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

Soriano, J.B. and Kendrick, P.J. and Paulson, K.R. and Gupta, V. and Abrams, E.M. and Adedoyin, R.A. and Adhikari, T.B. and Advani, S.M. and Agrawal, A. and Ahmadian, E. and Alahdab, F. and Aljunid, S.M. and Altirkawi, K.A. and Alvis-Guzman, N. and Anber, N.H. and Andrei, C.L. and Anjomshoa, M. and Ansari, F. and Antó, J.M. and Arabloo, J. and Athari, S.M. and Athari, S.S. and Awoke, N. and Badawi, A. and Banoub, J.A.M. and Bennett, D.A. and Bensenor, I.M. and Berfield, K.S.S. and Bernstein, R.S. and Bhattacharyya, K. and Bijani, A. and Brauer, M. and Bukhman, G. and Butt, Z.A. and Cámera, L.A. and Car, J. and Carrero, J.J. and Carvalho, F. and Castañeda-Orjuela, C.A. and Choi, J.-Y.J. and Christopher, D.J. and Cohen, A.J. and Dandona, L. and Dandona, R. and Dang, A.K. and Daryani, A. and de Courten, B. and Demeke, F.M. and Demoz, G.T. and De Neve, J.-W. and Desai, R. and Dharmaratne, S.D. and Diaz, D. and Douiri, A. and Driscoll, T.R. and Duken, E.E. and Eftekhari, A. and Elkout, H. and Endries, A.Y. and Fadhil, I. and Faro, A. and Farzadfar, F. and Fernandes, E. and Filip, I. and Fischer, F. and Foroutan, M. and Garcia-Gordillo, M.A. and Gebre, A.K. and Gebremedhin, K.B. and Gebremeskel, G.G. and Gezae, K.E. and Ghoshal, A.G. and Gill, P.S. and Gillum, R.F. and Goudarzi, H. and Guo, Y. and Gupta, R. and Hailu, G.B. and Hasanzadeh, A. and Hassen, H.Y. and Hay, S.I. and Hoang, C.L. and Hole, M.K. and Horita, N. and Hosgood, H.D. and Hostiuc, M. and Househ, M. and Ilesanmi, O.S. and Ilic, M.D. and Irvani, S.S.N. and Islam, S.M.S. and Jakovljevic, M. and Jamal, A.A. and Jha, R.P. and Jonas, J.B. and Kabir, Z. and Kasaeian, A. and Kasahun, G.G. and Kassa, G.M. and Kefale, A.T. and Kengne, A.P. and Khader, Y.S. and Khafaie, M.A. and Khan, E.A. and Khan, J. and Khubchandani, J. and Kim, Y.-E. and Kim, Y.J. and Kisa, S. and Kisa, A. and Knibbs, L.D. and Komaki, H. and Koul, P.A. and Koyanagi, A. and Kumar, G.A. and Lan, Q. and Lasrado, S. and Lauriola, P. and La Vecchia, C. and Le, T.T. and Leigh, J. and Levi, M. and Li, S. and Lopez, A.D. and Lotufo, P.A. and Madotto, F. and Mahotra, N.B. and Majdan, M. and Majeed, A. and Malekzadeh, R. and Mamun, A.A. and Manafi, N. and Manafi, F. and Mantovani, L.G. and Meharie, B.G. and Meles, H.G. and Meles, G.G. and Menezes, R.G. and Mestrovic, T. and Miller, T.R. and Mini, G.K. and Mirrakhimov, E.M. and Moazen, B. and Mohammad, K.A. and Mohammed, S. and Mohebi, F. and Mokdad, A.H. and Molokhia, M. and Monasta, L. and Moradi, M. and Moradi, G. and Morawska, L. and Mousavi, S.M. and Musa, K.I. and Mustafa, G. and Naderi, M. and Naghavi, M. and Naik, G. and Nair, S. and Nangia, V. and Nansseu, J.R. and Nazari, J. and Ndwandwe, D.E. and Negoi, R.I. and Nguyen, T.H. and Nguyen, C.T. and Nguyen, H.L.T. and Nixon, M.R. and Ofori-Asenso, R. and Ogbo, F.A. and Olagunju, A.T. and Olagunju, T.O. and Oren, E. and Ortiz, J.R. and Owolabi, M.O. and Mahesh, M. and Pakhale, S. and Pana, A. and Panda-Jonas, S. and Park, E.-K. and Pham, H.Q. and Postma, M.J. and Pourjafar, H. and Poustchi, H. and Radfar, A. and Rafiei, A. and Rahim, F. and Rahman, M.H.U. and Rahman, M.A. and Rawaf, S. and Rawaf, D.L. and Rawal, L. and Reiner, Jr. and Reitsma, M.B. and Roever, L. and Ronfani, L. and Roro, E.M. and Roshandel, G. and Rudd, K.E. and Sabde, Y.D. and Sabour, S. and Saddik, B. and Safari, S. and Saleem, K. and Samy, A.M. and Santric-Milicevic, M.M. and Sao Jose, B.P. and Sartorius, B. and Satpathy, M. and Savic, M. and Sawhney, M. and Sepanlou, S.G. and Shaikh, M.A. and Sheikh, A. and Shigematsu, M. and Shirkoohi, R. and Si, S. and Siabani, S. and Singh, V. and Singh, J.A. and Soljak, M. and Somayaji, R. and Soofi, M. and Soyiri, I.N. and Tefera, Y.M. and Temsah, M.-H. and Tesfay, B.E. and Thakur, J.S. and Toma, A.T. and Tortajada-Girbés, M. and Tran, K.B. and Tran, B.X. and Tudor Car, L. and Ullah, I. and Vacante, M. and Valdez, P.R. and van Boven, J.F.M. and Vasankari, T.J. and Veisani, Y. and Violante, F.S. and Wagner, G.R. and Westerman, R. and Wolfe, C.D.A. and Wondafrash, D.Z. and Wondmieneh, A.B. and Yonemoto, N. and Yoon, S.-J. and Zaidi, Z. and Zamani, M. and Zar, H.J. and Zhang, Y. and Vos, T. (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, 8 (6). pp. 585-596.

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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), 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
Additional Information: cited By 11
Uncontrolled 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; asthma; child; chronic disease; chronic obstructive lung disease; cost of illness; female; global disease burden; infant; interstitial lung disease; life expectancy; lung sarcoidosis; male; middle aged; mortality; newborn; pneumoconiosis; preschool child; prevalence; quality adjusted life year; respiratory tract disease; sex factor; very elderly; young adult, Adolescent; Adult; Age Factors; Aged; Aged, 80 and over; Asthma; Child; Child, Preschool; Chronic Disease; Cost of Illness; Female; Global Burden of Disease; Humans; Infant; Infant, Newborn; Life Expectancy; Lung Diseases, Interstitial; Male; Middle Aged; Pneumoconiosis; Prevalence; Pulmonary Disease, Chronic Obstructive; Quality-Adjusted Life Years; Respiratory Tract Diseases; Risk Factors; Sarcoidosis, Pulmonary; Sex Factors; Young Adult
Subjects: سیستم تنفسی WF
بهداشت عمومی WA
مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: معاونت تحقیقات و فناوری
Depositing User: GOUMS
Date Deposited: 14 Nov 2020 07:51
Last Modified: 14 Nov 2020 07:51
URI: http://eprints.goums.ac.ir/id/eprint/10856

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