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Published on: February 27, 2018
Years of life lost due to Huntington disease
Insights
Genetic diseases significantly reduce lifespan. This study reformulates the calculation of years of life lost to include genetic conditions from birth, not just causes of death, using Huntington disease as an example.
Area of Science:
- Genetics
- Epidemiology
- Public Health
Background:
- Genetic diseases cause significant premature mortality.
- Current methods calculate years of life lost (YLL) based solely on causes of death.
- Genetic conditions represent a lifelong risk, impacting health from birth.
Purpose of the Study:
- To reformulate the concept of YLL for genetic diseases.
- To extend YLL calculation to genetic conditions with delayed onset.
- To demonstrate the application of the reformulated YLL concept using Huntington disease (HD).
Main Methods:
- Review and critique of conventional YLL calculation methods.
- Development of a reformulated YLL framework for genetic conditions.
- Application of the framework to Huntington disease as a case study.
Main Results:
- Conventional YLL calculation is insufficient for genetic diseases.
- A reformulated YLL approach accounts for lifelong risk associated with genetic conditions.
- The proposed method provides a more accurate measure of disease burden for conditions like HD.
Conclusions:
- The concept of YLL requires adaptation for genetic diseases, especially those with delayed onset.
- Reformulating YLL to consider the condition from birth onwards offers a more comprehensive understanding of disease impact.
- This approach enhances the assessment of public health burdens posed by genetic disorders.
Abstract:
Many genetic diseases shorten the lives of people who have them. Hence, it makes sense to speak of years of life lost due to cystic fibrosis or sickle-cell anemia or numerous other genetic disorders. In conventional practice, years of life lost is calculated for causes of death only, but a genetic disease is better understood as a risk-altering state or condition: it acts not at the time of death only but from birth onwards. Therefore, we must reformulate the concept of years of life lost before applying it to genetic conditions. This has already been done for congenital genetic diseases. This paper extends the reformulation to diseases with delayed onset. Huntington disease (HD) is used as an example.
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