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Burden of neurological diseases in Asia from 1990 to 2019: a systematic analysis using the Global Burden of Disease Study data

OBJECTIVES: The burden of neurological disorders is increasing worldwide, including Asia. The purpose of this study was to determine the burden of neurological disorders between 1990 and 2019 in Asia using the Global Burden of Disease (GBD) Sociodemographic Index. DESIGN, SETTING, OUTCOME AND PARTIC...

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Autores principales: Kang, Seungji, Eum, Seuhyun, Chang, Yoonkyung, Koyanagi, Ai, Jacob, Louis, Smith, Lee, Shin, Jae Il, Song, Tae-Jin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9454052/
https://www.ncbi.nlm.nih.gov/pubmed/36265073
http://dx.doi.org/10.1136/bmjopen-2021-059548
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author Kang, Seungji
Eum, Seuhyun
Chang, Yoonkyung
Koyanagi, Ai
Jacob, Louis
Smith, Lee
Shin, Jae Il
Song, Tae-Jin
author_facet Kang, Seungji
Eum, Seuhyun
Chang, Yoonkyung
Koyanagi, Ai
Jacob, Louis
Smith, Lee
Shin, Jae Il
Song, Tae-Jin
author_sort Kang, Seungji
collection PubMed
description OBJECTIVES: The burden of neurological disorders is increasing worldwide, including Asia. The purpose of this study was to determine the burden of neurological disorders between 1990 and 2019 in Asia using the Global Burden of Disease (GBD) Sociodemographic Index. DESIGN, SETTING, OUTCOME AND PARTICIPANTS: The GBD Study is updated every year and the most recent version provides the burden of diseases according to age, gender and region from 1990 to 2019. The burden of neurological disorders was evaluated as incidence, prevalence, mortality, disability-adjusted life-years (DALYs), years of life lost and years lived with disability. RESULTS: In 2019, DALYs of neurological diseases were 64.4 million in South-East Asia (95% uncertainty interval (UI) 45.2 to 94.2) and 85.0 million in Western Pacific regions (95% UI 63.0 to 118.5). Stroke, migraine, Alzheimer’s disease and other dementias had the highest DALYs in the WHO South-East Asia and WHO Western Pacific regions in 2019. DALYs of stroke, Alzheimer’s disease and other dementias, Parkinson’s disease, brain and central nervous system cancer, multiple sclerosis, migraine and tension-type headache increased in both regions in 2019 compared with 1990. Infectious diseases such as tetanus, meningitis and encephalitis decreased in both regions. DALYs of idiopathic epilepsy and motor neuron disease increased in the WHO South-East Asia region and decreased in the WHO Western Pacific region. CONCLUSIONS: This study demonstrated the burden of neurological diseases in Asia. To reduce the burden of neurological diseases, strategies suitable for each country’s real healthcare needs and challenges are needed; this study can serve as the cornerstone of these strategies.
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spelling pubmed-94540522022-09-14 Burden of neurological diseases in Asia from 1990 to 2019: a systematic analysis using the Global Burden of Disease Study data Kang, Seungji Eum, Seuhyun Chang, Yoonkyung Koyanagi, Ai Jacob, Louis Smith, Lee Shin, Jae Il Song, Tae-Jin BMJ Open Epidemiology OBJECTIVES: The burden of neurological disorders is increasing worldwide, including Asia. The purpose of this study was to determine the burden of neurological disorders between 1990 and 2019 in Asia using the Global Burden of Disease (GBD) Sociodemographic Index. DESIGN, SETTING, OUTCOME AND PARTICIPANTS: The GBD Study is updated every year and the most recent version provides the burden of diseases according to age, gender and region from 1990 to 2019. The burden of neurological disorders was evaluated as incidence, prevalence, mortality, disability-adjusted life-years (DALYs), years of life lost and years lived with disability. RESULTS: In 2019, DALYs of neurological diseases were 64.4 million in South-East Asia (95% uncertainty interval (UI) 45.2 to 94.2) and 85.0 million in Western Pacific regions (95% UI 63.0 to 118.5). Stroke, migraine, Alzheimer’s disease and other dementias had the highest DALYs in the WHO South-East Asia and WHO Western Pacific regions in 2019. DALYs of stroke, Alzheimer’s disease and other dementias, Parkinson’s disease, brain and central nervous system cancer, multiple sclerosis, migraine and tension-type headache increased in both regions in 2019 compared with 1990. Infectious diseases such as tetanus, meningitis and encephalitis decreased in both regions. DALYs of idiopathic epilepsy and motor neuron disease increased in the WHO South-East Asia region and decreased in the WHO Western Pacific region. CONCLUSIONS: This study demonstrated the burden of neurological diseases in Asia. To reduce the burden of neurological diseases, strategies suitable for each country’s real healthcare needs and challenges are needed; this study can serve as the cornerstone of these strategies. BMJ Publishing Group 2022-09-07 /pmc/articles/PMC9454052/ /pubmed/36265073 http://dx.doi.org/10.1136/bmjopen-2021-059548 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Epidemiology
Kang, Seungji
Eum, Seuhyun
Chang, Yoonkyung
Koyanagi, Ai
Jacob, Louis
Smith, Lee
Shin, Jae Il
Song, Tae-Jin
Burden of neurological diseases in Asia from 1990 to 2019: a systematic analysis using the Global Burden of Disease Study data
title Burden of neurological diseases in Asia from 1990 to 2019: a systematic analysis using the Global Burden of Disease Study data
title_full Burden of neurological diseases in Asia from 1990 to 2019: a systematic analysis using the Global Burden of Disease Study data
title_fullStr Burden of neurological diseases in Asia from 1990 to 2019: a systematic analysis using the Global Burden of Disease Study data
title_full_unstemmed Burden of neurological diseases in Asia from 1990 to 2019: a systematic analysis using the Global Burden of Disease Study data
title_short Burden of neurological diseases in Asia from 1990 to 2019: a systematic analysis using the Global Burden of Disease Study data
title_sort burden of neurological diseases in asia from 1990 to 2019: a systematic analysis using the global burden of disease study data
topic Epidemiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9454052/
https://www.ncbi.nlm.nih.gov/pubmed/36265073
http://dx.doi.org/10.1136/bmjopen-2021-059548
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