LUNG CANCER MORTALITY IN MALAYSIA THROUGH MORTALITY DYNAMICS MODELS
DOI:
https://doi.org/10.24191/mjoc.v11i2.13418Keywords:
Age-Period-Cohort, Cairns-Blake-Dowd, Lee Carter, Life expectancy, Lung CancerAbstract
Over the last several decades, lung cancer remains one of the most frequent causes of cancer mortality across the world with significant implications for public health planning. Accurate forecast of the mortality rate and life expectancy is necessary for guiding health care resources. This research aims to analyze the historical trend in lung cancer mortality rates, evaluate and compare the accuracy of the three mortality forecasting models; Lee Carter, Age Period Cohort (APC) and Cairns-Blake-Dowd (CBD), forecast lung cancer mortality rate from 2021 to 2031 and compute life expectancy at birth. The lung cancer mortality data for Malaysia covering from 2000-2020 year were extracted from Institute for health Metrics and Evaluation (IHME). In order to fit and test the models, data were split into training and testing sets. The model performing better was then considered to forecast up to 2031 and life expectancy were computed. The APC model demonstrated the best predictive performance, achieving the highest accuracy of Mean Absolute Percentage (MAPE), Mean Absolute Error (MAE) and Root Mean Square Error (RMSE). Based on APC model forecast, the baseline age effect demonstrated the expected rise in mortality rate with the age of the population. Beyond emphasizing the importance of strengthened public health efforts such as anti-smoking campaigns, early detection, and improve access to healthcare to enhance future longevity in Malaysia, these results also demonstrate the advantages of strong statistical modelling approaches in producing an accurate forecast in lung cancer mortality rates.
References
Alijean, M. A. C., & Narsoo, J. (2018). Evaluation of the KouModified Lee-Carter model in mortality forecasting: Evidence from French male mortality data. Risks, 6(4), 123.
Bai, R., Liu, Y., Zhang, L., Dong, W., Bai, Z., & Zhou, M. (2023). Projections of future life expectancy in China up to 2035: a modelling study. The Lancet Public Health, 8(12), e915– e922.
Basit, A., Zain, J. M., Jumaat, A. K., Hamdan, N. I., & Mojahid, H. Z. (2024). Predicting COVID-19 trends: A deep dive into time-dependent SIRSD with deep-learning technique. Malaysian Journal of Computing, 9(2), 1955–1978. https://doi.org/10.24191/mjoc.v9i2.27425
Cesare, M. D., & Murphy, M. (2009). Forecasting mortality, different approaches for different causes of death? The cases of lung cancer; influenza, pneumonia, and bronchitis; and motor vehicle accidents. British Actuarial Journal, 15(S1), 185–211.
Egidi, V., & Spizzichino, D. (2008). Life expectancy: complex measures of the length and the health-related quality of life. Italian Journal of Public Health, 5(2), 91-95.
Hasani, W. S. R., Musa, K. I., Cheng, K. Y., & Dass, S. C. (2024). Exploring the trend of agestandardized mortality rates from cardiovascular disease in Malaysia: a joinpoint analysis (2010–2021). BMC Public Health, 24(1).
Hyndman, R. J., & Koehler, A. B. (2006). Another look at measures of forecast accuracy. International Journal of Forecasting, 22(3), 679–688. https://doi.org/10.1016/j.ijforecast.2006.03.001
Islam, M. R., Siddiqua, S. M., Rabbani, G., Ayub, S. B. A., Islam, R., Saha, B., Khatun, N., Shahriar, M. H., Chowdhury, M. R. K., Alif, S. M., & Karim, M. N. (2024). Exploring sex difference in the risk factors and prognosis of inoperable lung cancer. Cancer Treatment and Research Communications, 100848.
Jahangiri, K., Aghamohamadi, S., Khosravi, A., & Kazemi, E. (2018). Trend forecasting of main groups of causes-of-death in Iran using the Lee-Carter model. Medical Journal of the Islamic Republic of Iran, 32(1).
Ji, X., Chen, J., Ye, J., Xu, S., Lin, B., & Hou, K. (2023, November). Epidemiological analysis of global and regional lung cancer mortality: Based on 30-year data analysis of global burden disease database. In Healthcare (Vol. 11, No. 22, p. 2920). MDPI.
Khang, Y. H., Bahk, J., Lim, D., Kang, H. Y., Lim, H. K., Kim, Y. Y., & Park, J. H. (2019). Trends in inequality in life expectancy at birth between 2004 and 2017 and projections for 2030 in Korea: Multiyear cross-sectional differences by income from national health insurance data. BMJ Open, 9(7).
Liaw, Y. P., Huang, Y. C., & Lien, G. W. (2005). Patterns of lung cancer mortality in 23 countries: Application of the Age-Period-Cohort model. BMC Public Health, 5(1), 22.
Mubarik, S., Wang, F., Fawad, M., Wang, Y., Ahmad, I., & Yu, C. (2020). Trends and Projections in Breast Cancer Mortality among four Asian countries (1990–2017): Evidence from five Stochastic Mortality Models. Scientific Reports, 10(1).
Mubarik, S., Wang, F., Fawad, M., Wang, Y., Ahmad, I., & Yu, C. (2020). Trends and projections in breast cancer mortality among four Asian countries (1990–2017): Evidence from five stochastic mortality models. Scientific Reports, 10(1), Article 5480. https://doi.org/10.1038/s41598-020-62393-1
Muhammad Noor Mathivanan, N., Foo, E. Z. X., Foo, D. Y. X., & Chua, H. K. (2025). Impact of feature standardization on heart disease prediction: A comparative analysis of logistic regression and support vector machine models. Malaysian Journal of Computing, 10(2), 2159–2175. https://doi.org/10.24191/mjoc.v10i2.6835
Pisal, N. S., Abdul-Rahman, S., Hanafiah, M., & Kamarudin, S. I. (2022). Prediction of life expectancy for Asian population using machine learning algorithms. Malaysian Journal of Computing, 7(2), 1150–1161. https://doi.org/10.24191/mjoc.v7i2.18218
Rajadurai, P., Abu Hassan, M. R., Liam, C. K., & Ng, B. H. (2020). Lung cancer in Malaysia. Journal of Thoracic Oncology, 15(3), e43– e44.
Sung, H., Ferlay, J., Siegel, R. L., Laversanne, M., Soerjomataram, I., Jemal, A., & Bray, F. (2021). Global cancer statistics 2020: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians, 71(3), 209–249.
Wan Mohamad, W. M., Mohd Salleh, S., Tengku Nadzion, T. F. B., Mohd Riza, A. L., & Ashaari, A. (2024). Modeling and predicting the dynamics of COVID-19 in Malaysia: A state-space approach. Malaysian Journal of Computing, 9(1), 1664–1672. https://doi.org/10.24191/mjoc.v9i1.20258
Zulkifle, H., Yusof, F., Rohani, S., & Nor, M. (2019). Comparison of Lee Carter Model and Cairns, Blake and Dowd Model in Forecasting Malaysian Higher Age Mortality, Matematika, 65-77.
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Data sharing is not applicable to this article as no new datasets were generated or analysed during the current study.
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