Trends in decubitus ulcer disease burden in European Union 15+ countries 1990-2017

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Title: Trends in decubitus ulcer disease burden in European Union 15+ countries 1990-2017
Authors: Goodall, R
Armstrong, A
Hughes, W
Harbinson, E
Fries, CA
Salciccioli, J
Marshall, D
Shalhoub, J
Item Type: Journal Article
Abstract: Background Decubitus ulcers (DU) are a common pathology with significant morbidity and financial implications for health services globally. This study aims to compare the burden of DU across European Union (EU) 15+ countries between 1990-2017. Methods Age-standardised incidence, mortality and disability-adjusted life-years (DALYs) rates per 100,000 were extracted from the Global Burden of Disease Study online data repository for EU15+ countries (a group of 19 countries with comparable health expenditure, including the United States, Canada, the United Kingdom and Australia). Joinpoint regression analysis was used to describe trends. Results The incidence of DU increased between 1990-2017 in 15 of 19 EU15+ countries for both males and females. Mortality from DU decreased over the time period analysed in the majority of EU15+ countries: only in Denmark, Finland and Germany were increasing mortality rates observed. Decreasing DALY rates were generally observed, with the largest decreases observed in Ireland for males and females. Denmark and Germany were the only countries to demonstrate unfavourable trends in mortality, incidence and DALYs between 1990-2017 for males and females. The United States, the Netherlands and France were the only EU15+ countries in which improving disease burden was identified between 1990-2017 for all parameters assessed. Conclusion Incidence of DU is increasing in EU15+ countries, whereas mortality rates and DALYs are improving. The trends in disease burden in Denmark and Germany have followed contrasting and unfavourable trends. investigation into these trends is called for.
Issue Date: Nov-2020
Date of Acceptance: 23-Sep-2020
URI: http://hdl.handle.net/10044/1/83891
DOI: 10.1097/GOX.0000000000003252
ISSN: 2169-7574
Publisher: Lippincott, Williams & Wilkins
Start Page: 1
End Page: 9
Journal / Book Title: Plastic and Reconstructive Surgery Global Open
Volume: 8
Issue: 11
Copyright Statement: © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. DOI: 10.1097/GOX.0000000000003252
Publication Status: Published
Online Publication Date: 2020-11
Appears in Collections:Department of Surgery and Cancer
National Heart and Lung Institute
Faculty of Medicine



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