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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

Wed May 18 17:15:49 2022

(2020) Prevalence and attributable health burden of chronic respiratory diseases, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet Respiratory Medicine. pp. 585-596. ISSN 22132600 (ISSN)

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Official URL: https://www.scopus.com/inward/record.uri?eid=2-s2....

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), age-standardised 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. Funding: Bill & Melinda Gates Foundation. © 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license

Item Type: Article
Creators:
CreatorsEmail
Soriano, J. B.UNSPECIFIED
Kendrick, P. J.UNSPECIFIED
Paulson, K. R.UNSPECIFIED
Gupta, V.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
Antó, 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. S.UNSPECIFIED
Bernstein, R. S.UNSPECIFIED
Bhattacharyya, K.UNSPECIFIED
Bijani, A.UNSPECIFIED
Brauer, M.UNSPECIFIED
Bukhman, G.UNSPECIFIED
Butt, Z. A.UNSPECIFIED
Cámera, L. A.UNSPECIFIED
Car, J.UNSPECIFIED
Carrero, J. J.UNSPECIFIED
Carvalho, F.UNSPECIFIED
Castañeda-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.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
Kefale, A. T.UNSPECIFIED
othersUNSPECIFIED
Keywords: fuel ozone Africa Africa south of the Sahara age aging Article asthma cancer mortality cardiovascular mortality cause of death chronic obstructive lung disease chronic respiratory tract disease disability-adjusted life year epidemiological data geographic distribution global disease burden high income country human indoor air pollution interstitial lung disease lung sarcoidosis Middle East morbidity mortality rate occupational hazard Oceanian particulate matter passive smoking pneumoconiosis population growth prevalence priority journal risk factor sex smoking South Asia Southeast Asia standardization systematic review trend study adolescent adult aged child chronic disease cost of illness female infant life expectancy male middle aged mortality newborn preschool child quality adjusted life year respiratory tract disease sex factor very elderly young adult Age Factors Aged, 80 and over Child, Preschool Global Burden of Disease Humans Infant, Newborn Lung Diseases, Interstitial Pulmonary Disease, Chronic Obstructive Quality-Adjusted Life Years Respiratory Tract Diseases Risk Factors Sarcoidosis, Pulmonary Sex Factors
Divisions:
Page Range: pp. 585-596
Journal or Publication Title: The Lancet Respiratory Medicine
Journal Index: Scopus
Volume: 8
Number: 6
Identification Number: https://doi.org/10.1016/S2213-2600(20)30105-3
ISSN: 22132600 (ISSN)
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/3289

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