The increasing significance of disease severity in a burden of disease framework

Data de publicação: Data Ahead of Print:

Autores da FMUP

  • João Vasco Nunes Dos Santos

    Autor

Participantes de fora da FMUP

  • Wyper, GMA
  • Assuncao, R
  • Fletcher, E
  • Gourley, M
  • Grant, I
  • Haagsma, JA
  • Hilderink, H
  • Idavain, J
  • Lesnik, T
  • von der Lippe, E
  • Majdan, M
  • Mccartney, G
  • Santric-Milicevic, M
  • Pallari, E
  • Pires, SM
  • Plass, D
  • Porst, M
  • Moro, MTD
  • Stockton, DL
  • Devleesschauwer, B

Unidades de investigação

Abstract

Recent estimates have reiterated that non-fatal causes of disease, such as low back pain, headaches and depressive disorders, are amongst the leading causes of disability-adjusted life years (DALYs). For these causes, the contribution of years lived with disability (YLD) - put simply, ill-health - is what drives DALYs, not mortality. Being able to monitor trends in YLD closely is particularly relevant for countries that sit high on the socio-demographic spectrum of development, as it contributes more than half of all DALYs. There is a paucity of data on how the population-level occurrence of disease is distributed according to severity, and as such, the majority of global and national efforts in monitoring YLD lack the ability to differentiate changes in severity across time and location. This raises uncertainties in interpreting these findings without triangulation with other relevant data sources. Our commentary aims to bring this issue to the forefront for users of burden of disease estimates, as its impact is often easily overlooked as part of the fundamental process of generating DALY estimates. Moreover, the wider health harms of the COVID-19 pandemic have underlined the likelihood of latent and delayed demand in accessing vital health and care services that will ultimately lead to exacerbated disease severity and health outcomes. This places increased importance on attempts to be able to differentiate by both the occurrence and severity of disease.

Dados da publicação

ISSN/ISSNe:
1403-4948, 1651-1905

Scandinavian Journal of Public Health  SAGE Publications Ltd

Tipo:
Editorial Material
Páginas:
296-300
Link para outro recurso:
www.scopus.com

Citações Recebidas na Web of Science: 4

Citações Recebidas na Scopus: 6

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Keywords

  • Burden of disease; severity distribution; DALY; YLD; disability-adjusted life year; years lived with disability; European burden of disease network; disease severity; Scottish burden of disease

Campos de estudo

Financiamento

Proyectos asociados

Equidade em saúde: um inquérito a especialistas e análise de saúde auto-percecionada.

Investigador Principal: João Vasco Nunes dos Santos

Estudo Observacional Académico (EquiSaude) . 2021

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