Premature Death in the United States: Years of Life Lost and Health Priorities

Perloff, Janet D.; LeBailly, Susan A.; Kletke, Phillip R.; Budetti, Peter P.; Connelly, John P.

doi:10.2307/3342337

Cited by 32 publications

(12 citation statements)

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“…Its use has been promoted to emphasize specific causes of death in proportion to their burden on society, and to identify areas for greatest health improvement [6]. Various YPLL measures exist depending on definitions of ' premature' death [6,7].…”

Section: Introductionmentioning

confidence: 99%

Years of potential life lost for six major enteric pathogens, Germany, 2004–2008

et al. 2012

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SUMMARYIn industrialized countries, acute infectious enteric diseases are usually mild, but they can also cause death. They do so, however, at different ages. Using 2004Using -2008 German notification data, we computed and compared crude and premature mortality [three different measures of years of potential life lost (YPLL)] of illnesses caused by Campylobacter spp., Listeria monocytogenes, norovirus, rotavirus, non-typhoidal Salmonella spp., and Shiga toxin-producing E. coli (STEC). Among y1 . 5 million notified illnesses, those caused by norovirus were the most frequent. The highest annual mortality was registered for salmonellosis (0 . 55/1 000 000 population), but listeriosis accounted for the highest number of YPLL (n=4245). Disregarding death at advanced age (i.e. >70 years), STEC illness (n=757) and rotavirus gastroenteritis (n=648) ranked second and third, following listeriosis (n=2306). Routine surveillance captures only a fraction of all incident cases and deaths, under-ascertaining the true burden of disease. Weighting death by age permits a different view on the disease burden individual enteric pathogens cause and particularly underscores the public health importance of listeriosis prevention.

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Section: Introductionmentioning

confidence: 99%

Years of potential life lost for six major enteric pathogens, Germany, 2004–2008

et al. 2012

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“…Years of potential life lost is used to prioritize public health problems by comparing the relative importance of each cause of death, focusing attention on deaths that occur in younger persons, such as injuries and motor vehicle accidents [Gardner and Sanborn, 1990;MMWR, 1986;Rockett and Smith, 1987;Romeder and McWhinnie, 1977]. A few studies have calculated``estimated loss of future working life'',``working years lost '', or`p otentially productive years of life lost'', but these calculations only considered lost productivity because of deaths [Dickinson and Welker, 1948;Haenszel, 1950;Perloff et al, 1984]. Much of the injury research has focused on the costs of fatal or traumatic injuries.…”

Section: Introductionmentioning

confidence: 99%

Years of productivity lost among injured workers in Washington state: Modeling disability burden in workers' compensation

et al. 2000

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Background Few studies have examined the impact of disability from nonfatal work‐related injuries and illnesses. We developed Years of Productivity Lost (YPL) as a measure of the burden of disability. Methods YPL was calculated for incident workers' compensation claims with compensable injuries filed in 1986 in Washington State. Final work disability status was determined in June, 1993. We estimated YPL by adding actual accumulated time loss and future lost productivity predicted from permanent partial disability awards and pensions. Results Back and neck sprains were associated with the highest YPL followed by sprains of the lower and upper extremities. Using actual accumulated time loss, we calculated 14,624 years of productivity lost for compensable injuries in 1986. After including predicted lost productivity, YPL ranged from 28,017 to 33,502 years. Conclusions YPL can be used to quantify the burden of disability due to occupational injuries and illnesses and to prioritize efforts to prevent long‐term disability. Am. J. Ind. Med. 37:656–662, 2000. © 2000 Wiley‐Liss, Inc.

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“…These methods became more widely used in the late 1970s in health services planning. There are many variations in the calculations used, depending upon the weights used (the value of years of life at different ages),4, 5, 6 the “normal” lifespan against which to compare premature death (fixed upper limit or life table expectations of life),3, 7, 8, 9, 10 and the “discount rate” to apply to life‐years (taking into consideration the life‐years that would have been lived in the future). Discounting gives decreasing weights to the life‐years saved over calendar time, admitting that life‐years in the future are valued less highly than at present 11, 12.…”

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confidence: 99%

Cervical cancer as a priority for prevention in different world regions: An evaluation using years of life lost

Yang

Bray

Parkin

et al. 2004

Intl Journal of Cancer

198

113

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The relative importance of cancer of the cervix among several important causes of mortality (from cancer and other diseases) has been evaluated by estimating the years of life lost (YLL) by young and middle-aged women (25-64 years old) in different regions of the world. The life years were weighted to reflect their importance to the individual and to society. On a global basis, cancer of the cervix is responsible for about 2% of the total (weighted) YLL, fewer than for other causes of mortality in this age group. However, it is the most important cause of YLL in Latin America and the Caribbean. It also makes the largest contribution to YLL from cancer in the populous regions of SubSaharan Africa and South-Central Asia where the actual risk of loss of life from this cause is higher, although overshadowed by noncancer deaths (from AIDS, TB and maternal conditions). The overall picture is not very sensitive to the age weighting function used. The fact that most of the loss of life is preventable, and that simple technologies have been developed that make this practicable, means that cervical cancer has an even higher profile from the perspective of resource allocation in low income settings. © 2004 Wiley-Liss, Inc. Key words: YLL; cervical neoplasm; disease burdenCervical cancer is the second most frequent cancer and the fifth most frequent cause of death from cancer among women in the world, with an estimated 471,000 new cases and 233,000 deaths in the year 2000. 1 The relative importance of cervical cancer is even greater for women in developing countries, where more than 80% of cases occur, and where it comprises about 15% of cancers in women, with a lifetime risk of about 2%. 2 In some countries of SubSaharan Africa, Latin America and Asia, incidence rates are very high, and the lifetime risk of cervical cancer may be as high as 6 -7%.However, the importance of cervical cancer as a cause of loss of life needs to be considered in relation to other diseases among populations that reside in developing countries in order to appreciate the time and resources that should be expended on control strategies. In this report, we examine years of life lost (YLL) as an indicator of disease burden for cervical cancer and for several other important causes of mortality. The YLL concept was introduced over 50 years ago 3 to refine the traditional mortality rates by providing a weighting for deaths at different ages. These methods became more widely used in the late 1970s in health services planning. There are many variations in the calculations used, depending upon the weights used (the value of years of life at different ages), 4 -6 the "normal" lifespan against which to compare premature death (fixed upper limit or life table expectations of life), 3,7-10 and the "discount rate" to apply to life-years (taking into consideration the life-years that would have been lived in the future). Discounting gives decreasing weights to the life-years saved over calendar time, admitting that life-years in the future are valued less highl...

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Premature Death in the United States: Years of Life Lost and Health Priorities

Cited by 32 publications

References 9 publications

Years of potential life lost for six major enteric pathogens, Germany, 2004–2008

Years of potential life lost for six major enteric pathogens, Germany, 2004–2008

Years of productivity lost among injured workers in Washington state: Modeling disability burden in workers' compensation

Cervical cancer as a priority for prevention in different world regions: An evaluation using years of life lost

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