Trend of Gastrointestinal and Liver Diseases in Iran: Results of the Global Burden of Disease Study, 2010

BACKGROUND The general pattern of epidemiologic transition from communicable to noncommunicable diseases is also observed for gastrointestinal and liver diseases (GILD), which constitute a heterogeneous array of causes of death and disability. We aimed to describe the trend of GILD in Iran based on...

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Autores principales: Sepanlou, Sadaf Ghajarieh, Malekzadeh, Fatemeh, Naghavi, Mohsen, Forouzanfar, Mohammad Hossein, Shahraz, Saeid, Moradi-Lakeh, Maziar, Malekzadeh, Reza, Poustchi, Hossein
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Iranian Association of Gastroerterology and Hepatology 2015
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560627/
https://www.ncbi.nlm.nih.gov/pubmed/26396715
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author Sepanlou, Sadaf Ghajarieh
Malekzadeh, Fatemeh
Naghavi, Mohsen
Forouzanfar, Mohammad Hossein
Shahraz, Saeid
Moradi-Lakeh, Maziar
Malekzadeh, Reza
Poustchi, Hossein
author_facet Sepanlou, Sadaf Ghajarieh
Malekzadeh, Fatemeh
Naghavi, Mohsen
Forouzanfar, Mohammad Hossein
Shahraz, Saeid
Moradi-Lakeh, Maziar
Malekzadeh, Reza
Poustchi, Hossein
author_sort Sepanlou, Sadaf Ghajarieh
collection PubMed
description BACKGROUND The general pattern of epidemiologic transition from communicable to noncommunicable diseases is also observed for gastrointestinal and liver diseases (GILD), which constitute a heterogeneous array of causes of death and disability. We aimed to describe the trend of GILD in Iran based on the global burden of disease (GBD2010) study from 1990 to 2010. METHODS The trend of number of deaths, disability, adjusted life years (DALYs) and their age-standardized rates caused by 5 major GILD have been reported. The change in the rankings of major causes of death and DALY has been described as well. RESULTS The age standardized rates of death and DALYs in both sexes have decreased from 1990 to 2010 for most GILD. The most prominent decreases in death rates are observed for diarrheal diseases, gastritis and duodenitis, and peptic ulcer disease. Positive trends are observed for liver cancer, pancreatic cancer, and gall bladder cancer. Diarrheal diseases have retained their 1st rank among children under 5. Among adults, decreased ranks are observed for diarrheal diseases, appendicitis, gastritis and duodenitis, gall bladder diseases, pancreatitis, and all types of cirrhosis. The trends in age standardized rates of DALYs, deaths, and YLLs are negative for almost all GILD, and especially for diarrheal diseases. However, there is no upward or downward trend in rates of years lost due to disability (YLDs) for most diseases. Total numbers of DALYs and deaths due to acute hepatitis C, stomach cancer, and liver cancers are rising. The total DALYs due to overall digestive diseases except cirrhosis and DALYs due to cirrhosis are both somehow stable. No data has been reported for GILD that are mainly diagnosed in outpatient settings, including gastroesophageal reflux disease, irritable bowel syndrome, and non-alcoholic fatty liver disease. CONCLUSION The results of GBD 2010 demonstrate that the rates of most GILD are decreasing in Iran but total DALYs are somehow stable. However, as diseases detected in outpatient settings have not been captured, the burden of GILD seems to be underestimated. Population-based studies at national level are required for accurate reports.
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spelling pubmed-45606272015-09-22 Trend of Gastrointestinal and Liver Diseases in Iran: Results of the Global Burden of Disease Study, 2010 Sepanlou, Sadaf Ghajarieh Malekzadeh, Fatemeh Naghavi, Mohsen Forouzanfar, Mohammad Hossein Shahraz, Saeid Moradi-Lakeh, Maziar Malekzadeh, Reza Poustchi, Hossein Middle East J Dig Dis Original Article BACKGROUND The general pattern of epidemiologic transition from communicable to noncommunicable diseases is also observed for gastrointestinal and liver diseases (GILD), which constitute a heterogeneous array of causes of death and disability. We aimed to describe the trend of GILD in Iran based on the global burden of disease (GBD2010) study from 1990 to 2010. METHODS The trend of number of deaths, disability, adjusted life years (DALYs) and their age-standardized rates caused by 5 major GILD have been reported. The change in the rankings of major causes of death and DALY has been described as well. RESULTS The age standardized rates of death and DALYs in both sexes have decreased from 1990 to 2010 for most GILD. The most prominent decreases in death rates are observed for diarrheal diseases, gastritis and duodenitis, and peptic ulcer disease. Positive trends are observed for liver cancer, pancreatic cancer, and gall bladder cancer. Diarrheal diseases have retained their 1st rank among children under 5. Among adults, decreased ranks are observed for diarrheal diseases, appendicitis, gastritis and duodenitis, gall bladder diseases, pancreatitis, and all types of cirrhosis. The trends in age standardized rates of DALYs, deaths, and YLLs are negative for almost all GILD, and especially for diarrheal diseases. However, there is no upward or downward trend in rates of years lost due to disability (YLDs) for most diseases. Total numbers of DALYs and deaths due to acute hepatitis C, stomach cancer, and liver cancers are rising. The total DALYs due to overall digestive diseases except cirrhosis and DALYs due to cirrhosis are both somehow stable. No data has been reported for GILD that are mainly diagnosed in outpatient settings, including gastroesophageal reflux disease, irritable bowel syndrome, and non-alcoholic fatty liver disease. CONCLUSION The results of GBD 2010 demonstrate that the rates of most GILD are decreasing in Iran but total DALYs are somehow stable. However, as diseases detected in outpatient settings have not been captured, the burden of GILD seems to be underestimated. Population-based studies at national level are required for accurate reports. Iranian Association of Gastroerterology and Hepatology 2015-07 /pmc/articles/PMC4560627/ /pubmed/26396715 Text en © 2015 by Middle East Journal of Digestive Diseases This work is published by Middle East Journal of Digestive Diseases as an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-sa/4.0/). Non-commercial uses of the work are permitted, provided the original work is properly cited.
spellingShingle Original Article
Sepanlou, Sadaf Ghajarieh
Malekzadeh, Fatemeh
Naghavi, Mohsen
Forouzanfar, Mohammad Hossein
Shahraz, Saeid
Moradi-Lakeh, Maziar
Malekzadeh, Reza
Poustchi, Hossein
Trend of Gastrointestinal and Liver Diseases in Iran: Results of the Global Burden of Disease Study, 2010
title Trend of Gastrointestinal and Liver Diseases in Iran: Results of the Global Burden of Disease Study, 2010
title_full Trend of Gastrointestinal and Liver Diseases in Iran: Results of the Global Burden of Disease Study, 2010
title_fullStr Trend of Gastrointestinal and Liver Diseases in Iran: Results of the Global Burden of Disease Study, 2010
title_full_unstemmed Trend of Gastrointestinal and Liver Diseases in Iran: Results of the Global Burden of Disease Study, 2010
title_short Trend of Gastrointestinal and Liver Diseases in Iran: Results of the Global Burden of Disease Study, 2010
title_sort trend of gastrointestinal and liver diseases in iran: results of the global burden of disease study, 2010
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4560627/
https://www.ncbi.nlm.nih.gov/pubmed/26396715
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