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Quality of care of peptic ulcer disease worldwide: A systematic analysis for the global burden of disease study 1990–2019
BACKGROUND: Peptic ulcer disease (PUD) affects four million people worldwide annually and has an estimated lifetime prevalence of 5−10% in the general population. Worldwide, there are significant heterogeneities in coping approaches of healthcare systems with PUD in prevention, diagnosis, treatment,...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9342757/ https://www.ncbi.nlm.nih.gov/pubmed/35913985 http://dx.doi.org/10.1371/journal.pone.0271284 |
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author | Abbasi-Kangevari, Mohsen Ahmadi, Naser Fattahi, Nima Rezaei, Negar Malekpour, Mohammad-Reza Ghamari, Seyyed-Hadi Moghaddam, Sahar Saeedi Azadnajafabad, Sina Esfahani, Zahra Kolahi, Ali-Asghar Roshani, Shahin Rezazadeh-Khadem, Sahba Gorgani, Fateme Naleini, Seyyed Nima Naderimagham, Shohreh Larijani, Bagher Farzadfar, Farshad |
author_facet | Abbasi-Kangevari, Mohsen Ahmadi, Naser Fattahi, Nima Rezaei, Negar Malekpour, Mohammad-Reza Ghamari, Seyyed-Hadi Moghaddam, Sahar Saeedi Azadnajafabad, Sina Esfahani, Zahra Kolahi, Ali-Asghar Roshani, Shahin Rezazadeh-Khadem, Sahba Gorgani, Fateme Naleini, Seyyed Nima Naderimagham, Shohreh Larijani, Bagher Farzadfar, Farshad |
author_sort | Abbasi-Kangevari, Mohsen |
collection | PubMed |
description | BACKGROUND: Peptic ulcer disease (PUD) affects four million people worldwide annually and has an estimated lifetime prevalence of 5−10% in the general population. Worldwide, there are significant heterogeneities in coping approaches of healthcare systems with PUD in prevention, diagnosis, treatment, and follow-up. Quantifying and benchmarking health systems’ performance is crucial yet challenging to provide a clearer picture of the potential global inequities in the quality of care. OBJECTIVE: The objective of this study was to compare the health-system quality-of-care and inequities for PUD among age groups and sexes worldwide. METHODS: Data were derived from the Global Burden of Disease Study 1990–2019. Principal-Component-Analysis was used to combine age-standardized mortality-to-incidence-ratio, disability-adjusted-life-years-to-prevalence-ratio, prevalence-to-incidence-ratio, and years-of-life-lost-to-years-lived-with-disability-into a single proxy named Quality-of-Care-Index (QCI). QCI was used to compare the quality of care among countries. QCI’s validity was investigated via correlation with the cause-specific Healthcare-Access-and-Quality-index, which was acceptable. Inequities were presented among age groups and sexes. Gender Disparity Ratio was obtained by dividing the score of women by that of men. RESULTS: Global QCI was 72.6 in 1990, which increased by 14.6% to 83.2 in 2019. High-income-Asia-pacific had the highest QCI, while Central Latin America had the lowest. QCI of high-SDI countries was 82.9 in 1990, which increased to 92.9 in 2019. The QCI of low-SDI countries was 65.0 in 1990, which increased to 76.9 in 2019. There was heterogeneity among the QCI-level of countries with the same SDI level. QCI typically decreased as people aged; however, this gap was more significant among low-SDI countries. The global Gender Disparity Ratio was close to one and ranged from 0.97 to 1.03 in 100 of 204 countries. CONCLUSION: QCI of PUD improved dramatically during 1990–2019 worldwide. There are still significant heterogeneities among countries on different and similar SDI levels. |
format | Online Article Text |
id | pubmed-9342757 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-93427572022-08-02 Quality of care of peptic ulcer disease worldwide: A systematic analysis for the global burden of disease study 1990–2019 Abbasi-Kangevari, Mohsen Ahmadi, Naser Fattahi, Nima Rezaei, Negar Malekpour, Mohammad-Reza Ghamari, Seyyed-Hadi Moghaddam, Sahar Saeedi Azadnajafabad, Sina Esfahani, Zahra Kolahi, Ali-Asghar Roshani, Shahin Rezazadeh-Khadem, Sahba Gorgani, Fateme Naleini, Seyyed Nima Naderimagham, Shohreh Larijani, Bagher Farzadfar, Farshad PLoS One Research Article BACKGROUND: Peptic ulcer disease (PUD) affects four million people worldwide annually and has an estimated lifetime prevalence of 5−10% in the general population. Worldwide, there are significant heterogeneities in coping approaches of healthcare systems with PUD in prevention, diagnosis, treatment, and follow-up. Quantifying and benchmarking health systems’ performance is crucial yet challenging to provide a clearer picture of the potential global inequities in the quality of care. OBJECTIVE: The objective of this study was to compare the health-system quality-of-care and inequities for PUD among age groups and sexes worldwide. METHODS: Data were derived from the Global Burden of Disease Study 1990–2019. Principal-Component-Analysis was used to combine age-standardized mortality-to-incidence-ratio, disability-adjusted-life-years-to-prevalence-ratio, prevalence-to-incidence-ratio, and years-of-life-lost-to-years-lived-with-disability-into a single proxy named Quality-of-Care-Index (QCI). QCI was used to compare the quality of care among countries. QCI’s validity was investigated via correlation with the cause-specific Healthcare-Access-and-Quality-index, which was acceptable. Inequities were presented among age groups and sexes. Gender Disparity Ratio was obtained by dividing the score of women by that of men. RESULTS: Global QCI was 72.6 in 1990, which increased by 14.6% to 83.2 in 2019. High-income-Asia-pacific had the highest QCI, while Central Latin America had the lowest. QCI of high-SDI countries was 82.9 in 1990, which increased to 92.9 in 2019. The QCI of low-SDI countries was 65.0 in 1990, which increased to 76.9 in 2019. There was heterogeneity among the QCI-level of countries with the same SDI level. QCI typically decreased as people aged; however, this gap was more significant among low-SDI countries. The global Gender Disparity Ratio was close to one and ranged from 0.97 to 1.03 in 100 of 204 countries. CONCLUSION: QCI of PUD improved dramatically during 1990–2019 worldwide. There are still significant heterogeneities among countries on different and similar SDI levels. Public Library of Science 2022-08-01 /pmc/articles/PMC9342757/ /pubmed/35913985 http://dx.doi.org/10.1371/journal.pone.0271284 Text en © 2022 Abbasi-Kangevari et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Abbasi-Kangevari, Mohsen Ahmadi, Naser Fattahi, Nima Rezaei, Negar Malekpour, Mohammad-Reza Ghamari, Seyyed-Hadi Moghaddam, Sahar Saeedi Azadnajafabad, Sina Esfahani, Zahra Kolahi, Ali-Asghar Roshani, Shahin Rezazadeh-Khadem, Sahba Gorgani, Fateme Naleini, Seyyed Nima Naderimagham, Shohreh Larijani, Bagher Farzadfar, Farshad Quality of care of peptic ulcer disease worldwide: A systematic analysis for the global burden of disease study 1990–2019 |
title | Quality of care of peptic ulcer disease worldwide: A systematic analysis for the global burden of disease study 1990–2019 |
title_full | Quality of care of peptic ulcer disease worldwide: A systematic analysis for the global burden of disease study 1990–2019 |
title_fullStr | Quality of care of peptic ulcer disease worldwide: A systematic analysis for the global burden of disease study 1990–2019 |
title_full_unstemmed | Quality of care of peptic ulcer disease worldwide: A systematic analysis for the global burden of disease study 1990–2019 |
title_short | Quality of care of peptic ulcer disease worldwide: A systematic analysis for the global burden of disease study 1990–2019 |
title_sort | quality of care of peptic ulcer disease worldwide: a systematic analysis for the global burden of disease study 1990–2019 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9342757/ https://www.ncbi.nlm.nih.gov/pubmed/35913985 http://dx.doi.org/10.1371/journal.pone.0271284 |
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