The burden of disease in Spain: results from the global burden of disease study 2010

Josep Maria Haro, Stefanos Tyrovolas, Noe Garin, Cesar Diaz-Torne, Loreto Carmona, Lidia Sanchez-Riera, Fernando Perez-Ruiz, Christopher J L Murray, Josep Maria Haro, Stefanos Tyrovolas, Noe Garin, Cesar Diaz-Torne, Loreto Carmona, Lidia Sanchez-Riera, Fernando Perez-Ruiz, Christopher J L Murray

Abstract

Background: We herein evaluate the Spanish population's trends in health burden by comparing results of two Global Burden of Diseases, Injuries, and Risk Factors Studies (the GBD studies) performed 20 years apart.

Methods: Data is part of the GBD study for 1990 and 2010. We present results for mortality, years of life lost (YLLs), years lived with disability, and disability-adjusted life years (DALYs) for the Spanish population. Uncertainty intervals for all measures have been estimated.

Results: Non-communicable diseases accounted for 3,703,400 (95% CI 3,648,270-3,766,720) (91.3%) of 4,057,400 total deaths, in the Spanish population. Cardiovascular and circulatory diseases were the main cause of mortality among non-communicable diseases (34.7% of total deaths), followed by neoplasms (27.1% of total deaths). Neoplasms, cardiovascular and circulatory diseases, and chronic respiratory diseases were the top three leading causes for YLLs. The most important causes of DALYs in 2010 were neoplasms, cardiovascular and circulatory diseases, musculoskeletal disorders, and mental and behavioral disorders.

Conclusions: Mortality and disability in Spain have become even more linked to non-communicable diseases over the last years, following the worldwide trends. Cardiovascular and circulatory diseases, neoplasms, mental and behavioral disorders, and neurological disorders are the leading causes of mortality and disability. Specific focus is needed from health care providers and policy makers to develop health promotion and health education programs directed towards non-communicable disorders.

Figures

Figure 1
Figure 1
Spanish deaths in 2010 for males (204,990 total deaths) and females (200,750 total deaths) at all ages.
Figure 2
Figure 2
Spanish years of life lost (YLLs) ranks for the top 20 main causes in 1990 and 2010, and the percentage change between 1990 and 2010. Solid line for increase or equal position. Continuous line represents an ascending order in rank and the broken line represents a descending order. (Δ%) = % of change in absolute numbers of DALYs.
Figure 3
Figure 3
Spanish disability-adjusted life years (DALYs) ranks for the top 20 main causes in 1990 and 2010, and the percentage change between 1990 and 2010. Continuous line represents an ascending order in rank and the broken line represents a descending order. (Δ%) = % of change in absolute numbers of DALYs.
Figure 4
Figure 4
DALYs in Spain by cause and age in 2010. Adopted and modified from GBD data visualizations.
Figure 5
Figure 5
Age-standardized YLDs ranking relative to comparator European countries by the top 20 causes in (A) 1990 and (B) 2010. Numbers in cells indicate the ranks by country for each cause, with 1 being the disorder with the highest impact. The presented causes are ordered by the 20 leading causes of YLDs in Spain. YLDs, Years lived with disability; COPD, Chronic obstructive pulmonary disease. Adopted and modified from GBD data visualizations.

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Source: PubMed

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