M., Soerjomataram I., Mathers C., Parkin D.M., Pineros M., Znaor A., Bray F. Estimating the global cancer incidence and mortality in 2018: GLOBOCAN sources and methods. Int J Cancer. 2019;144(8):1941–1953.
    1. Ferlay J., Soerjomataram I., Dikshit R., Eser S., Mathers C., Rebelo M., Parkin D.M., Forman D., Bray F. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E359–E386.
    1. Ferlay J., Shin H.R., Bray F., Forman D., Mathers C., Parkin D.M. Estimates of worldwide burden of cancer in 2008: GLOBOCAN 2008. Int J Cancer. 2010;127(12):2893–2917.
    1. Segi M., Kurihara M. 2 edn. Tohoku University of Medicine; Sendai: 1960. Cancer mortality for selected sites in 24 countries (1950-1957)
    1. Doll R., Payne P., Waterhouse J. Springer; New York: 1966. Cancer incidence in five continents: a technical report.
    1. Day N.E. Cancer incidence in five continents. Cumulative rate and cumulative risk. IARC Sci Publ. 1992;(120):862–864.
    1. United Nations Development Programme . United Nations; New York: 2020. Human development report 2020.
    1. Ferlay J., Laversanne M., Ervik M., et al. International Agency for Research on Cancer; Lyon, France: 2020. Global cancer observatory: cancer tomorrow. accessed.
    1. Brinton L.A., Gaudet M.M., Gierach G.L. In: Cancer epidemiology and prevention. fourth ed. Thun M., Linet M.S., Cerhan J.R., Haiman C.A., Schottenfeld D., editors. Oxford University Press; 2018. Breast cancer; pp. 861–888. edn. Edited by.
    1. Diet Nutrition. World Cancer Research Fund/American Institute for Cancer Research; 2018. Physical activity, and breast cancer. Continuous update project expert report 2018. Available at: .
    1. Torre L.A., Islami F., Siegel R.L., Ward E.M., Jemal A. Global cancer in women: burden and trends. Cancer Epidemiol Biomarkers Prev. 2017;26(4):444–457.
    1. Rossouw J.E., Anderson G.L., Prentice R.L., LaCroix A.Z., Kooperberg C., Stefanick M.L., Jackson R.D., Beresford S.A., Howard B.V., Johnson K.C., et al. Risks and benefits of estrogen plus progestin in healthy postmenopausal women: principal results from the Women's Health Initiative randomized controlled trial. JAMA. 2002;288(3):321–333.
    1. Breen N., Gentleman J.F., Schiller J.S. Update on mammography trends: comparisons of rates in 2000, 2005, and 2008. Cancer. 2011;117(10):2209–2218.
    1. DeSantis C.E., Ma J., Gaudet M.M., Newman L.A., Miller K.D., Goding Sauer A., Jemal A., Siegel R.L. Breast cancer statistics, 2019. CA A Cancer J Clin. 2019;69(6):438–451.
    1. Glass A.G., Lacey J.V., Jr., Carreon J.D., Hoover R.N. Breast cancer incidence, 1980-2006: combined roles of menopausal hormone therapy, screening mammography, and estrogen receptor status. J Natl Cancer Inst. 2007;99(15):1152–1161.
    1. Anderson W.F., Rosenberg P.S., Petito L., Katki H.A., Ejlertsen B., Ewertz M., Rasmussen B.B., Jensen M.B., Kroman N. Divergent estrogen receptor-positive and -negative breast cancer trends and etiologic heterogeneity in Denmark. Int J Cancer. 2013;133(9):2201–2206.
    1. Mullooly M., Murphy J., Gierach G.L., Walsh P.M., Deady S., Barron T.I., Sherman M.E., Rosenberg P.S., Anderson W.F. Divergent oestrogen receptor-specific breast cancer trends in Ireland (2004-2013): amassing data from independent Western populations provide etiologic clues. Eur J Cancer. 2017;86:326–333.
    1. Mesa-Eguiagaray I., Wild S.H., Rosenberg P.S., Bird S.M., Brewster D.H., Hall P.S., Cameron D.A., Morrison D., Figueroa J.D. Distinct temporal trends in breast cancer incidence from 1997 to 2016 by molecular subtypes: a population-based study of Scottish cancer registry data. Br J Cancer. 2020;123(5):852–859.
    1. Porter P.L., El-Bastawissi A.Y., Mandelson M.T., Lin M.G., Khalid N., Watney E.A., Cousens L., White D., Taplin S., White E. Breast tumor characteristics as predictors of mammographic detection: comparison of interval- and screen-detected cancers. J Natl Cancer Inst. 1999;91(23):2020–2028.
    1. Munsell M.F., Sprague B.L., Berry D.A., Chisholm G., Trentham-Dietz A. Body mass index and breast cancer risk according to postmenopausal estrogen-progestin use and hormone receptor status. Epidemiol Rev. 2014;36:114–136.
    1. Althuis M.D., Dozier J.M., Anderson W.F., Devesa S.S., Brinton L.A. Global trends in breast cancer incidence and mortality 1973-1997. Int J Epidemiol. 2005;34(2):405–412.
    1. Joko-Fru W.Y., Jedy-Agba E., Korir A., Ogunbiyi O., Dzamalala C.P., Chokunonga E., Wabinga H., Manraj S., Finesse A., Somdyala N., et al. The evolving epidemic of breast cancer in sub-saharan Africa: results from the african cancer registry network. Int J Cancer. 2020;147(8):2131–2141.
    1. Lund M.J., Trivers K.F., Porter P.L., Coates R.J., Leyland-Jones B., Brawley O.W., Flagg E.W., O'Regan R.M., Gabram S.G., Eley J.W. Race and triple negative threats to breast cancer survival: a population-based study in Atlanta, GA. Breast Cancer Res Treat. 2009;113(2):357–370.
    1. Allemani C., Matsuda T., Di Carlo V., Harewood R., Matz M., Niksic M., Bonaventure A., Valkov M., Johnson C.J., Esteve J., et al. Global surveillance of trends in cancer survival 2000-14 (CONCORD-3): analysis of individual records for 37 513 025 patients diagnosed with one of 18 cancers from 322 population-based registries in 71 countries. Lancet. 2018;391(10125):1023–1075.
    1. Joko-Fru W.Y., Miranda-Filho A., Soerjomataram I., Egue M., Akele-Akpo M.T., N'da G., Assefa M., Buziba N., Korir A., Kamate B., et al. Breast cancer survival in sub-Saharan Africa by age, stage at diagnosis and human development index: a population-based registry study. Int J Cancer. 2020;146(5):1208–1218.
    1. Verhoeven D., Kaufman C.S., Mansel R., Siesling S. Oxford University Press; Oxford: 2020. Breast cancer : global quality care.
    1. Jedy-Agba E., McCormack V., Adebamowo C., Dos-Santos-Silva I. Stage at diagnosis of breast cancer in sub-Saharan Africa: a systematic review and meta-analysis. Lancet Global Health. 2016;4(12):e923–e935.
    1. Netherlands Cancer Registry (NCR), Netherlands Comprehensive Cancer Organisation (IKNL) 2021. accessed.
    1. Ngan T.T., Nguyen N.T.Q., Van Minh H., Donnelly M., O'Neill C. Effectiveness of clinical breast examination as a 'stand-alone' screening modality: an overview of systematic reviews. BMC Cancer. 2020;20(1):1070.
    1. Birnbaum J.K., Duggan C., Anderson B.O., Etzioni R. Early detection and treatment strategies for breast cancer in low-income and upper middle-income countries: a modelling study. Lancet Global Health. 2018;6(8):e885–e893.
    1. McCormack V., McKenzie F., Foerster M., Zietsman A., Galukande M., Adisa C., Anele A., Parham G., Pinder L.F., Cubasch H., et al. Breast cancer survival and survival gap apportionment in sub-Saharan Africa (ABC-DO): a prospective cohort study. Lancet Global Health. 2020;8(9):e1203–e1212.
    1. Duggan C., Dvaladze A., Rositch A.F., Ginsburg O., Yip C.H., Horton S., Camacho Rodriguez R., Eniu A., Mutebi M., Bourque J.M., et al. The breast health global initiative 2018 global summit on improving breast healthcare through resource-stratified phased implementation: methods and overview. Cancer. 2020;126(Suppl 10):2339–2352.
    1. Dvaladze A., Duggan C., Anderson B.O. Phased implementation for breast cancer management in low-income and middle-income countries: a proposal for the strategic application of resource-stratified guidelines by the Breast Health Global Initiative. Cancer. 2020;126(Suppl 10):2337–2338.
    1. Anderson B.O., Cazap E., El Saghir N.S., Yip C.H., Khaled H.M., Otero I.V., Adebamowo C.A., Badwe R.A., Harford J.B. Optimisation of breast cancer management in low-resource and middle-resource countries: executive summary of the Breast Health Global Initiative consensus, 2010. Lancet Oncol. 2011;12(4):387–398.
    1. Lauby-Secretan B., Scoccianti C., Loomis D., Benbrahim-Tallaa L., Bouvard V., Bianchini F., Straif K. International agency for research on cancer handbook working G: breast-cancer screening--viewpoint of the IARC working group. N Engl J Med. 2015;372(24):2353–2358.
    1. World Health Organization Position Paper on Mammography Screening . World Health Organization; 2014.
    1. Sprague B.L., Lowry K.P., Miglioretti D.L., Alsheik N., Bowles E.J.A., Tosteson A.N.A., Rauscher G., Herschorn S.D., Lee J.M., Trentham-Dietz A., et al. J Natl Cancer Inst; 2021. Changes in mammography utilization by women's characteristics during the first 5 Months of the COVID-19 pandemic.
    1. Dinmohamed A.G., Cellamare M., Visser O., de Munck L., Elferink M.A.G., Westenend P.J., Wesseling J., Broeders M.J.M., Kuipers E.J., Merkx M.A.W., et al. The impact of the temporary suspension of national cancer screening programmes due to the COVID-19 epidemic on the diagnosis of breast and colorectal cancer in The Netherlands. J Hematol Oncol. 2020;13(1):147.
    1. Gathani T., Clayton G., MacInnes E., Horgan K. The COVID-19 pandemic and impact on breast cancer diagnoses: what happened in England in the first half of 2020. Br J Cancer. 2021;124(4):710–712.
    1. Filipe M.D., van Deukeren D., Kip M., Doeksen A., Pronk A., Verheijen P.M., Heikens J.T., Witkamp A.J., Richir M.C. Effect of the COVID-19 pandemic on surgical breast cancer care in The Netherlands: a multicenter retrospective cohort study. Clin Breast Cancer. 2020;20(6):454–461.
    1. Eijkelboom A.H., de Munck L., Vrancken Peeters M., Broeders M.J.M., Strobbe L.J.A., Bos M., Schmidt M.K., Guerrero Paez C., Smidt M.L., Bessems M., et al. Impact of the COVID-19 pandemic on diagnosis, stage, and initial treatment of breast cancer in The Netherlands: a population-based study. J Hematol Oncol. 2021;14(1):64.
    1. Toss A., Isca C., Venturelli M., Nasso C., Ficarra G., Bellelli V., Armocida C., Barbieri E., Cortesi L., Moscetti L., et al. Two-month stop in mammographic screening significantly impacts on breast cancer stage at diagnosis and upfront treatment in the COVID era. ESMO Open. 2021;6(2)
    1. Eijkelboom A.H., de Munck L., Lobbes M.B.I., van Gils C.H., Wesseling J., Westenend P.J., Guerrero Paez C., Pijnappel R.M., Verkooijen H.M., Broeders M.J.M., et al. Impact of the suspension and restart of the Dutch breast cancer screening program on breast cancer incidence and stage during the COVID-19 pandemic. Prev Med. 2021;151

Source: PubMed

3
Abonnere