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

Johnson CO, Minh Nguyen MN, Roth GA, Nichols E, Alam T, Abate D, Abd-Allah F, Abdelalim A, Abraha HN, Abu-Rmeileh NM, Adebayo OM, et al. (2019)
LANCET NEUROLOGY 18(5): 439-458.

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Zeitschriftenaufsatz | Veröffentlicht | Englisch
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Abstract / Bemerkung
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. Copyright (C) 2019 The Author(s). Published by Elsevier Ltd.
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Zeitschriftentitel
LANCET NEUROLOGY
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18
Ausgabe
5
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439-458
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Johnson CO, Minh Nguyen MN, Roth GA, et al. Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. LANCET NEUROLOGY. 2019;18(5):439-458.
Johnson, C. O., Minh Nguyen, M. N., Roth, G. A., Nichols, E., Alam, T., Abate, D., Abd-Allah, F., et al. (2019). Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. LANCET NEUROLOGY, 18(5), 439-458. doi:10.1016/S1474-4422(19)30034-1
Johnson, C. O., Minh Nguyen, M. N., Roth, G. A., Nichols, E., Alam, T., Abate, D., Abd-Allah, F., Abdelalim, A., Abraha, H. N., Abu-Rmeileh, N. M., et al. (2019). Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. LANCET NEUROLOGY 18, 439-458.
Johnson, C.O., et al., 2019. Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. LANCET NEUROLOGY, 18(5), p 439-458.
C.O. Johnson, et al., “Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016”, LANCET NEUROLOGY, vol. 18, 2019, pp. 439-458.
Johnson, C.O., Minh Nguyen, M.N., Roth, G.A., Nichols, E., Alam, T., Abate, D., Abd-Allah, F., Abdelalim, A., Abraha, H.N., Abu-Rmeileh, N.M., Adebayo, O.M., Adeoye, A.M., Agarwal, G., Agrawal, S., Aichour, A.N., Aichour, I., Aichour, M.T.E., Alahdab, F., Ali, R., Alvis-Guzman, N., Anber, N.H., Anjomshoa, M., Arabloo, J., Arauz, A., Arnlov, J., Arora, A., Awasthi, A., Banach, M., Barboza, M.A., Barker-Collo, S.L., Barnighausen, T.W., Basu, S., Belachew, A.B., Belayneh, Y.M., Bennett, D.A., Bensenor, I.M., Bhattacharyya, K., Biadgo, B., Bijani, A., Bikbov, B., Bin Sayeed, M.S., Butt, Z.A., Cahuana-Hurtado, L., Carrero, J.J., Carvalho, F., Castaneda-Orjuela, C.A., Castro, F., Catala-Lopez, F., Chaiah, Y., Chiang, P.P.-C., Choi, J.-Y.J., Christensen, H., Chu, D.-T., Cortinovis, M., Moura Damasceno, A.A., Dandona, L., Dandona, R., Daryani, A., Davletov, K., De Courten, B., De la Cruz-Gongora, V., Degefa, M.G., Dharmaratne, S.D., Diaz, D., Dubey, M., Duken, E.E., Edessa, D., Endres, M., Faraon, E.J.A., Farzadfar, F., Fernandes, E., Fischer, F., Flor, L.S., Ganji, M., Gebre, A.K., Gebremichael, T.G., Geta, B., Gezae, K.E., Gill, P.S., Gnedovskaya, E.V., Gomez-Dantes, H., Goulart, A.C., Grosso, G., Guo, Y., Gupta, R., Haj-Mirzaian, A., Haj-Mirzaian, A., Hamidi, S., Hankey, G.J., Hassen, H.Y., Hay, S.I., Hegazy, M.I., Heidari, B., Herial, N.A., Hosseini, M.A., Hostiuc, S., Irvani, S.S.N., Islam, S.M.S., Jahanmehr, N., Javanbakht, M., Jha, R.P., Jonas, J.B., Jozwiak, J.J., Jurisson, M., Kahsay, A., Kalani, R., Kalkonde, Y., Kamil, T.A., Kanchan, T., Karch, A., Karimi, N., Karimi-Sari, H., Kasaeian, A., Kassa, T.D., Kazemeini, H., Kefale, A.T., Khader, Y.S., Khalil, I.A., Khan, E.A., Khang, Y.-H., Khubchandani, J., Kim, D., Kim, Y.J., Kisa, A., Kivimaki, M., Koyanagi, A., Krishnamurthi, R.K., Kumar, G.A., Lafranconi, A., Lewington, S., Li, S., Lo, W.D., Lopez, A.D., Lorkowski, S., Lotufo, P.A., Mackay, M.T., Majdan, M., Majdzadeh, R., Majeed, A., Malekzadeh, R., Manafi, N., Mansournia, M.A., Mehndiratta, M.M., Mehta, V., Mengistu, G., Meretoja, A., Meretoja, T.J., Miazgowski, B., Miazgowski, T., Miller, T.R., Mirrakhimov, E.M., Mohajer, B., Mohammad, Y., Mohammadoo-Khorasani, M., Mohammed, S., Mohebi, F., Mokdad, A.H., Mokhayeri, Y., Moradi, G., Morawska, L., Velasquez, I.M., Mousavi, S.M., Muhammed, O.S.S., Muruet, W., Naderi, M., Naghavi, M., Naik, G., Nascimento, B.R., Negoi, R.I., Cuong Tat Nguyen, C.T.N., Long Hoang Nguyen, L.H.N., Nirayo, Y.L., Norrving, B., Noubiap, J.J., Ofori-Asenso, R., Ogbo, F.A., Olagunju, A.T., Olagunju, T.O., Owolabi, M.O., Pandian, J.D., Patel, S., Perico, N., Piradov, M.A., Polinder, S., Postma, M.J., Poustchi, H., Prakash, V., Qorbani, M., Rafiei, A., Rahim, F., Rahimi, K., Rahimi-Movaghar, V., Rahman, M., Rahman, M.A., Reis, C., Remuzzi, G., Renzaho, A.M.N., Ricci, S., Roberts, N.L.S., Robinson, S.R., Roever, L., Roshandel, G., Sabbagh, P., Safari, H., Safari, S., Safiri, S., Sahebkar, A., Zahabi, S.S., Samy, A.M., Santalucia, P., Santos, I.S., Santos, J.V., Milicevic, M.M.S., Sartorius, B., Sawant, A.R., Schutte, A.E., Sepanlou, S.G., Shafieesabet, A., Shaikh, M.A., Shams-Beyranvand, M., Sheikh, A., Sheth, K.N., Shibuya, K., Shigematsu, M., Shin, M.-J., Shiue, I., Siabani, S., Sobaih, B.H., Sposato, L.A., Sutradhar, I., Sylaja, P.A., Szoeke, C.E.I., Ao, B.J.T., Temsah, M.-H., Temsah, O., Thrift, A.G., Tonelli, M., Topor-Madry, R., Bach Xuan Tran, B.X.T., Khanh Bao Tran, K.B.T., Truelsen, T.C., Tsadik, A.G., Ullah, I., Uthman, O.A., Vaduganathan, M., Valdez, P.R., Vasankari, T.J., Vasanthan, R., Venketasubramanian, N., Vosoughi, K., Giang Thu Vu, G.T.V., Waheed, Y., Weiderpass, E., Weldegwergs, K.G., Westerman, R., Wolfe, C.D.A., Wondafrash, D.Z., Xu, G., Yadollahpour, A., Yamada, T., Yatsuya, H., Yimer, E.M., Yonemoto, N., Yousefifard, M., Yu, C., Zaidi, Z., Zamani, M., Zarghi, A., Zhang, Y., Zodpey, S., Feigin, V.L., Vos, T., Murray, C.J.L.: Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. LANCET NEUROLOGY. 18, 439-458 (2019).
Johnson, Catherine Owens, Minh Nguyen, Minh Nguyen, Roth, Gregory A., Nichols, Emma, Alam, Tahiya, Abate, Degu, Abd-Allah, Foad, Abdelalim, Ahmed, Abraha, Haftom Niguse, Abu-Rmeileh, Niveen Me, Adebayo, Oladimeji M., Adeoye, Abiodun Moshood, Agarwal, Gina, Agrawal, Sutapa, Aichour, Amani Nidhal, Aichour, Ibtihel, Aichour, Miloud Taki Eddine, Alahdab, Fares, Ali, Raghib, Alvis-Guzman, Nelson, Anber, Nahla Hamed, Anjomshoa, Mina, Arabloo, Jalal, Arauz, Antonio, Arnlov, Johan, Arora, Amit, Awasthi, Ashish, Banach, Maciej, Barboza, Miguel A., Barker-Collo, Suzanne Lyn, Barnighausen, Till Winfried, Basu, Sanjay, Belachew, Abate Bekele, Belayneh, Yaschilal Muche, Bennett, Derrick A., Bensenor, Isabela M., Bhattacharyya, Krittika, Biadgo, Belete, Bijani, Ali, Bikbov, Boris, Bin Sayeed, Muhammad Shahdaat, Butt, Zahid A., Cahuana-Hurtado, Lucero, Carrero, Juan J., Carvalho, Felix, Castaneda-Orjuela, Carlos A., Castro, Franz, Catala-Lopez, Ferran, Chaiah, Yazan, Chiang, Peggy Pei-Chia, Choi, Jee-Young J., Christensen, Hanne, Chu, Dinh-Toi, Cortinovis, Monica, Moura Damasceno, Albertino Antonio, Dandona, Lalit, Dandona, Rakhi, Daryani, Ahmad, Davletov, Kairat, De Courten, Barbora, De la Cruz-Gongora, Vanessa, Degefa, Meaza Girma, Dharmaratne, Samath Dhamminda, Diaz, Daniel, Dubey, Manisha, Duken, Eyasu Ejeta, Edessa, Dumessa, Endres, Matthias, Faraon, Emerito Jose A., Farzadfar, Farshad, Fernandes, Eduarda, Fischer, Florian, Flor, Luisa Sorio, Ganji, Morsaleh, Gebre, Abadi Kahsu, Gebremichael, Teklu Gebrehiwo, Geta, Birhanu, Gezae, Kebede Embaye, Gill, Paramjit Singh, Gnedovskaya, Elena V., Gomez-Dantes, Hector, Goulart, Alessandra C., Grosso, Giuseppe, Guo, Yuming, Gupta, Rajeev, Haj-Mirzaian, Arvin, Haj-Mirzaian, Arya, Hamidi, Samer, Hankey, Graeme J., Hassen, Hamid Yimam, Hay, Simon I., Hegazy, Mohamed I., Heidari, Behnam, Herial, Nabeel A., Hosseini, Mohammad Ali, Hostiuc, Sorin, Irvani, Seyed Sina Naghibi, Islam, Sheikh Mohammed Shariful, Jahanmehr, Nader, Javanbakht, Mehdi, Jha, Ravi Prakash, Jonas, Jost B., Jozwiak, Jacek Jerzy, Jurisson, Mikk, Kahsay, Amaha, Kalani, Rizwan, Kalkonde, Yogeshwar, Kamil, Teshome Abegaz, Kanchan, Tanuj, Karch, Andre, Karimi, Narges, Karimi-Sari, Hamidreza, Kasaeian, Amir, Kassa, Tesfaye Dessale, Kazemeini, Hossein, Kefale, Adane Teshome, Khader, Yousef Saleh, Khalil, Ibrahim A., Khan, Ejaz Ahmad, Khang, Young-Ho, Khubchandani, Jagdish, Kim, Daniel, Kim, Yun Jin, Kisa, Adnan, Kivimaki, Mika, Koyanagi, Ai, Krishnamurthi, Rita K., Kumar, G. Anil, Lafranconi, Alessandra, Lewington, Sarah, Li, Shanshan, Lo, Warren David, Lopez, Alan D., Lorkowski, Stefan, Lotufo, Paulo A., Mackay, Mark T., Majdan, Marek, Majdzadeh, Reza, Majeed, Azeem, Malekzadeh, Reza, Manafi, Navid, Mansournia, Mohammad Ali, Mehndiratta, Man Mohan, Mehta, Varshil, Mengistu, Getnet, Meretoja, Atte, Meretoja, Tuomo J., Miazgowski, Bartosz, Miazgowski, Tomasz, Miller, Ted R., Mirrakhimov, Erkin M., Mohajer, Bahram, Mohammad, Yousef, Mohammadoo-Khorasani, Milad, Mohammed, Shafiu, Mohebi, Farnam, Mokdad, Ali H., Mokhayeri, Yaser, Moradi, Ghobad, Morawska, Lidia, Velasquez, Ilais Moreno, Mousavi, Seyyed Meysam, Muhammed, Oumer Sada S., Muruet, Walter, Naderi, Mehdi, Naghavi, Mohsen, Naik, Gurudatta, Nascimento, Bruno Ramos, Negoi, Ruxandra Irina, Cuong Tat Nguyen, Cuong Tat Nguyen, Long Hoang Nguyen, Long Hoang Nguyen, Nirayo, Yirga Legesse, Norrving, Bo, Noubiap, Jean Jacques, Ofori-Asenso, Richard, Ogbo, Felix Akpojene, Olagunju, Andrew T., Olagunju, Tinuke O., Owolabi, Mayowa Ojo, Pandian, Jeyaraj Durai, Patel, Shanti, Perico, Norberto, Piradov, Michael A., Polinder, Suzanne, Postma, Maarten J., Poustchi, Hossein, Prakash, V., Qorbani, Mostafa, Rafiei, Alireza, Rahim, Fakher, Rahimi, Kazem, Rahimi-Movaghar, Vafa, Rahman, Mahfuzar, Rahman, Muhammad Aziz, Reis, Cesar, Remuzzi, Giuseppe, Renzaho, Andre M. N., Ricci, Stefano, Roberts, Nicholas L. S., Robinson, Stephen R., Roever, Leonardo, Roshandel, Gholamreza, Sabbagh, Parisa, Safari, Hosein, Safari, Saeed, Safiri, Saeid, Sahebkar, Amirhossein, Zahabi, Saleh Salehi, Samy, Abdallah M., Santalucia, Paola, Santos, Itamar S., Santos, Joao Vasco, Milicevic, Milena M. Santric, Sartorius, Benn, Sawant, Arundhati R., Schutte, Aletta Elisabeth, Sepanlou, Sadaf G., Shafieesabet, Azadeh, Shaikh, Masood Ali, Shams-Beyranvand, Mehran, Sheikh, Aziz, Sheth, Kevin N., Shibuya, Kenji, Shigematsu, Mika, Shin, Min-Jeong, Shiue, Ivy, Siabani, Soraya, Sobaih, Badr Hasan, Sposato, Luciano A., Sutradhar, Ipsita, Sylaja, P. A., Szoeke, Cassandra E. I., Ao, Braden James Te, Temsah, Mohamad-Hani, Temsah, Omar, Thrift, Amanda G., Tonelli, Marcello, Topor-Madry, Roman, Bach Xuan Tran, Bach Xuan Tran, Khanh Bao Tran, Khanh Bao Tran, Truelsen, Thomas Clement, Tsadik, Afewerki Gebremeskel, Ullah, Irfan, Uthman, Olalekan A., Vaduganathan, Muthiah, Valdez, Pascual R., Vasankari, Tommi Juhani, Vasanthan, Rajagopalan, Venketasubramanian, Narayanaswamy, Vosoughi, Kia, Giang Thu Vu, Giang Thu Vu, Waheed, Yasir, Weiderpass, Elisabete, Weldegwergs, Kidu Gidey, Westerman, Ronny, Wolfe, Charles D. A., Wondafrash, Dawit Zewdu, Xu, Gelin, Yadollahpour, Ali, Yamada, Tomohide, Yatsuya, Hiroshi, Yimer, Ebrahim M., Yonemoto, Naohiro, Yousefifard, Mahmoud, Yu, Chuanhua, Zaidi, Zoubida, Zamani, Mohammad, Zarghi, Afshin, Zhang, Yunquan, Zodpey, Sanjay, Feigin, Valery L., Vos, Theo, and Murray, Christopher J. L. “Global, regional, and national burden of stroke, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016”. LANCET NEUROLOGY 18.5 (2019): 439-458.

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