Calculating disability-adjusted life years to quantify burden of disease

Devleesschauwer, Brecht; Havelaar, Arie H.; Noordhout, Charline Maertens de; Haagsma, Juanita A.; Praet, Nicolas; Dorny, Pierre; Duchateau, Luc; Torgerson, Paul R.; Oyen, Herman Van; Speybroeck, Niko

doi:10.1007/s00038-014-0552-z

Cited by 219 publications

(180 citation statements)

References 11 publications

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“…This was a hospital-based descriptive epidemiological study using DALY 7,9,10,11 . From 2008 to 2013, lower limb amputations in individuals with diabetes residing Santa Catarina were identified in the database of the Hospital Information System of the SUS (SIH/SUS).…”

Section: Methodsmentioning

confidence: 99%

Carga da doença para as amputações de membros inferiores atribuíveis ao diabetes mellitus no Estado de Santa Catarina, Brasil, 2008-2013

et al. 2018

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O objetivo foi estimar a carga da doença para as amputações de membros inferiores atribuíveis ao diabetes mellitus no Estado de Santa Catarina, Brasil, no período de 2008 a 2013. Realizou-se um estudo epidemiológico descritivo, utilizando-se o cálculo de anos de vida perdidos ajustados por incapacidade (DALY - disability-adjusted life years). A carga da doença foi alta, mais de 8 mil DALY, distribuídos entre homens e mulheres. A incapacidade respondeu por 93% do DALY e a mortalidade por 7,5%. A carga dos homens foi 5.580,6 DALY, praticamente o dobro das mulheres (2.894,8), sendo que a participação do componente anos de vida saudável perdidos em virtude de incapacidade (YLD - years lost due to disability) dos homens impulsionou esta taxa para 67,6% do total do DALY. Os homens vivem mais tempo com a amputação, por isto perdem mais anos de vida sadia (65,8%), e a mortalidade é maior entre as mulheres (61%). As distribuições das taxas de DALY no estado não mostraram distribuição homogênea. A intensificação de avaliação, planejamento e desenvolvimento de estratégias custo-efetivas para a prevenção e educação em saúde para o pé diabético deve ser considera a partir da maior vulnerabilidade masculina.

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Section: Methodsmentioning

confidence: 99%

Carga da doença para as amputações de membros inferiores atribuíveis ao diabetes mellitus no Estado de Santa Catarina, Brasil, 2008-2013

et al. 2018

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“…Although foodborne illnesses/diseases exert significant impacts on societies, they are seriously underreported and underestimated [1][2][3]. However, the quantification and monitoring remain essential to efforts to understand and prevent them [2,4,5].…”

Section: Introductionmentioning

confidence: 99%

An Analysis of Fifty-Year-Surveillance of Food Related Diseases in Turkey

Evrendilek¹,

Yılmaz²

2017

Anal. Tech. Szeged.

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Occurrence rate and magnitude of food-related diseases (FRD) are of global concern causing socio-economic issues, and thus, they must be continuously monitored. The objectives of the study were to determine occurrence rate and trends of FRD in Turkey from 1960 to 2010 in parallel to increased rate of population growth. Recorded incidents of foodborne illnesses/diseases were obtained as annual reports and expressed as disease/population rate in order to determine trends of each disease. Long-term evaluations of bacillary dysentery (BD), brucellosis, gastrointestinal diarrhea (GD), meningitis infections, meningitis and central nervous system infections (MCNSI), other bacterial infections, other infections and parasite-caused diseases (OIPCD), other virus-caused infections, paratyphoid, and typhoid showed different trends in terms of occurrence rate but an overall decrease in the occurrence rates of BD, GD, OIPCD, and typhoid.

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“…Since chronic diseases have an important morbidity component, DALY was developed through the Global Burden of Disease initiative by the WHO to take into account the loss of healthy life years due to disability or poor health. 16 DALY combines years of life lost to premature death (YLL) with years lived with a disability or health condition (YLD). YLD is weighted for the severity of a condition by the so-called disability weights, which reflect the relative reduction in health-related qualify of life.…”

mentioning

confidence: 99%

“…17 The quality of YLD estimates directly depends on the underlying assumptions about the disability weights and the availability of nationally representative, complete, consistent and comparable incidence or prevalence data. 16,18 Large variations in methodological choices around the underlying assumptions and the quality of epidemiological data render it difficult to assess whether differences in DALY estimates are due to actual differences in population health. 18 The conceptual and methodological framework underlying DALY has been heavily criticized with regard to the choice of assumptions, particularly the disability weights, and underwent its first major revision in 2012.…”

mentioning

confidence: 99%

“…10 Overcoming methodological challenges remains a critical issue before DALY can be more widely used in health promotion and chronic disease prevention. 16 In the meantime, the criticisms that pertained to YLL calculation have been adequately addressed: 1) the use of different age weightings for YLL at different ages was made uniform; 2) the use of different life expectancies for men and women was made uniform; and 3) the use of discounting, assigning lower weights to YLL in the future, was abolished. 18 Given the simplicity of calculation and ease of comprehension, the YLL component of DALY offers an opportunity to advance public health policy in health promotion and chronic disease prevention and thus contribute to assessing the progress of public health interventions.…”

mentioning

confidence: 99%

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The use of potential years of life lost for monitoring premature mortality from chronic diseases: Canadian perspectives

Veugelers

Rozen

Springett

et al. 2016

Can J Public Health

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Given that chronic diseases account for 88% of all deaths in Canada, robust surveillance and monitoring systems are essential for supporting implementation of health promotion and chronic disease prevention policies. Canada has a long tradition of monitoring premature mortality expressed as potential years of life lost (PYLL), dating back to the seminal work by Romeder and McWhinnie in the late 1970s, who pioneered the use of PYLL as a tool in health planning and decision-making. The utility of PYLL for monitoring progress was expanded in the 1990s through the national comparable Health Indicators Initiative, following which PYLL has been monitored for several decades nationally, provincially, regionally and locally as part of health systems' performance measurement. Yet the potential for using PYLL in health promotion and chronic disease prevention has not been maximized. Linking PYLL with public health programs and initiatives aimed at health promotion and chronic disease prevention, introduced starting in the 1990s, would inform whether these efforts are making progress in addressing the burden of premature mortality from chronic diseases. Promoting the use of PYLL due to chronic diseases would contribute toward providing a more complete picture of chronic diseases in Canada.KEY WORDS: Potential years of life lost; chronic disease prevention; health promotion; Canada; burden of disease La traduction du résumé se trouve à la fin de l'article.

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Calculating disability-adjusted life years to quantify burden of disease

Cited by 219 publications

References 11 publications

Carga da doença para as amputações de membros inferiores atribuíveis ao diabetes mellitus no Estado de Santa Catarina, Brasil, 2008-2013

Carga da doença para as amputações de membros inferiores atribuíveis ao diabetes mellitus no Estado de Santa Catarina, Brasil, 2008-2013

An Analysis of Fifty-Year-Surveillance of Food Related Diseases in Turkey

The use of potential years of life lost for monitoring premature mortality from chronic diseases: Canadian perspectives

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