The global burden of women's cancers: a grand challenge in global health
Open accessAbstract
Every year, more than 2 million women worldwide are diagnosed with breast or cervical cancer, yet where a woman lives, her socioeconomic status, and agency largely determines whether she will develop one of these cancers and will ultimately survive. In regions with scarce resources, fragile or fragmented health systems, cancer contributes to the cycle of poverty. Proven and cost-effective interventions are available for both these common cancers, yet for so many women access to these is beyond reach. These inequities highlight the urgent need in low-income and middle-income countries for sustainable investments in the entire continuum of cancer control, from prevention to palliative care, and in the development of high-quality population-based cancer registries. In this first paper of the Series on health, equity, and women's cancers, we describe the burden of breast and cervical cancer, with an emphasis on global and regional trends in incidence, mortality, and survival, and the consequences, especially in socioeconomically disadvantaged women in different settings.
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There is a clear disparity in breast cancer mortality, particularly in lower-resource areas outside of metropolitan centers, because women are more often diagnosed in later stages of breast cancer when treatment is less likely to be successful.
“At the same time, there is a clear disparity in breast cancer mortality, particularly in lower-resource areas outside of metropolitan centers, because women are more often diagnosed in later stages of breast cancer when treatment is less likely to be successful.3”
From Model for Early Detection of Breast Cancer in Low-Resource Areas: The Experience in Peru (2018) · cites this paper as [3]
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Experimental — accuracy not yet measuredTo control for background mortality by age and sex, the authors updated the life-table library for 1995-2010 by country, registry, race in selected countries, and calendar year to 2014, with a statistical summary for each set.
“To control for background mortality by age and sex, we updated the library of life tables for 1995–201097 by country, registry, race (selected countries) and calendar year to 2014, with a statistical summary for each set of life tables.”
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Changing global policy to deliver safe, equitable and affordable care for women's cancers
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- Authors
- Ginsburg, O., Bray, F., Coleman, M. P., Vanderpuye, V., Eniu, A., Kotha, S. R., Sarker, M., Huong, T. T., Allemani, C., Dvaladze, A., Gralow, J., Yeates, K., Taylor, C., Oomman, N., Krishnan, S., Sullivan, R., Kombe, D., Blas, M. M., Parham, G., Kassami, N., & Conteh, L.
- Affiliations
- University of Toronto (CA)
- Centre international de recherche sur le cancer (FR)
- London School of Hygiene & Tropical Medicine (GB)
- Korle Bu Teaching Hospital (GH)
- Institute of Oncology Prof. Dr. Ion Chiricuta (RO)
- BRAC University (BD)
- Hanoi Medical University (VN)
- Seattle Cancer Care Alliance (US)
- Queen's University (CA)
- RTI International (US)
- King's College London (GB)
- Ocean Road Cancer Institute (TZ)
- Universidad Peruana Cayetano Heredia (PE)
- University of North Carolina at Chapel Hill (US)
- Imperial College London (GB)
- Corresponding author
- Ginsburg, Ophira
- ORCID
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2017-02
- Volume
- 389
- Issue
- 10071
- Pages
- 847-860
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- PMC
- PMC6191029
- OpenAlex
- W2548000951
- Cited by
- 1,127
- References
- 101
- Citations by year
- 2026: 71 · 2025: 131 · 2024: 143 · 2023: 130 · 2022: 116 · 2021: 154 · 2020: 144 · 2019: 96 · 2018: 88 · 2017: 47 · 2016: 5 · 2012: 1
- FWCI
- 7.83
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- London School of Economics and Political Science Research Online (London School of Economics and Political Science) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- BRAC University Institutional Repository (BRAC University) (submittedVersion)
- Spiral (Imperial College London) (submittedVersion, cc-by-nc-nd)
- Funders
- World Health Organization
- Cancer Research UK (11700, 16148, 18525)
- National Institute for Health and Care Research (HPRU-2012-10080)
- Women's College Hospital
- University of Toronto
- Medical Research Council (MR/K010174/1)
- Topics
- Health Sciences › Medicine › Oncology › Global Cancer Incidence and Screening
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Health Sciences › Medicine › Epidemiology › Cervical Cancer and HPV Research
- Keywords
- breast cancer, cervical cancer, women's cancer, global burden of disease, cancer incidence, cancer mortality, cancer survival, socioeconomic inequalities in health, low- and middle-income countries, cancer control, population-based cancer registry, health equity, poverty cycle
- MeSH terms
- Female, Humans, Income, Poverty, Social Class, Global Health, Incidence, Women's Health
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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