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Global, regional, and national burden of neurological disorders during 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015
| Content Provider | Scilit |
|---|---|
| Author | Feigin, Valery L. Abajobir, Amanuel Alemu Abate, Kalkidan Hassen Abd-Allah, Foad Abdulle, Abdishakur M. Abera, Semaw Ferede Abyu, Gebre Yitayih Ahmed, Muktar Beshir Aichour, Amani Nidhal Aichour, Ibtihel Aichour, Miloud Taki Eddine Akinyemi, Rufus Olusola Alabed, Samer Al-Raddadi, Rajaa Alvis-Guzman, Nelson Amare, Azmeraw T. Ansari, Hossein Anwari, Palwasha Ärnlöv, Johan Asayesh, Hamid Asgedom, Solomon Weldegebreal Atey, Tesfay Mehari Avila-Burgos, Leticia Frinel, Euripide Avokpaho, G. Arthur Azarpazhooh, Mahmood Reza Barac, Aleksandra Barboza, Miguel Barker-Collo, Suzanne L. Bärnighausen, Till Bedi, Neeraj Beghi, Ettore Bennett, Derrick A. Bensenor, Isabela M. Berhane, Adugnaw Betsu, Balem Demtsu Bhaumik, Soumyadeep Birlik, Sait Mentes Biryukov, Stan Boneya, Dube Jara Bulto, Lemma Negesa Bulto Carabin, Hélène Casey, Daniel Castañeda-Orjuela, Carlos A. Catalá-López, Ferrán Chen, Honglei Chitheer, Abdulaal A. Chowdhury, Rajiv Christensen, Hanne Dandona, Lalit Dandona, Rakhi de Veber, Gabrielle A. Dharmaratne, Samath D. Do, Huyen Phuc Dokova, Klara Dorsey, E. Ray Ellenbogen, Richard G. Eskandarieh, Sharareh Farvid, Maryam S. Fereshtehnejad, Seyed-Mohammad Fischer, Florian Foreman, Kyle J. Geleijnse, Johanna M. Gillum, Richard F. Giussani, Giorgia Goldberg, Ellen M. Gona, Philimon N. Goulart, Alessandra Carvalho Gugnani, Harish Chander Gupta, Rahul Hachinski, Vladimir Gupta, Rajeev Hamadeh, Randah Ribhi Hambisa, Mitiku Hankey, Graeme J. Hareri, Habtamu Abera Havmoeller, Rasmus Hay, Simon I. Heydarpour, Pouria Hotez, Peter J. Jakovljevic, Mihajlo (Michael) B. Javanbakht, Mehdi Jeemon, Panniyammakal Jonas, Jost B. Kalkonde, Yogeshwar Kandel, Amit Karch, André Kasaeian, Amir Kastor, Anshul Keiyoro, Peter Njenga Khader, Yousef Saleh Khalil, Ibrahim A. Khan, Ejaz Ahmad Khang, Young-Ho Tawfih, Abdullah Khoja, Abdullah Khubchandani, Jagdish Kulkarni, Chanda Kim, Daniel Kim, Yun Jin Kivimaki, Mika Kokubo, Yoshihiro Kosen, Soewarta Kravchenko, Michael Krishnamurthi, Rita Vanmala Defo, Barthelemy Kuate Kumar, G. Anil Kumar, Rashmi Kyu, Hmwe H. Larsson, Anders Lavados, Pablo M. Li, Yong Mei Liang, Xiaofeng Liben, Misgan Legesse Lo, Warren D. Logroscino, Giancarlo Lotufo, Paulo A. Loy, Clement T. Mackay, Mark T. Razek, Hassan Magdy Abd El Razek, Mohammed Magdy Abd El Majeed, Azeem Malekzadeh, Reza Manhertz, Treh Mantovani, Lorenzo G. Massano, João Mazidi, Mohsen McAlinden, Colm Mehata, Suresh Memish, Ziad A. Mendoza, Walter Mengistie, Mubarek Abera Mensah, George A. Meretoja, Atte Mezgebe, Haftay Berhane Miller, Ted R. Mishra, Shiva Raj Ibrahim, Norlinah Mohamed Mohammadi, Alireza Mohammed, Kedir Endris Mohammed, Shafiu Mokdad, Ali H. Moradi-Lakeh, Maziar Velasquez, Ilais Moreno Musa, Kamarul Imran Naghavi, Mohsen Ngunjiri, Josephine Wanjiku Nguyen, Cuong Tat Nguyen, Grant Nguyen, Quyen Le Nguyen, Trang Huyen Nichols, Emma Ningrum, Dina Nur Anggraini Nong, Vuong Minh Norrving, Bo Noubiap, Jean Jacques N. Ogbo, Felix Akpojene Owolabi, Mayowa O. Pandian, Jeyaraj D. Parmar, Priyakumari Ganesh Pereira, David M. Petzold, Max Phillips, Michael Robert Piradov, Michael A. Poulton, Richie G. Pourmalek, Farshad Qorbani, Mostafa Rafay, Anwar Rahman, Mahfuzar Rahman, Mohammad Hifz Ur Rai, Rajesh Kumar Rajsic, Sasa Ranta, Annemarei Rawaf, Salman Renzaho, Andre M. N. Rezai, Mohammad Sadegh Roth, Gregory A. Roshandel, Gholamreza Rubagotti, Enrico Sachdev, Perminder Safiri, Saeid Sahathevan, Ramesh Sahraian, Mohammad Ali Samy, Abdallah M. Santalucia, Paula Santos, Itamar S. Sartorius, Benn Satpathy, Maheswar Sawhney, Monika Saylan, Mete I. Sepanlou, Sadaf G. Shaikh, Masood Ali Shakir, Raad Shamsizadeh, Morteza Sheth, Kevin N. Shigematsu, Mika Shoman, Haitham Silva, Diego Augusto Santos Smith, Mari Sobngwi, Eugene Sposato, Luciano A. Stanaway, Jeffrey D. Stein, Dan J. Steiner, Timothy J. Stovner, Lars Jacob Abdulkader, Rizwan Suliankatchi Szoeke, Cassandra Ei Tabarés-Seisdedos, Rafael Tanne, David Theadom, Alice M. Thrift, Amanda G. Tirschwell, David L. Topor-Madry, Roman Tran, Bach Xuan Truelsen, Thomas Tuem, Kald Beshir Ukwaja, Kingsley Nnanna Uthman, Olalekan A. Varakin, Yuri Y. Vasankari, Tommi Venketasubramanian, Narayanaswamy Vlassov, Vasiliy Victorovich Wadilo, Fiseha Wakayo, Tolassa Wallin, Mitchell T. Weiderpass, Elisabete Westerman, Ronny Wijeratne, Tissa Wiysonge, Charles Shey Woldu, Minyahil Alebachew Wolfe, Charles D. A. Xavier, Denis Xu, Gelin Yano, Yuichiro Yimam, Hassen Hamid Yonemoto, Naohiro Yu, Chuanhua Zaidi, Zoubida Zaki, Maysaa El Sayed Zunt, Joseph R. Murray, Christopher J. L. Vos, Theo |
| Copyright Year | 2017 |
| Description | Journal: The Lancet Neurology |
| Abstract | Summary Background Comparable data on the global and country-specific burden of neurological disorders and their trends are crucial for health-care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study provides such information but does not routinely aggregate results that are of interest to clinicians specialising in neurological conditions. In this systematic analysis, we quantified the global disease burden due to neurological disorders in 2015 and its relationship with country development level. Methods We estimated global and country-specific prevalence, mortality, disability-adjusted life-years (DALYs), years of life lost (YLLs), and years lived with disability (YLDs) for various neurological disorders that in the GBD classification have been previously spread across multiple disease groupings. The more inclusive grouping of neurological disorders included stroke, meningitis, encephalitis, tetanus, Alzheimer's disease and other dementias, Parkinson's disease, epilepsy, multiple sclerosis, motor neuron disease, migraine, tension-type headache, medication overuse headache, brain and nervous system cancers, and a residual category of other neurological disorders. We also analysed results based on the Socio-demographic Index (SDI), a compound measure of income per capita, education, and fertility, to identify patterns associated with development and how countries fare against expected outcomes relative to their level of development. Findings Neurological disorders ranked as the leading cause group of DALYs in 2015 (250·7 [95% uncertainty interval (UI) 229·1 to 274·7] million, comprising 10·2% of global DALYs) and the second-leading cause group of deaths (9·4 [9·1 to 9·7] million], comprising 16·8% of global deaths). The most prevalent neurological disorders were tension-type headache (1505·9 [UI 1337·3 to 1681·6 million cases]), migraine (958·8 [872·1 to 1055·6] million), medication overuse headache (58·5 [50·8 to 67·4 million]), and Alzheimer's disease and other dementias (46·0 [40·2 to 52·7 million]). Between 1990 and 2015, the number of deaths from neurological disorders increased by 36·7%, and the number of DALYs by 7·4%. These increases occurred despite decreases in age-standardised rates of death and DALYs of 26·1% and 29·7%, respectively; stroke and communicable neurological disorders were responsible for most of these decreases. Communicable neurological disorders were the largest cause of DALYs in countries with low SDI. Stroke rates were highest at middle levels of SDI and lowest at the highest SDI. Most of the changes in DALY rates of neurological disorders with development were driven by changes in YLLs. Interpretation Neurological disorders are an important cause of disability and death worldwide. Globally, the burden of neurological disorders has increased substantially over the past 25 years because of expanding population numbers and ageing, despite substantial decreases in mortality rates from stroke and communicable neurological disorders. The number of patients who will need care by clinicians with expertise in neurological conditions will continue to grow in coming decades. Policy makers and health-care providers should be aware of these trends to provide adequate services. Funding Bill & Melinda Gates Foundation. |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5641502/pdf http://www.thelancet.com/article/S1474442217302995/pdf |
| Ending Page | 897 |
| Page Count | 21 |
| Starting Page | 877 |
| ISSN | 14744422 |
| DOI | 10.1016/s1474-4422%2817%2930299-5 |
| Journal | The Lancet Neurology |
| Issue Number | 11 |
| Volume Number | 16 |
| Language | English |
| Publisher | Elsevier BV |
| Publisher Date | 2017-09-17 |
| Access Restriction | Open |
| Subject Keyword | Journal: The Lancet Neurology Medication Overuse Patterns Associated Neurological Disorders Burden of Neurological Health Care Neurological Conditions |
| Content Type | Text |
| Resource Type | Article |
| Subject | Neurology (clinical) |
