دورية أكاديمية
The Burden of Neurological Disorders Across the States of India: The Global Burden of Disease Study 1990–2019
| العنوان: | The Burden of Neurological Disorders Across the States of India: The Global Burden of Disease Study 1990–2019 |
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| المؤلفون: | Singh, G, Sharma, M, Kumar, GA, Rao, NG, Prasad, K, Mathur, P, Pandian, JD, Steinmetz, JD, Biswas, A, Pal, PK, Prakash, S, Sylaja, PN, Nichols, E, Dua, T, Kaur, H, Alladi, S, Agarwal, V, Aggarwal, S, Ambekar, A, Bagepally, BS, Banerjee, TK, Bender, RG, Bhagwat, S, Bhargava, S, Bhatia, R, Chakma, JK, Chowdhary, N, Dey, S, Dirac, MA, Feigin, VL, Ganguli, A, Golechha, MJ, Gourie-Devi, M, Goyal, V, Gupta, G, Gupta, PC, Gupta, R, Gururaj, G, Hemalatha, R, Jeemon, P, Johnson, CO, Joshi, P, Kant, R, Kataki, AC, Khurana, D, Krishnankutty, RP, Kyu, HH, Lim, SS, Lodha, R, Ma, R, Malhotra, R, Mathai, M, Mehrotra, R, Misra, UK, Mutreja, P, Naghavi, M, Naik, N, Nguyen, M, Pandey, A, Parmar, P, Perianayagam, A, Prabhakaran, D, Rath, GK, Reinig, N, Roth, GA, Sagar, R, Sankar, MJ, Shaji, KS, Sharma, RS, Sharma, S, Singh, R, Srivastava, MVP, Stark, BA, Tandon, N, Thakur, JS, ThekkePurakkal, AS, Thomas, SV, Tripathi, M, Vongpradith, A, Wunrow, HY, Xavier, D, Shukla, DK, Reddy, KS, Panda, S, Dandona, R, Murray, CJL, Vos, T, Dhaliwal, RS, Dandona, L |
| بيانات النشر: | Elsevier BV |
| سنة النشر: | 2021 |
| المجموعة: | Auckland University of Technology: AUT Scholarly Commons |
| الوصف: | Summary Background A systematic understanding of the burden of neurological disorders at the subnational level is not readily available for India. We present a comprehensive analysis of the disease burden and trends of neurological disorders at the state level in India. Methods Using all accessible data from multiple sources, we estimated the prevalence or incidence and disabilityadjusted life-years (DALYs) for neurological disorders from 1990 to 2019 for all states of India as part of the Global Burden of Diseases, Injuries, and Risk Factors Study 2019. We assessed the contribution of each neurological disorder to deaths and DALYs in India in 2019, their trends in prevalence or incidence and DALY rates over time, and heterogeneity between the states of India. We also assessed the Pearson correlation coefficient between Sociodemographic Index (SDI) of the states and the prevalence or incidence and DALY rates of each neurological disorder. Additionally, we estimated the contribution of known risk factors to DALYs from neurological disorders. We calculated 95% uncertainty intervals (UIs) for the mean estimates. Findings The contribution of non-communicable neurological disorders to total DALYs in India doubled from 4·0% (95% UI 3·2–5·0) in 1990 to 8·2% (6·6–10·2) in 2019, and the contribution of injury-related neurological disorders increased from 0·2% (0·2–0·3) to 0·6% (0·5–0·7). Conversely, the contribution of communicable neurological disorders decreased from 4·1% (3·5–4·8) to 1·1% (0·9–1·5) during the same period. In 2019, the largest contributors to the total neurological disorder DALYs in India were stroke (37·9% [29·9–46·1]), headache disorders (17·5% [3·6–32·5]), epilepsy (11·3% [9·0–14·3]), cerebral palsy (5·7% [4·2–7·7]), and encephalitis (5·3% [3·7–8·9]). The crude DALY rate of several neurological disorders had considerable heterogeneity between the states in 2019, with the highest variation for tetanus (93·2 times), meningitis (8·3 times), and stroke (5·5 times). SDI of the states had a moderate ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 2214-109X |
| العلاقة: | https://www.thelancet.com/journals/langlo/article/PIIS2214-109XTest(21)00164-9/fulltext; The Lancet Psychiatry, 7(2), 148-161.; https://hdl.handle.net/10292/14370Test |
| DOI: | 10.1016/s2214-109x(21)00164-9 |
| الإتاحة: | https://doi.org/10.1016/s2214-109xTest(21)00164-9 https://hdl.handle.net/10292/14370Test |
| حقوق: | © 2021 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. ; OpenAccess |
| رقم الانضمام: | edsbas.B52EF4AD |
| قاعدة البيانات: | BASE |
Full Text Finder | تدمد: | 2214109X |
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| DOI: | 10.1016/s2214-109x(21)00164-9 |