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. 2026 Jul 13;16:1825036. doi: 10.3389/fonc.2026.1825036

Table 1.

Liver failure-related deaths and age-adjusted mortality rates among patients with digestive system malignant tumors in the United States.

Characteristic Deaths AAMR
1999 2023 Percent change (%) 1999 (95% CI) 2023 (95% CI) AAPC (95% CI)
Overall 4131 3250 -21.33 4.34 (4.21 to 4.47) 2.08 (2.01 to 2.15) -2.94 (-3.18 to -2.69)*
Sex
Female 1608 1118 -30.47 2.94 (2.80 to 3.09) 1.40 (1.31 to 1.48) -3.05 (-3.43 to -2.68)*
Male 2523 2132 -15.50 6.06 (5.82 to 6.30) 2.92 (2.79 to 3.05) -2.90 (-3.21 to -2.60)*
Age1
45–54 years 578 357 -38.24 1.58 (1.45 to 1.71) 0.88 (0.79 to 0.97) -2.49 (-3.92 to -1.03)*
55–64 years 871 941 8.04 3.66 (3.42 to 3.91) 2.25 (2.10 to 2.39) -2.07 (-2.87 to -1.26)*
65–74 years 1297 1161 -10.49 7.04 (6.66 to 7.42) 3.35 (3.15 to 3.54) -2.89 (-3.54 to -2.24)*
75–84 years 1048 611 -41.70 8.57 (8.05 to 9.09) 3.33 (3.06 to 3.59) -3.43 (-3.99 to -2.87)*
85+ years 337 180 -46.59 8.11 (7.25 to 8.98) 2.91 (2.48 to 3.33) -3.93 (-5.03 to -2.81)*
Race
Hispanic 302 463 53.31 5.77 (5.10 to 6.45) 2.54 (2.30 to 2.77) -3.11 (-3.90 to -2.32)*
NH Black 456 432 -5.26 5.34 (4.85 to 5.84) 2.55 (2.30 to 2.79) -2.88 (-3.35 to -2.40)*
NH White 3141 2116 -32.63 3.98 (3.84 to 4.12) 1.97 (1.89 to 2.06) -2.92 (-3.21 to -2.62)*
NH Other 222 234 5.41 7.48 (6.45 to 8.51) 2.15 (1.87 to 2.42) -4.84 (-5.80 to -3.87)*
Urbanization2
Metropolitan 3429 2730 -20.38 4.42 (4.27 to 4.57) 2.01 (1.93 to 2.09) -3.45 (-3.76 to -3.13)*
Nonmetropolitan 702 520 -25.93 3.95 (3.66 to 4.25) 2.37 (2.17 to 2.57) -2.00 (-2.55 to -1.45)*
Census region
Northeast 884 557 -36.99 4.48 (4.18 to 4.77) 1.99 (1.82 to 2.16) -3.05 (-3.56 to -2.54)*
Midwest 811 638 -21.33 3.63 (3.38 to 3.88) 2.01 (1.85 to 2.17) -2.35 (-2.87 to -1.84)*
South 1419 1188 -16.28 4.20 (3.98 to 4.42) 2.00 (1.89 to 2.12) -2.88 (-3.31 to -2.46)*
West 1017 867 -14.75 5.23 (4.91 to 5.55) 2.48 (2.31 to 2.65) -3.33 (-3.76 to -2.89)*
HHS region
HHS1 280 149 -46.79 5.50 (4.85 to 6.14) 1.95 (1.63 to 2.27) -3.56 (-5.12 to -1.97)*
HHS2 400 251 -37.25 4.11 (3.71 to 4.52) 1.82 (1.59 to 2.04) -3.15 (-3.74 to -2.55)*
HHS3 447 336 -24.83 4.41 (4.00 to 4.82) 2.25 (2.00 to 2.49) -2.90 (-3.59 to -2.21)*
HHS4 714 629 -11.90 3.72 (3.45 to 4.00) 1.85 (1.71 to 2.00) -2.85 (-3.26 to -2.43)*
HHS5 602 469 -22.09 3.49 (3.21 to 3.77) 1.88 (1.70 to 2.05) -2.56 (-3.12 to -2.01)*
HHS6 484 406 -16.12 4.75 (4.33 to 5.18) 2.26 (2.03 to 2.48) -2.45 (-3.35 to -1.54)*
HHS7 185 147 -20.54 3.91 (3.34 to 4.47) 2.20 (1.84 to 2.57) -2.03 (-2.90 to -1.15)*
HHS8 106 138 30.19 3.84 (3.11 to 4.57) 2.64 (2.19 to 3.09) -1.00 (-2.05 to 0.06)
HHS9 797 514 -35.51 6.24 (5.81 to 6.68) 2.24 (2.05 to 2.44) -4.55 (-5.14 to -3.94)*
HHS10 116 211 81.90 3.18 (2.60 to 3.76) 3.10 (2.67 to 3.53) 0.03 (-0.42 to 0.48)
1

For age groups, AAMRs were replaced by crude mortality rates, and AAPCs were calculated based on crude mortality rates. 2For urbanization level, AAMR data for 2023 were unavailable; therefore, 2020 values were used, and AAPCs were calculated for 1999–2020. Asterisks (*) indicate statistical significance. AAMR, age-adjusted mortality rate; AAPC, average annual percent change; CI, confidence interval; HHS, U.S. Department of Health and Human Services; NH, non-Hispanic.