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Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010

Summary Background Although stroke is the second leading cause of death worldwide, no comprehensive and comparable assessment of incidence, prevalence, mortality, disability, and epidemiological trends has been estimated for most regions. We used data from the Global Burden of Diseases, Injuries, an... Full description

Journal Title: The Lancet (British edition) 2014, Vol.383 (9913), p.245-255
Main Author: Feigin, Valery L, Prof
Other Authors: Forouzanfar, Mohammad H, Prof , Krishnamurthi, Rita, PhD , Mensah, George A, MD , Connor, Myles, MBBCh , Bennett, Derrick A, PhD , Moran, Andrew E, Prof , Sacco, Ralph L, Prof , Anderson, Laurie, Prof , Truelsen, Thomas, MD , O'Donnell, Martin, Prof , Venketasubramanian, Narayanaswamy, MBBS , Barker-Collo, Suzanne, Prof , Lawes, Carlene M M, MBChB , Wang, Wenzhi, Prof , Shinohara, Yukito, MD , Witt, Emma, MSc , Ezzati, Majid, Prof , Naghavi, Mohsen, Prof , Murray, Christopher, Prof
Format: Electronic Article Electronic Article
Language: English
Subjects:
Age Factors
Article
Biological and medical sciences
Cost of Illness
Developed Countries
Developing Countries
Distribution
Drug therapy
Fatalities
General aspects
Global Health - statistics & numerical data
Humans
Internal Medicine
Medical geography
Medical research
Medical sciences
Medicine, Experimental
Miscellaneous
Mortality
Mortality - trends
Neurology
Public health. Hygiene
Public health. Hygiene-occupational medicine
Quality-Adjusted Life Years
Stroke
Stroke (Disease)
Stroke - epidemiology
Vascular diseases and vascular malformations of the nervous system
Quelle: Alma/SFX Local Collection
Publisher: Kidlington: Elsevier Ltd
ID: ISSN: 0140-6736
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title: Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010
format: Article
creator:
  • Feigin, Valery L, Prof
  • Forouzanfar, Mohammad H, Prof
  • Krishnamurthi, Rita, PhD
  • Mensah, George A, MD
  • Connor, Myles, MBBCh
  • Bennett, Derrick A, PhD
  • Moran, Andrew E, Prof
  • Sacco, Ralph L, Prof
  • Anderson, Laurie, Prof
  • Truelsen, Thomas, MD
  • O'Donnell, Martin, Prof
  • Venketasubramanian, Narayanaswamy, MBBS
  • Barker-Collo, Suzanne, Prof
  • Lawes, Carlene M M, MBChB
  • Wang, Wenzhi, Prof
  • Shinohara, Yukito, MD
  • Witt, Emma, MSc
  • Ezzati, Majid, Prof
  • Naghavi, Mohsen, Prof
  • Murray, Christopher, Prof
subjects:
  • Age Factors
  • Article
  • Biological and medical sciences
  • Cost of Illness
  • Developed Countries
  • Developing Countries
  • Distribution
  • Drug therapy
  • Fatalities
  • General aspects
  • Global Health - statistics & numerical data
  • Humans
  • Internal Medicine
  • Medical geography
  • Medical research
  • Medical sciences
  • Medicine, Experimental
  • Miscellaneous
  • Mortality
  • Mortality - trends
  • Neurology
  • Public health. Hygiene
  • Public health. Hygiene-occupational medicine
  • Quality-Adjusted Life Years
  • Stroke
  • Stroke (Disease)
  • Stroke - epidemiology
  • Vascular diseases and vascular malformations of the nervous system
ispartof: The Lancet (British edition), 2014, Vol.383 (9913), p.245-255
description: Summary Background Although stroke is the second leading cause of death worldwide, no comprehensive and comparable assessment of incidence, prevalence, mortality, disability, and epidemiological trends has been estimated for most regions. We used data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) to estimate the global and regional burden of stroke during 1990–2010. Methods We searched Medline, Embase, LILACS, Scopus, PubMed, Science Direct, Global Health Database, the WHO library, and WHO regional databases from 1990 to 2012 to identify relevant studies published between 1990 and 2010. We applied the GBD 2010 analytical technique (DisMod-MR), based on disease-specific, pre-specified associations between incidence, prevalence, and mortality, to calculate regional and country-specific estimates of stroke incidence, prevalence, mortality, and disability-adjusted life-years (DALYs) lost by age group (
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0140-6736
fulltext: fulltext
issn:
  • 0140-6736
  • 1474-547X
url: Link


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titleGlobal and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010
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creatorFeigin, Valery L, Prof ; Forouzanfar, Mohammad H, Prof ; Krishnamurthi, Rita, PhD ; Mensah, George A, MD ; Connor, Myles, MBBCh ; Bennett, Derrick A, PhD ; Moran, Andrew E, Prof ; Sacco, Ralph L, Prof ; Anderson, Laurie, Prof ; Truelsen, Thomas, MD ; O'Donnell, Martin, Prof ; Venketasubramanian, Narayanaswamy, MBBS ; Barker-Collo, Suzanne, Prof ; Lawes, Carlene M M, MBChB ; Wang, Wenzhi, Prof ; Shinohara, Yukito, MD ; Witt, Emma, MSc ; Ezzati, Majid, Prof ; Naghavi, Mohsen, Prof ; Murray, Christopher, Prof
creatorcontribFeigin, Valery L, Prof ; Forouzanfar, Mohammad H, Prof ; Krishnamurthi, Rita, PhD ; Mensah, George A, MD ; Connor, Myles, MBBCh ; Bennett, Derrick A, PhD ; Moran, Andrew E, Prof ; Sacco, Ralph L, Prof ; Anderson, Laurie, Prof ; Truelsen, Thomas, MD ; O'Donnell, Martin, Prof ; Venketasubramanian, Narayanaswamy, MBBS ; Barker-Collo, Suzanne, Prof ; Lawes, Carlene M M, MBChB ; Wang, Wenzhi, Prof ; Shinohara, Yukito, MD ; Witt, Emma, MSc ; Ezzati, Majid, Prof ; Naghavi, Mohsen, Prof ; Murray, Christopher, Prof ; on behalf of the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and the GBD Stroke Experts Group ; Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and the GBD Stroke Experts Group
descriptionSummary Background Although stroke is the second leading cause of death worldwide, no comprehensive and comparable assessment of incidence, prevalence, mortality, disability, and epidemiological trends has been estimated for most regions. We used data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) to estimate the global and regional burden of stroke during 1990–2010. Methods We searched Medline, Embase, LILACS, Scopus, PubMed, Science Direct, Global Health Database, the WHO library, and WHO regional databases from 1990 to 2012 to identify relevant studies published between 1990 and 2010. We applied the GBD 2010 analytical technique (DisMod-MR), based on disease-specific, pre-specified associations between incidence, prevalence, and mortality, to calculate regional and country-specific estimates of stroke incidence, prevalence, mortality, and disability-adjusted life-years (DALYs) lost by age group (<75 years, ≥75 years, and in total) and country income level (high-income, and low-income and middle-income) for 1990, 2005, and 2010. Findings We included 119 studies (58 from high-income countries and 61 from low-income and middle-income countries). From 1990 to 2010, the age-standardised incidence of stroke significantly decreased by 12% (95% CI 6–17) in high-income countries, and increased by 12% (–3 to 22) in low-income and middle-income countries, albeit non-significantly. Mortality rates decreased significantly in both high income (37%, 31–41) and low-income and middle-income countries (20%, 15–30). In 2010, the absolute numbers of people with first stroke (16·9 million), stroke survivors (33 million), stroke-related deaths (5·9 million), and DALYs lost (102 million) were high and had significantly increased since 1990 (68%, 84%, 26%, and 12% increase, respectively), with most of the burden (68·6% incident strokes, 52·2% prevalent strokes, 70·9% stroke deaths, and 77·7% DALYs lost) in low-income and middle-income countries. In 2010, 5·2 million (31%) strokes were in children (aged <20 years old) and young and middle-aged adults (20–64 years), to which children and young and middle-aged adults from low-income and middle-income countries contributed almost 74 000 (89%) and 4·0 million (78%), respectively, of the burden. Additionally, we noted significant geographical differences of between three and ten times in stroke burden between GBD regions and countries. More than 62% of new strokes, 69·8% of prevalent strokes, 45·5% of deaths from stroke, and 71·7% of DALYs lost because of stroke were in people younger than 75 years. Interpretation Although age-standardised rates of stroke mortality have decreased worldwide in the past two decades, the absolute number of people who have a stroke every year, stroke survivors, related deaths, and the overall global burden of stroke (DALYs lost) are great and increasing. Further study is needed to improve understanding of stroke determinants and burden worldwide, and to establish causes of disparities and changes in trends in stroke burden between countries of different income levels. Funding Bill & Melinda Gates Foundation.
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1EISSN: 1474-547X
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3PMID: 24449944
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languageeng
publisherKidlington: Elsevier Ltd
subjectAge Factors ; Article ; Biological and medical sciences ; Cost of Illness ; Developed Countries ; Developing Countries ; Distribution ; Drug therapy ; Fatalities ; General aspects ; Global Health - statistics & numerical data ; Humans ; Internal Medicine ; Medical geography ; Medical research ; Medical sciences ; Medicine, Experimental ; Miscellaneous ; Mortality ; Mortality - trends ; Neurology ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality-Adjusted Life Years ; Stroke ; Stroke (Disease) ; Stroke - epidemiology ; Vascular diseases and vascular malformations of the nervous system
ispartofThe Lancet (British edition), 2014, Vol.383 (9913), p.245-255
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0Feigin, Valery L, Prof
1Forouzanfar, Mohammad H, Prof
2Krishnamurthi, Rita, PhD
3Mensah, George A, MD
4Connor, Myles, MBBCh
5Bennett, Derrick A, PhD
6Moran, Andrew E, Prof
7Sacco, Ralph L, Prof
8Anderson, Laurie, Prof
9Truelsen, Thomas, MD
10O'Donnell, Martin, Prof
11Venketasubramanian, Narayanaswamy, MBBS
12Barker-Collo, Suzanne, Prof
13Lawes, Carlene M M, MBChB
14Wang, Wenzhi, Prof
15Shinohara, Yukito, MD
16Witt, Emma, MSc
17Ezzati, Majid, Prof
18Naghavi, Mohsen, Prof
19Murray, Christopher, Prof
20on behalf of the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and the GBD Stroke Experts Group
21Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and the GBD Stroke Experts Group
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0Global and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010
1The Lancet (British edition)
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descriptionSummary Background Although stroke is the second leading cause of death worldwide, no comprehensive and comparable assessment of incidence, prevalence, mortality, disability, and epidemiological trends has been estimated for most regions. We used data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) to estimate the global and regional burden of stroke during 1990–2010. Methods We searched Medline, Embase, LILACS, Scopus, PubMed, Science Direct, Global Health Database, the WHO library, and WHO regional databases from 1990 to 2012 to identify relevant studies published between 1990 and 2010. We applied the GBD 2010 analytical technique (DisMod-MR), based on disease-specific, pre-specified associations between incidence, prevalence, and mortality, to calculate regional and country-specific estimates of stroke incidence, prevalence, mortality, and disability-adjusted life-years (DALYs) lost by age group (<75 years, ≥75 years, and in total) and country income level (high-income, and low-income and middle-income) for 1990, 2005, and 2010. Findings We included 119 studies (58 from high-income countries and 61 from low-income and middle-income countries). From 1990 to 2010, the age-standardised incidence of stroke significantly decreased by 12% (95% CI 6–17) in high-income countries, and increased by 12% (–3 to 22) in low-income and middle-income countries, albeit non-significantly. Mortality rates decreased significantly in both high income (37%, 31–41) and low-income and middle-income countries (20%, 15–30). In 2010, the absolute numbers of people with first stroke (16·9 million), stroke survivors (33 million), stroke-related deaths (5·9 million), and DALYs lost (102 million) were high and had significantly increased since 1990 (68%, 84%, 26%, and 12% increase, respectively), with most of the burden (68·6% incident strokes, 52·2% prevalent strokes, 70·9% stroke deaths, and 77·7% DALYs lost) in low-income and middle-income countries. In 2010, 5·2 million (31%) strokes were in children (aged <20 years old) and young and middle-aged adults (20–64 years), to which children and young and middle-aged adults from low-income and middle-income countries contributed almost 74 000 (89%) and 4·0 million (78%), respectively, of the burden. Additionally, we noted significant geographical differences of between three and ten times in stroke burden between GBD regions and countries. More than 62% of new strokes, 69·8% of prevalent strokes, 45·5% of deaths from stroke, and 71·7% of DALYs lost because of stroke were in people younger than 75 years. Interpretation Although age-standardised rates of stroke mortality have decreased worldwide in the past two decades, the absolute number of people who have a stroke every year, stroke survivors, related deaths, and the overall global burden of stroke (DALYs lost) are great and increasing. Further study is needed to improve understanding of stroke determinants and burden worldwide, and to establish causes of disparities and changes in trends in stroke burden between countries of different income levels. Funding Bill & Melinda Gates Foundation.
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0Age Factors
1Article
2Biological and medical sciences
3Cost of Illness
4Developed Countries
5Developing Countries
6Distribution
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8Fatalities
9General aspects
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12Internal Medicine
13Medical geography
14Medical research
15Medical sciences
16Medicine, Experimental
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19Mortality - trends
20Neurology
21Public health. Hygiene
22Public health. Hygiene-occupational medicine
23Quality-Adjusted Life Years
24Stroke
25Stroke (Disease)
26Stroke - epidemiology
27Vascular diseases and vascular malformations of the nervous system
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6Moran, Andrew E, Prof
7Sacco, Ralph L, Prof
8Anderson, Laurie, Prof
9Truelsen, Thomas, MD
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11Venketasubramanian, Narayanaswamy, MBBS
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13Lawes, Carlene M M, MBChB
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titleGlobal and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010
authorFeigin, Valery L, Prof ; Forouzanfar, Mohammad H, Prof ; Krishnamurthi, Rita, PhD ; Mensah, George A, MD ; Connor, Myles, MBBCh ; Bennett, Derrick A, PhD ; Moran, Andrew E, Prof ; Sacco, Ralph L, Prof ; Anderson, Laurie, Prof ; Truelsen, Thomas, MD ; O'Donnell, Martin, Prof ; Venketasubramanian, Narayanaswamy, MBBS ; Barker-Collo, Suzanne, Prof ; Lawes, Carlene M M, MBChB ; Wang, Wenzhi, Prof ; Shinohara, Yukito, MD ; Witt, Emma, MSc ; Ezzati, Majid, Prof ; Naghavi, Mohsen, Prof ; Murray, Christopher, Prof
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2Biological and medical sciences
3Cost of Illness
4Developed Countries
5Developing Countries
6Distribution
7Drug therapy
8Fatalities
9General aspects
10Global Health - statistics & numerical data
11Humans
12Internal Medicine
13Medical geography
14Medical research
15Medical sciences
16Medicine, Experimental
17Miscellaneous
18Mortality
19Mortality - trends
20Neurology
21Public health. Hygiene
22Public health. Hygiene-occupational medicine
23Quality-Adjusted Life Years
24Stroke
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26Stroke - epidemiology
27Vascular diseases and vascular malformations of the nervous system
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11Venketasubramanian, Narayanaswamy, MBBS
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18Naghavi, Mohsen, Prof
19Murray, Christopher, Prof
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0Feigin, Valery L, Prof
1Forouzanfar, Mohammad H, Prof
2Krishnamurthi, Rita, PhD
3Mensah, George A, MD
4Connor, Myles, MBBCh
5Bennett, Derrick A, PhD
6Moran, Andrew E, Prof
7Sacco, Ralph L, Prof
8Anderson, Laurie, Prof
9Truelsen, Thomas, MD
10O'Donnell, Martin, Prof
11Venketasubramanian, Narayanaswamy, MBBS
12Barker-Collo, Suzanne, Prof
13Lawes, Carlene M M, MBChB
14Wang, Wenzhi, Prof
15Shinohara, Yukito, MD
16Witt, Emma, MSc
17Ezzati, Majid, Prof
18Naghavi, Mohsen, Prof
19Murray, Christopher, Prof
aucorp
0on behalf of the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and the GBD Stroke Experts Group
1Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) and the GBD Stroke Experts Group
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ristypeJOUR
atitleGlobal and regional burden of stroke during 1990–2010: findings from the Global Burden of Disease Study 2010
jtitleThe Lancet (British edition)
addtitleLancet
date2014
risdate2014
volume383
issue9913
spage245
epage255
pages245-255
issn0140-6736
eissn1474-547X
codenLANCAO
notesMembers of the GBD Stroke Expert Group listed at end of paper
abstractSummary Background Although stroke is the second leading cause of death worldwide, no comprehensive and comparable assessment of incidence, prevalence, mortality, disability, and epidemiological trends has been estimated for most regions. We used data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2010 (GBD 2010) to estimate the global and regional burden of stroke during 1990–2010. Methods We searched Medline, Embase, LILACS, Scopus, PubMed, Science Direct, Global Health Database, the WHO library, and WHO regional databases from 1990 to 2012 to identify relevant studies published between 1990 and 2010. We applied the GBD 2010 analytical technique (DisMod-MR), based on disease-specific, pre-specified associations between incidence, prevalence, and mortality, to calculate regional and country-specific estimates of stroke incidence, prevalence, mortality, and disability-adjusted life-years (DALYs) lost by age group (<75 years, ≥75 years, and in total) and country income level (high-income, and low-income and middle-income) for 1990, 2005, and 2010. Findings We included 119 studies (58 from high-income countries and 61 from low-income and middle-income countries). From 1990 to 2010, the age-standardised incidence of stroke significantly decreased by 12% (95% CI 6–17) in high-income countries, and increased by 12% (–3 to 22) in low-income and middle-income countries, albeit non-significantly. Mortality rates decreased significantly in both high income (37%, 31–41) and low-income and middle-income countries (20%, 15–30). In 2010, the absolute numbers of people with first stroke (16·9 million), stroke survivors (33 million), stroke-related deaths (5·9 million), and DALYs lost (102 million) were high and had significantly increased since 1990 (68%, 84%, 26%, and 12% increase, respectively), with most of the burden (68·6% incident strokes, 52·2% prevalent strokes, 70·9% stroke deaths, and 77·7% DALYs lost) in low-income and middle-income countries. In 2010, 5·2 million (31%) strokes were in children (aged <20 years old) and young and middle-aged adults (20–64 years), to which children and young and middle-aged adults from low-income and middle-income countries contributed almost 74 000 (89%) and 4·0 million (78%), respectively, of the burden. Additionally, we noted significant geographical differences of between three and ten times in stroke burden between GBD regions and countries. More than 62% of new strokes, 69·8% of prevalent strokes, 45·5% of deaths from stroke, and 71·7% of DALYs lost because of stroke were in people younger than 75 years. Interpretation Although age-standardised rates of stroke mortality have decreased worldwide in the past two decades, the absolute number of people who have a stroke every year, stroke survivors, related deaths, and the overall global burden of stroke (DALYs lost) are great and increasing. Further study is needed to improve understanding of stroke determinants and burden worldwide, and to establish causes of disparities and changes in trends in stroke burden between countries of different income levels. Funding Bill & Melinda Gates Foundation.
copKidlington
pubElsevier Ltd
pmid24449944
doi10.1016/S0140-6736(13)61953-4
oafree_for_read