调查比利时2004年至2019年失去的生命年数:使用概率再分配方法进行全面分析
Brecht Devleesschauwer1,2, Aline Scohy3, Robby De Pauw3,4
1Service Health Information, Department of Epidemiology and Public Health, Sciensano, Rue Juliette Wytsman 14, Brussels, 1050, Belgium. brecht.devleesschauwer@sciensano.be.
Archives of public health = Archives belges de sante publique
|August 25, 2023
概括
这项研究引入了一种新的方法来重新分配比利时的死亡原因数据,改进了对过早死亡率和失去了生命年数 (YLL) 的评估. 这些发现使我们能够全面了解全国的死亡负担.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 生物统计学 生物统计学
背景情况:
- 准确评估过早死亡率对于公共卫生至关重要.
- 失去了生命年数 (YLL) 和根据残疾调整的生命年数 (DALYs) 是量化疾病影响的关键指标.
- 之前的方法缺乏对比利时死亡原因数据的全面重新分配.
研究的目的:
- 开发和实施一种用于重新分配比利时死亡原因数据的新方法.
- 准确计算失去了生命的标准预期年 (SEYLL) 并了解国家死亡负担.
- 为未来比利时的DALY计算提供基础.
主要方法:
- 将国际疾病分类 (ICD-10) 代码映射到全球疾病负担 (GBD) 原因列表.
- 开发了一种四步概率再分配方法,用于不确定死亡 (IDDs).
- 使用GBD 2019参考寿命表来计算SEYLL.
主要成果:
- 不确定的死亡 (IDDs) 在2004年至2019年间从31%增加到34%.
- 可能性再分配方法,特别是使用预定义的ICD代码和多种死亡原因数据,是有效的.
- 总的SEYLL每年从183万减少到173万;2019年的主要原因是肺癌,缺血性心脏病和阿尔茨海默病.
结论:
- 新的重新分配过程使得比利时死亡负担的首次全面调查成为可能.
- 根据年龄,性别,地区和死亡原因进行了广泛的SEYLL估计,用于2004-2019年.
- 这些估计对于未来的DALY计算和比利时的公共卫生干预至关重要.
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