Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016
Catherine Owens Johnson
,
Gregory A. Roth
,
Emma Nichols
,
Tahiya Alam
,
Degu Abate
,
Foad Abd Allah
,
Ahmed Abdelalim
,
Haftom Niguse Abraha
,
Niveen Me Abu Rmeileh
,
Oladimeji M. Adebayo
,
Abiodun Moshood Adeoye
,
Gina Agarwal
,
Sutapa Agrawal
,
Amani Nidhal Aichour
,
Ibtihel Aichour
,
Miloud Taki Eddine Aichour
,
Fares Alahdab
,
Raghib Ali
,
Nelson Alvis-Guzman
,
Nahla Hamed Anber
,
Mina Anjomshoa
,
Jalal Arabloo
,
Antonio Arauz
,
Johan Ärnlöv
,
AMIT ARORA
,
Ashish Awasthi
,
Maciej Banach
,
Miguel A Barboza
,
Suzanne Lyn Barker Collo
,
Till Winfried Bärnighausen
,
Sanjay Basu
,
Abate Bekele Belachew
,
Yaschilal Muche Belayneh
,
Derrick A. Bennett
,
Isabela M. Bensenor
,
Krittika Bhattacharyya
,
Belete Biadgo
,
Ali Bijani
,
Boris Bikbov
,
Muhammad Shahdaat Bin Sayeed
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Zahid A. Butt
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Lucero Cahuana Hurtado
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Juan J. Carrero
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Felix Carvalho
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Carlos A Castañeda Orjuela
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Franz Castro
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Peggy Pei-Chia Chiang
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Jee Young J Choi
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Hanne Christensen
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Ahmad Daryani
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Kairat Davletov
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Barbora de Courten
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Vanessa De La Cruz Góngora
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Meaza Girma Degefa
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Samath Dhamminda Dharmaratne
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Daniel Díaz
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Manisha Dubey
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Eyasu Ejeta Duken
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Dumessa Edessa
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Matthias Endres
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Emerito Jose A Faraon
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Farshad Farzadfar
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Eduarda Fernandes
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Florian Fischer
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Luisa Sorio Flor
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Morsaleh Ganji
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Abadi Kahsu Gebre
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Teklu Gebrehiwo Gebremichael
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Birhanu Geta
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Elena V Gnedovskaya
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Hector Gomez–Dantes
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richard ofori asenso
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Norberto Perico
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Mostafa Qorbani
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Stefano Ricci
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Nicholas L S Roberts
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Chuanhua Yu
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Mohammad Zamani
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Afshin Zarghi
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Valery L. Feigin
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Theo Vos
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Christopher J. L. Murray
Publication type: Journal Article
Publication date: 2019-05-01
scimago Q1
wos Q1
SJR: 11.729
CiteScore: 62.6
Impact factor: 45.5
ISSN: 14744422, 14744465
PubMed ID:
30871944
Neurology (clinical)
Abstract
Stroke is a leading cause of mortality and disability worldwide and the economic costs of treatment and post-stroke care are substantial. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides a systematic, comparable method of quantifying health loss by disease, age, sex, year, and location to provide information to health systems and policy makers on more than 300 causes of disease and injury, including stroke. The results presented here are the estimates of burden due to overall stroke and ischaemic and haemorrhagic stroke from GBD 2016.We report estimates and corresponding uncertainty intervals (UIs), from 1990 to 2016, for incidence, prevalence, deaths, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs). DALYs were generated by summing YLLs and YLDs. Cause-specific mortality was estimated using an ensemble modelling process with vital registration and verbal autopsy data as inputs. Non-fatal estimates were generated using Bayesian meta-regression incorporating data from registries, scientific literature, administrative records, and surveys. The Socio-demographic Index (SDI), a summary indicator generated using educational attainment, lagged distributed income, and total fertility rate, was used to group countries into quintiles.In 2016, there were 5·5 million (95% UI 5·3 to 5·7) deaths and 116·4 million (111·4 to 121·4) DALYs due to stroke. The global age-standardised mortality rate decreased by 36·2% (-39·3 to -33·6) from 1990 to 2016, with decreases in all SDI quintiles. Over the same period, the global age-standardised DALY rate declined by 34·2% (-37·2 to -31·5), also with decreases in all SDI quintiles. There were 13·7 million (12·7 to 14·7) new stroke cases in 2016. Global age-standardised incidence declined by 8·1% (-10·7 to -5·5) from 1990 to 2016 and decreased in all SDI quintiles except the middle SDI group. There were 80·1 million (74·1 to 86·3) prevalent cases of stroke globally in 2016; 41·1 million (38·0 to 44·3) in women and 39·0 million (36·1 to 42·1) in men.Although age-standardised mortality rates have decreased sharply from 1990 to 2016, the decrease in age-standardised incidence has been less steep, indicating that the burden of stroke is likely to remain high. Planned updates to future GBD iterations include generating separate estimates for subarachnoid haemorrhage and intracerebral haemorrhage, generating estimates of transient ischaemic attack, and including atrial fibrillation as a risk factor.Bill & Melinda Gates Foundation.
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Johnson C. O. et al. Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016 // The Lancet Neurology. 2019. Vol. 18. No. 5. pp. 439-458.
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Johnson C. O. et al. Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016 // The Lancet Neurology. 2019. Vol. 18. No. 5. pp. 439-458.
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@article{2019_Johnson,
author = {Catherine Owens Johnson and Minh Nguyen and Gregory A. Roth and Emma Nichols and Tahiya Alam and Degu Abate and Foad Abd Allah and Ahmed Abdelalim and Haftom Niguse Abraha and Niveen Me Abu Rmeileh and Oladimeji M. Adebayo and Abiodun Moshood Adeoye and Gina Agarwal and Sutapa Agrawal and Amani Nidhal Aichour and Ibtihel Aichour and Miloud Taki Eddine Aichour and Fares Alahdab and Raghib Ali and Nelson Alvis-Guzman and Nahla Hamed Anber and Mina Anjomshoa and Jalal Arabloo and Antonio Arauz and Johan Ärnlöv and AMIT ARORA and Ashish Awasthi and Maciej Banach and Miguel A Barboza and Suzanne Lyn Barker Collo and Till Winfried Bärnighausen and Sanjay Basu and Abate Bekele Belachew and Yaschilal Muche Belayneh and Derrick A. Bennett and Isabela M. Bensenor and Krittika Bhattacharyya and Belete Biadgo and Ali Bijani and Boris Bikbov and Muhammad Shahdaat Bin Sayeed and Zahid A. Butt and Lucero Cahuana Hurtado and Juan J. Carrero and Felix Carvalho and Carlos A Castañeda Orjuela and Franz Castro and Ferrán Catalá López and Yazan Chaiah and Peggy Pei-Chia Chiang and others},
title = {Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016},
journal = {The Lancet Neurology},
year = {2019},
volume = {18},
publisher = {Elsevier},
month = {may},
url = {https://doi.org/10.1016/S1474-4422(19)30034-1},
number = {5},
pages = {439--458},
doi = {10.1016/S1474-4422(19)30034-1}
}
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Johnson, Catherine Owens, et al. “Global, regional, and national burden of stroke, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016.” The Lancet Neurology, vol. 18, no. 5, May. 2019, pp. 439-458. https://doi.org/10.1016/S1474-4422(19)30034-1.