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Thrombosis: a major contributor to global disease burden
G E Raskob1, P Angchaisuksiri2, A N Blanco2
1From the College of Public Health, University of Oklahoma Health Sciences Center (G.E.R., M.M., A.W.); Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand (P.A.); División Hemostasia, Academia Nacional de Medicina, Buenos Aires, Argentina (A.N.B.); Department of Vascular Medicine, Academic Medical Center, Amsterdam, The Netherlands (H.B.); SA Pathology-Department of Hematology, Flinders Medical Center, Adelaide, South Australia, Australia (A.G.); Thrombosis and Thrombophilia Centre, Guy's & St Thomas' NHS Foundation Trust, London, United Kingdom (B.J.H.); Boston University School of Medicine, MA (E.M.H.); Thrombosis Research Institute, London, United Kingdom (A.K.); Center for Thrombosis and Hemostasis, Johannes Gutenberg University, Mainz, Germany (S.V.K.); Department of Laboratory Medicine, University of Yamanashi, Tamaho, Yamanashi, Japan (Y.O.); and McMaster University and Thrombosis and Atherosclerosis Research Institute, Hamilton, Ontario, Canada (J.I.W.). Gary-Raskob@ouhsc.edu.
Venous thromboembolism (VTE) significantly impacts global health, causing substantial disability and death. Further data collection is crucial for effective prevention and health policy.
Area of Science:
- Epidemiology
- Public Health
- Vascular Medicine
Background:
- Thrombosis, including venous thromboembolism (VTE), is a primary cause of ischemic heart disease, stroke, and VTE.
- Ischemic heart disease and stroke caused 25% of global deaths in 2010.
- Data on VTE's global burden was not reported in the 2010 Global Burden of Disease study.
Purpose of the Study:
- To conduct a systematic literature review on the global disease burden attributed to VTE.
- To analyze VTE's impact across low-, middle-, and high-income countries.
Main Methods:
- Systematic literature review.
- Analysis of incidence rates and disability-adjusted life-years (DALYs) lost due to VTE.
- Inclusion of studies from diverse global regions and income levels.
Main Results:
- Consistent annual VTE incidence rates of 0.75–2.69 per 1000 population observed in Western countries, increasing to 2–7 per 1000 in individuals aged 70+.
- While Chinese and Korean populations show lower incidence, population aging contributes to a significant disease burden.
- Hospital-associated VTE is a leading cause of DALYs lost in low- and middle-income countries, and the second leading cause in high-income countries, surpassing other hospital-acquired conditions.
Conclusions:
- Venous thromboembolism represents a major global health burden across all income levels.
- Enhanced data collection on VTE's global burden is essential for informing health policies and resource allocation.
- Evaluating the impact of preventive strategies is necessary to mitigate the VTE disease burden.
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