ENT Burden Atlas

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

Lip and oral cavity cancer

Tier: Burden tier · Matched burden cause: Lip and oral cavity cancer (GBD cause 444), GBD 2023 (DALYs primary).

Publication share of the 14-area pool

4.55.25.97.38.48.98.94.5

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
Publications1,1961,9072,9464,8067,20311,412
Share of pool (%)4.51%5.21%5.89%7.31%8.44%8.91%

First-to-last share change: +97.7% (relative). Dynamics label: Technology-ignited.

Attention–burden ratio (ABR)

-0.13+0.10+0.34+0.54+0.69+0.65+0.69-0.13

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-0.13+0.10+0.34+0.54+0.69+0.65
ABR0.911.071.271.451.621.57
Publication share of 7-cause pool (%)7.4%8.8%10.5%12.3%13.7%13.8%
DALY share of 7-cause pool (%)8.1%8.2%8.3%8.4%8.5%8.8%

Burden–research centroid distance

4,7061,0481,3696921,2921,1024,706692

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)4,7061,0481,3696921,2921,102

First-to-last change: -76.6% (4,706 → 1,102 km). Last-period distances remain large in absolute terms for every cause.

First-author geography

LMIC share of parsed first-author records: 14.9% → 58.4% (this area; pooled across all 14 areas: 7.9% → 39.8%). Share of first authors located in this cause's ten highest-DALY countries: 63.7% → 64.3%.

Decoupling typology

SignalValueDirection (main thresholds)
S — relative change in pool publication share+97.7%up
B — relative change in DALY share of the 7-cause pool+8.6%stable
A — change in log2 ABR+0.78up
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 +82.9% 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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