Trends in Decubitus Ulcer Disease Burden in European Union 15+ Countries, from 1990 to 2017
Background:. Decubitus ulcers (DU) are a common pathology with significant morbidity and financial implications for health services globally. This study aimed to compare the burden of DU across European Union (EU) 15+ countries between 1990 and 2017. Methods:. Age-standardized incidence, mortality,...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer
2020-11-01
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| Series: | Plastic and Reconstructive Surgery, Global Open |
| Online Access: | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003252 |
| _version_ | 1818664102482935808 |
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| author | Richard Goodall, BSc, MBChB, MRCS Alexander Armstrong, BMBS, MSc, FRCS William Hughes, BSc, MBChB, MRCS Charles A. Fries, MB BChir, MSc, FRCS Dominic Marshall, BSc, MBBS, MRCP Eleanor B. Harbinson, MBChB Justin Salciccioli, MA, MBBS Joseph Shalhoub, MBBS, PhD, FRCS |
| author_facet | Richard Goodall, BSc, MBChB, MRCS Alexander Armstrong, BMBS, MSc, FRCS William Hughes, BSc, MBChB, MRCS Charles A. Fries, MB BChir, MSc, FRCS Dominic Marshall, BSc, MBBS, MRCP Eleanor B. Harbinson, MBChB Justin Salciccioli, MA, MBBS Joseph Shalhoub, MBBS, PhD, FRCS |
| author_sort | Richard Goodall, BSc, MBChB, MRCS |
| collection | DOAJ |
| description | Background:. Decubitus ulcers (DU) are a common pathology with significant morbidity and financial implications for health services globally. This study aimed to compare the burden of DU across European Union (EU) 15+ countries between 1990 and 2017.
Methods:. Age-standardized incidence, mortality, and disability-adjusted life-years (DALYs) rates per 100,000 were extracted from the Global Burden of Disease Study online data repository for EU15+ countries (a group of 19 countries with comparable health expenditure, including the United States, Canada, the United Kingdom, and Australia). A joinpoint regression analysis was used to describe trends.
Results:. The incidence of DU increased between 1990 and 2017 in 15 of 19 EU15+ countries for both men and women. Mortality from DU decreased over the time period analyzed in the majority of EU15+ countries: only in Denmark, Finland, and Germany were increasing mortality rates observed. Decreasing DALY rates were generally observed, with the largest decreases observed in Ireland for men and women. Denmark and Germany were the only countries to demonstrate unfavorable trends in mortality, incidence, and DALYs between 1990 and 2017 for men and women. The United States, the Netherlands, and France were the only EU15+ countries in which improving disease burden was identified between 1990 and 2017 for all parameters assessed.
Conclusions:. Incidence of DU is increasing in EU15+ countries, whereas mortality rates and DALYs are improving. The trends in disease burden in Denmark and Germany have followed contrasting and unfavorable trends. Investigation into these trends is called for. |
| first_indexed | 2024-12-17T05:27:24Z |
| format | Article |
| id | doaj.art-6cf4a0d329d743978e6b56376079ce12 |
| institution | Directory Open Access Journal |
| issn | 2169-7574 |
| language | English |
| last_indexed | 2024-12-17T05:27:24Z |
| publishDate | 2020-11-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Plastic and Reconstructive Surgery, Global Open |
| spelling | doaj.art-6cf4a0d329d743978e6b56376079ce122022-12-21T22:01:50ZengWolters KluwerPlastic and Reconstructive Surgery, Global Open2169-75742020-11-01811e325210.1097/GOX.0000000000003252202011000-00031Trends in Decubitus Ulcer Disease Burden in European Union 15+ Countries, from 1990 to 2017Richard Goodall, BSc, MBChB, MRCS0Alexander Armstrong, BMBS, MSc, FRCS1William Hughes, BSc, MBChB, MRCS2Charles A. Fries, MB BChir, MSc, FRCS3Dominic Marshall, BSc, MBBS, MRCP4Eleanor B. Harbinson, MBChB5Justin Salciccioli, MA, MBBS6Joseph Shalhoub, MBBS, PhD, FRCS7From the * Imperial College London, London, UK† Department of Plastic Surgery, Oxford University Hospitals NHS Foundation Trust, UK‡ Department of Plastic Surgery, Broomfield Hospital, UK† Department of Plastic Surgery, Oxford University Hospitals NHS Foundation Trust, UKFrom the * Imperial College London, London, UK§ Royal Berkshire Hospital, Reading, UK¶ Department of Medicine, Mount Auburn Hospital, Harvard Medical School, Cambridge, Mass.∥ Imperial College Healthcare NHS Trust, Imperial College London, London, UK.Background:. Decubitus ulcers (DU) are a common pathology with significant morbidity and financial implications for health services globally. This study aimed to compare the burden of DU across European Union (EU) 15+ countries between 1990 and 2017. Methods:. Age-standardized incidence, mortality, and disability-adjusted life-years (DALYs) rates per 100,000 were extracted from the Global Burden of Disease Study online data repository for EU15+ countries (a group of 19 countries with comparable health expenditure, including the United States, Canada, the United Kingdom, and Australia). A joinpoint regression analysis was used to describe trends. Results:. The incidence of DU increased between 1990 and 2017 in 15 of 19 EU15+ countries for both men and women. Mortality from DU decreased over the time period analyzed in the majority of EU15+ countries: only in Denmark, Finland, and Germany were increasing mortality rates observed. Decreasing DALY rates were generally observed, with the largest decreases observed in Ireland for men and women. Denmark and Germany were the only countries to demonstrate unfavorable trends in mortality, incidence, and DALYs between 1990 and 2017 for men and women. The United States, the Netherlands, and France were the only EU15+ countries in which improving disease burden was identified between 1990 and 2017 for all parameters assessed. Conclusions:. Incidence of DU is increasing in EU15+ countries, whereas mortality rates and DALYs are improving. The trends in disease burden in Denmark and Germany have followed contrasting and unfavorable trends. Investigation into these trends is called for.http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003252 |
| spellingShingle | Richard Goodall, BSc, MBChB, MRCS Alexander Armstrong, BMBS, MSc, FRCS William Hughes, BSc, MBChB, MRCS Charles A. Fries, MB BChir, MSc, FRCS Dominic Marshall, BSc, MBBS, MRCP Eleanor B. Harbinson, MBChB Justin Salciccioli, MA, MBBS Joseph Shalhoub, MBBS, PhD, FRCS Trends in Decubitus Ulcer Disease Burden in European Union 15+ Countries, from 1990 to 2017 Plastic and Reconstructive Surgery, Global Open |
| title | Trends in Decubitus Ulcer Disease Burden in European Union 15+ Countries, from 1990 to 2017 |
| title_full | Trends in Decubitus Ulcer Disease Burden in European Union 15+ Countries, from 1990 to 2017 |
| title_fullStr | Trends in Decubitus Ulcer Disease Burden in European Union 15+ Countries, from 1990 to 2017 |
| title_full_unstemmed | Trends in Decubitus Ulcer Disease Burden in European Union 15+ Countries, from 1990 to 2017 |
| title_short | Trends in Decubitus Ulcer Disease Burden in European Union 15+ Countries, from 1990 to 2017 |
| title_sort | trends in decubitus ulcer disease burden in european union 15 countries from 1990 to 2017 |
| url | http://journals.lww.com/prsgo/fulltext/10.1097/GOX.0000000000003252 |
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