TY - JOUR
AU - Wyper, Grant M.A.
AU - Assunção, Ricardo
AU - Eilidh Fletcher
AU - Gourley, Michelle
AU - Grant, Ian
AU - Haagsma, Juanita A.
AU - Hilderink, Henk B.M.
AU - Idavain, Jane
AU - Lesnik, Tina
AU - Von der Lippe, Elena
AU - Majdan, Marek
AU - McCartney, Gerry
AU - Santric-Milicevic, Milena
AU - Pallari, Elena
AU - Pires, Sara M.
AU - Plass, Dietrich
AU - Porst, Michael
AU - Santos, João V.
AU - de Haro Moro, Maria Teresa
AU - Stockton, Diane L.
AU - Devleesschauwer, Brecht
PY - 2021
DA - July
TI - The increasing significance of disease severity in a burden of disease framework
JO - Scandinavian Journal of Public Health
DO - https://doi.org/10.1177/14034948211024478
AB - 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.
PB - SAGE Publications
UR - https://eprints.gla.ac.uk/285005/
KW - Coronavirus (COVID-19)
ER