Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Prevalence and attributable health burden of chronic respiratory diseases, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017

Thu Mar 28 14:58:51 2024

(2020) Prevalence and attributable health burden of chronic respiratory diseases, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet Respiratory Medicine. pp. 585-596. ISSN 2213-2600

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Abstract

Background Previous attempts to characterise the burden of chronic respiratory diseases have focused only on specific disease conditions, such as chronic obstructive pulmonary disease (COPD) or asthma. In this study, we aimed to characterise the burden of chronic respiratory diseases globally, providing a comprehensive and up-to-date analysis on geographical and time trends from 1990 to 2017. Methods Using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017, we estimated the prevalence, morbidity, and mortality attributable to chronic respiratory diseases through an analysis of deaths, disability-adjusted life-years (DALYs), and years of life lost (YLL) by GBD super-region, from 1990 to 2017, stratified by age and sex. Specific diseases analysed included asthma, COPD, interstitial lung disease and pulmonary sarcoidosis, pneumoconiosis, and other chronic respiratory diseases. We also assessed the contribution of risk factors (smoking, second-hand smoke, ambient particulate matter and ozone pollution, household air pollution from solid fuels, and occupational risks) to chronic respiratory disease-attributable DALYs. Findings In 2017, 544.9 million people (95 uncertainty interval UI 506.9- 584.8) worldwide had a chronic respiratory disease, representing an increase of 39.8% compared with 1990. Chronic respiratory disease prevalence showed wide variability across GBD super-regions, with the highest prevalence among both males and females in high-income regions, and the lowest prevalence in sub-Saharan Africa and south Asia. The age-sex- specific prevalence of each chronic respiratory disease in 2017 was also highly variable geographically. Chronic respiratory diseases were the third leading cause of death in 2017 (7.0% 95% UI 6.8-7 .2 of all deaths), behind cardiovascular diseases and neoplasms. Deaths due to chronic respiratory diseases numbered 3 914 196 (95% UI 3 790 578-4 044 819) in 2017, an increase of 18.0% since 1990, while total DALYs increased by 13.3%. However, when accounting for ageing and population growth, declines were observed in age-standardised prevalence (14.3% decrease), agestandardised death rates (42.6%), and age-standardised DALY rates (38.2%). In males and females, most chronic respiratory disease-attributable deaths and DALYs were due to COPD. In regional analyses, mortality rates from chronic respiratory diseases were greatest in south Asia and lowest in sub-Saharan Africa, also across both sexes. Notably, although absolute prevalence was lower in south Asia than in most other super-regions, YLLs due to chronic respiratory diseases across the subcontinent were the highest in the world. Death rates due to interstitial lung disease and pulmonary sarcoidosis were greater than those due to pneumoconiosis in all super-regions. Smoking was the leading risk factor for chronic respiratory disease-related disability across all regions for men. Among women, household air pollution from solid fuels was the predominant risk factor for chronic respiratory diseases in south Asia and sub-Saharan Africa, while ambient particulate matter represented the leading risk factor in southeast Asia, east Asia, and Oceania, and in the Middle East and north Africa super-region. Interpretation Our study shows that chronic respiratory diseases remain a leading cause of death and disability worldwide, with growth in absolute numbers but sharp declines in several age-standardised estimators since 1990. Premature mortality from chronic respiratory diseases seems to be highest in regions with less-resourced health systems on a per-capita basis. Copyright (C) 2020 The Author(s). Published by Elsevier Ltd.

Item Type: Article
Creators:
CreatorsEmail
Soriano, J. B.UNSPECIFIED
Kendrick, P. J.UNSPECIFIED
Paulson, K. R.UNSPECIFIED
Gupta, V.UNSPECIFIED
Vos, T.UNSPECIFIED
Abrams, E. M.UNSPECIFIED
Adedoyin, R. A.UNSPECIFIED
Adhikari, T. B.UNSPECIFIED
Advani, S. M.UNSPECIFIED
Agrawal, A.UNSPECIFIED
Ahmadian, E.UNSPECIFIED
Alahdab, F.UNSPECIFIED
Aljunid, S. M.UNSPECIFIED
Altirkawi, K. A.UNSPECIFIED
Alvis-Guzman, N.UNSPECIFIED
Anber, N. H.UNSPECIFIED
Andrei, C. L.UNSPECIFIED
Anjomshoa, M.UNSPECIFIED
Ansari, F.UNSPECIFIED
Anto, J. M.UNSPECIFIED
Arabloo, J.UNSPECIFIED
Athari, S. M.UNSPECIFIED
Athari, S. S.UNSPECIFIED
Awoke, N.UNSPECIFIED
Badawi, A.UNSPECIFIED
Banoub, J. A. M.UNSPECIFIED
Bennett, D. A.UNSPECIFIED
Bensenor, I. M.UNSPECIFIED
Berfield, K. S.UNSPECIFIED
Bernstein, R. S.UNSPECIFIED
Bhattacharyya, K.UNSPECIFIED
Bijani, A.UNSPECIFIED
Brauer, M.UNSPECIFIED
Bukhman, G.UNSPECIFIED
Butt, Z. A.UNSPECIFIED
Camera, L. A.UNSPECIFIED
Car, J.UNSPECIFIED
Carrero, J. J.UNSPECIFIED
Carvalho, F.UNSPECIFIED
Castaneda-Orjuela, C. A.UNSPECIFIED
Choi, J. Y. J.UNSPECIFIED
Christopher, D. J.UNSPECIFIED
Cohen, A. J.UNSPECIFIED
Dandona, L.UNSPECIFIED
Dandona, R.UNSPECIFIED
Dang, A. K.UNSPECIFIED
Daryani, A.UNSPECIFIED
de Courten, B.UNSPECIFIED
Demeke, F. M.UNSPECIFIED
Demoz, G. T.UNSPECIFIED
De Neve, J. W.UNSPECIFIED
Desai, R.UNSPECIFIED
Dharmaratne, S. D.UNSPECIFIED
Diaz, D.UNSPECIFIED
Douiri, A.UNSPECIFIED
Driscoll, T. R.UNSPECIFIED
Duken, E. E.UNSPECIFIED
Eftekhari, A.UNSPECIFIED
Elkout, H.UNSPECIFIED
Endries, A. Y.UNSPECIFIED
Fadhil, I.UNSPECIFIED
Faro, A.UNSPECIFIED
Farzadfar, F.UNSPECIFIED
Fernandes, E.UNSPECIFIED
Filip, I.UNSPECIFIED
Fischer, F.UNSPECIFIED
Foroutan, M.UNSPECIFIED
Garcia-Gordillo, M. A.UNSPECIFIED
Gebre, A. K.UNSPECIFIED
Gebremedhin, K. B.UNSPECIFIED
Gebremeskel, G. G.UNSPECIFIED
Gezae, K. E.UNSPECIFIED
Ghoshal, A. G.UNSPECIFIED
Gill, P. S.UNSPECIFIED
Gillum, R. F.UNSPECIFIED
Goudarzi, H.UNSPECIFIED
Guo, Y. M.UNSPECIFIED
Gupta, R.UNSPECIFIED
Hailu, G. B.UNSPECIFIED
Hasanzadeh, A.UNSPECIFIED
Hassen, H. Y.UNSPECIFIED
Hay, S. I.UNSPECIFIED
Hoang, C. L.UNSPECIFIED
Hole, M. K.UNSPECIFIED
Horita, N.UNSPECIFIED
Hosgood, H. D.UNSPECIFIED
Hostiuc, M.UNSPECIFIED
Househ, M.UNSPECIFIED
Ilesanmi, O. S.UNSPECIFIED
Ilic, M. D.UNSPECIFIED
Irvani, S. S. N.UNSPECIFIED
Islam, S. M. S.UNSPECIFIED
Jakovljevic, M.UNSPECIFIED
Jamal, A. A.UNSPECIFIED
Jha, R. P.UNSPECIFIED
Jonas, J. B.UNSPECIFIED
Kabir, Z.UNSPECIFIED
Kasaeian, A.UNSPECIFIED
Kasahun, G. G.UNSPECIFIED
Kassa, G. M.UNSPECIFIED
othersUNSPECIFIED
Keywords: comparative risk-assessment adjusted life-years 195 countries metabolic risks territories disability exposure copd mortality injuries General & Internal Medicine Respiratory System
Divisions:
Page Range: pp. 585-596
Journal or Publication Title: Lancet Respiratory Medicine
Journal Index: ISI
Volume: 8
Number: 6
ISSN: 2213-2600
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/3083

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