Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016

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Title: Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016
Authors: Johnson, CO
Minh, N
Roth, GA
Nichols, E
Alam, T
Abate, D
Abd-Allah, F
Abdelalim, A
Abraha, HN
Abu-Rmeileh, NM
Adebayo, OM
Adeoye, AM
Agarwal, G
Agrawal, S
Aichour, AN
Aichour, I
Aichour, MTE
Alahdab, F
Ali, R
Alvis-Guzman, N
Anber, NH
Anjomshoa, M
Arabloo, J
Arauz, A
Arnlov, J
Arora, A
Awasthi, A
Banach, M
Barboza, MA
Barker-Collo, SL
Barnighausen, TW
Basu, S
Belachew, AB
Belayneh, YM
Bennett, DA
Bensenor, IM
Bhattacharyya, K
Biadgo, B
Bijani, A
Bikbov, B
Bin Sayeed, MS
Butt, ZA
Cahuana-Hurtado, L
Carrero, JJ
Carvalho, F
Castaneda-Orjuela, CA
Castro, F
Catala-Lopez, F
Chaiah, Y
Chiang, PP-C
Choi, J-YJ
Christensen, H
Chu, D-T
Cortinovis, M
Moura Damasceno, AA
Dandona, L
Dandona, R
Daryani, A
Davletov, K
De Courten, B
De la Cruz-Gongora, V
Degefa, MG
Dharmaratne, SD
Diaz, D
Dubey, M
Duken, EE
Edessa, D
Endres, M
Faraon, EJA
Farzadfar, F
Fernandes, E
Fischer, F
Flor, LS
Ganji, M
Gebre, AK
Gebremichael, TG
Geta, B
Gezae, KE
Gill, PS
Gnedovskaya, EV
Gomez-Dantes, H
Goulart, AC
Grosso, G
Guo, Y
Gupta, R
Haj-Mirzaian, A
Haj-Mirzaian, A
Hamidi, S
Hankey, GJ
Hassen, HY
Hay, SI
Hegazy, MI
Heidari, B
Herial, NA
Hosseini, MA
Hostiuc, S
Irvani, SSN
Islam, SMS
Jahanmehr, N
Javanbakht, M
Jha, RP
Jonas, JB
Jozwiak, JJ
Jurisson, M
Kahsay, A
Kalani, R
Kalkonde, Y
Kamil, TA
Kanchan, T
Karch, A
Karimi, N
Karimi-Sari, H
Kasaeian, A
Kassa, TD
Kazemeini, H
Kefale, AT
Khader, YS
Khalil, IA
Khan, EA
Khang, Y-H
Khubchandani, J
Kim, D
Kim, YJ
Kisa, A
Kivimaki, M
Koyanagi, A
Krishnamurthi, RK
Kumar, GA
Lafranconi, A
Lewington, S
Li, S
Lo, WD
Lopez, AD
Lorkowski, S
Lotufo, PA
Mackay, MT
Majdan, M
Majdzadeh, R
Majeed, A
Malekzadeh, R
Manafi, N
Mansournia, MA
Mehndiratta, MM
Mehta, V
Mengistu, G
Meretoja, A
Meretoja, TJ
Miazgowski, B
Miazgowski, T
Miller, TR
Mirrakhimov, EM
Mohajer, B
Mohammad, Y
Mohammadoo-Khorasani, M
Mohammed, S
Mohebi, F
Mokdad, AH
Mokhayeri, Y
Moradi, G
Morawska, L
Velasquez, IM
Mousavi, SM
Muhammed, OSS
Muruet, W
Naderi, M
Naghavi, M
Naik, G
Nascimento, BR
Negoi, RI
Cuong, TN
Long, HN
Nirayo, YL
Norrving, B
Noubiap, JJ
Ofori-Asenso, R
Ogbo, FA
Olagunju, AT
Olagunju, TO
Owolabi, MO
Pandian, JD
Patel, S
Perico, N
Piradov, MA
Polinder, S
Postma, MJ
Poustchi, H
Prakash, V
Qorbani, M
Rafiei, A
Rahim, F
Rahimi, K
Rahimi-Movaghar, V
Rahman, M
Rahman, MA
Reis, C
Remuzzi, G
Renzaho, AMN
Ricci, S
Roberts, NLS
Robinson, SR
Roever, L
Roshandel, G
Sabbagh, P
Safari, H
Safari, S
Safiri, S
Sahebkar, A
Zahabi, SS
Samy, AM
Santalucia, P
Santos, IS
Santos, JV
Milicevic, MMS
Sartorius, B
Sawant, AR
Schutte, AE
Sepanlou, SG
Shafieesabet, A
Shaikh, MA
Shams-Beyranvand, M
Sheikh, A
Sheth, KN
Shibuya, K
Shigematsu, M
Shin, M-J
Shiue, I
Siabani, S
Sobaih, BH
Sposato, LA
Sutradhar, I
Sylaja, PA
Szoeke, CEI
Ao, BJT
Temsah, M-H
Temsah, O
Thrift, AG
Tonelli, M
Topor-Madry, R
Bach, XT
Khanh, BT
Truelsen, TC
Tsadik, AG
Ullah, I
Uthman, OA
Vaduganathan, M
Valdez, PR
Vasankari, TJ
Vasanthan, R
Venketasubramanian, N
Vosoughi, K
Giang, TV
Waheed, Y
Weiderpass, E
Weldegwergs, KG
Westerman, R
Wolfe, CDA
Wondafrash, DZ
Xu, G
Yadollahpour, A
Yamada, T
Yatsuya, H
Yimer, EM
Yonemoto, N
Yousefifard, M
Yu, C
Zaidi, Z
Zamani, M
Zarghi, A
Zhang, Y
Zodpey, S
Feigin, VL
Vos, T
Murray, CJL
Item Type: Journal Article
Abstract: Background Stroke is a leading cause of mortality and disability worldwide and the economic costs of treatment and post-stroke care are substantial. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic, comparable method of quantifying health loss by disease, age, sex, year, and location to provide information to health systems and policy makers on more than 300 causes of disease and injury, including stroke. The results presented here are the estimates of burden due to overall stroke and ischaemic and haemorrhagic stroke from GBD 2016. Methods We report estimates and corresponding uncertainty intervals (UIs), from 1990 to 2016, for incidence, prevalence, deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs). DALYs were generated by summing YLLs and YLDs. Cause-specific mortality was estimated using an ensemble modelling process with vital registration and verbal autopsy data as inputs. Non-fatal estimates were generated using Bayesian meta-regression incorporating data from registries, scientific literature, administrative records, and surveys. The Socio-demographic Index (SDI), a summary indicator generated using educational attainment, lagged distributed income, and total fertility rate, was used to group countries into quintiles. Findings In 2016, there were 5·5 million (95% UI 5·3 to 5·7) deaths and 116·4 million (111·4 to 121·4) DALYs due to stroke. The global age-standardised mortality rate decreased by 36·2% (−39·3 to −33·6) from 1990 to 2016, with decreases in all SDI quintiles. Over the same period, the global age-standardised DALY rate declined by 34·2% (−37·2 to −31·5), also with decreases in all SDI quintiles. There were 13·7 million (12·7 to 14·7) new stroke cases in 2016. Global age-standardised incidence declined by 8·1% (−10·7 to −5·5) from 1990 to 2016 and decreased in all SDI quintiles except the middle SDI group. There were 80·1 million (74·1 to 86·3) prevalent cases of stroke globally in 2016; 41·1 million (38·0 to 44·3) in women and 39·0 million (36·1 to 42·1) in men. Interpretation Although age-standardised mortality rates have decreased sharply from 1990 to 2016, the decrease in age-standardised incidence has been less steep, indicating that the burden of stroke is likely to remain high. Planned updates to future GBD iterations include generating separate estimates for subarachnoid haemorrhage and intracerebral haemorrhage, generating estimates of transient ischaemic attack, and including atrial fibrillation as a risk factor.
Issue Date: 1-May-2019
Date of Acceptance: 1-Mar-2019
URI: http://hdl.handle.net/10044/1/69210
DOI: https://doi.org/10.1016/S1474-4422(19)30034-1
ISSN: 1474-4422
Publisher: Elsevier
Start Page: 439
End Page: 458
Journal / Book Title: Lancet Neurology
Volume: 18
Issue: 5
Copyright Statement: © 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license (https://creativecommons.org/licenses/by/4.0/).
Keywords: Science & Technology
Life Sciences & Biomedicine
Clinical Neurology
Neurosciences & Neurology
TRANSIENT ISCHEMIC ATTACK
PRIMARY PREVENTION
COST-EFFECTIVENESS
POPULATION
RISK
PREVALENCE
GUIDELINES
IMPACT
GBD 2016 Stroke Collaborators
Neurology & Neurosurgery
1103 Clinical Sciences
1109 Neurosciences
Publication Status: Published
Open Access location: https://www.sciencedirect.com/science/article/pii/S1474442219300341
Online Publication Date: 2019-03-11
Appears in Collections:Epidemiology, Public Health and Primary Care



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