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The burden of selected diseases among older people in Denmark
Henrik Brønnum-Hansen1, Knud Juel, Michael Davidsen
1National Institute of Public Health, Øster Farimagsgade 5, DK 1399 K,Copenhagen K, Denmark. hbh@niph.dk
Objective:
The study evaluated the health impact of specific diseases.
Method:
Life tables and health survey data are combined to estimate expected lifetime with and without long-standing illness. We compared estimates based on observed rates of mortality and prevalence of illness with those based on hypothetical rates from which a specific disease has been eliminated.
Results:
Life expectancy would increase by 4.0 years for 65-year-olds if circulatory diseases are eliminated, and the proportion of expected lifetime without long-standing, limiting illness would increase from 59.2% to 66.5% for men and from 52.2% to 55.6% for women. Elimination of musculoskeletal diseases would not change life expectancy but would increase the proportion of expected lifetime without long-standing illness.
Conclusions:
Because of comorbidity, more years of illness are to be expected if lethal diseases are to be eliminated. Elimination of nonfatal diseases would mainly transfer years with long-standing illness to years without illness.
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