ENT Burden Atlas

Research attention vs disease burden in otolaryngology, 1995–2024 — a preregistered dynamic census

Nasopharyngeal cancer

Tier: Burden tier · Matched burden cause: Nasopharynx cancer (GBD cause 447), GBD 2023 (DALYs primary).

Publication share of the 14-area pool

8.38.58.19.09.013.413.48.1

Pool share (%) by five-year period. Pool totals: 1995–1999 26,544, 2000–2004 36,611, 2005–2009 50,051, 2010–2014 65,755, 2015–2019 85,380, 2020–2024 128,117.

Period1995–19992000–20042005–20092010–20142015–20192020–2024
Publications2,2023,1214,0535,9187,71417,180
Share of pool (%)8.30%8.52%8.10%9.00%9.03%13.41%

First-to-last share change: +61.6% (relative). Dynamics label: Technology-ignited.

Attention–burden ratio (ABR)

+1.26+1.57+1.81+2.02+2.05+2.57+2.57+0.00

log2 ABR by period (dashed line = parity, ABR 1). Last period pairs publications 2020–24 with burden 2020–23 (see Methods).

Period1995–19992000–20042005–20092010–20142015–20192020–2024
log2 ABR+1.26+1.57+1.81+2.02+2.05+2.57
ABR2.402.983.514.074.155.94
Publication share of 7-cause pool (%)13.6%14.4%14.5%15.1%14.7%20.8%
DALY share of 7-cause pool (%)5.7%4.8%4.1%3.7%3.5%3.5%

Burden–research centroid distance

4,7851,8161,5761,0509782,4674,785978

Great-circle distance (km) between the DALY-weighted burden centroid and the first-author research centroid (arithmetic mean centres; see Methods).

Period1995–19992000–20042005–20092010–20142015–20192020–2024
Distance (km)4,7851,8161,5761,0509782,467

First-to-last change: -48.4% (4,785 → 2,467 km). Last-period distances remain large in absolute terms for every cause.

The path is not monotone: the distance fell to 978 km in 2015–19 and rebounded to 2,467 km in 2020–24, the largest single-step reversal in this layer.

First-author geography

LMIC share of parsed first-author records: 16.3% → 50.2% (this area; pooled across all 14 areas: 7.9% → 39.8%). Share of first authors located in this cause's ten highest-DALY countries: 42.5% → 37.7%.

Decoupling typology

SignalValueDirection (main thresholds)
S — relative change in pool publication share+61.6%up
B — relative change in DALY share of the 7-cause pool-38.3%down
A — change in log2 ABR+1.31up
Threshold setAssigned type
Low (±15% / ±0.3)Technology-ignited
Main (±25% / ±0.5)Technology-ignited
High (±35% / ±0.7)Technology-ignited

Annualised absolute DALYs for this cause changed +3.9% between the first and last periods. B is a share: a falling B means relative dilution inside the pool, never an absolute decline.

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