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Prevalence and Attributable Health Burden of Chronic Respiratory Diseases, 1990–2017: A Systematic Analysis for the Global Burden of Disease Study 2017 Publisher Pubmed



Soriano JB1, 2, 3 ; Kendrick PJ4 ; Paulson KR4 ; Gupta V4 ; Abrams EM10, 12 ; Adedoyin RA14 ; Adhikari TB15, 16 ; Advani SM17, 18 ; Agrawal A19, 20 ; Ahmadian E21, 23 ; Alahdab F24 ; Aljunid SM25, 26 ; Altirkawi KA27 ; Alvisguzman N29, 30 Show All Authors
Authors
  1. Soriano JB1, 2, 3
  2. Kendrick PJ4
  3. Paulson KR4
  4. Gupta V4
  5. Abrams EM10, 12
  6. Adedoyin RA14
  7. Adhikari TB15, 16
  8. Advani SM17, 18
  9. Agrawal A19, 20
  10. Ahmadian E21, 23
  11. Alahdab F24
  12. Aljunid SM25, 26
  13. Altirkawi KA27
  14. Alvisguzman N29, 30
  15. Anber NH31
  16. Andrei CL32
  17. Anjomshoa M35
  18. Ansari F22, 36
  19. Anto JM37, 38
  20. Arabloo J39
  21. Athari SM42, 46
  22. Athari SS46
  23. Awoke N47
  24. Badawi A48, 49
  25. Banoub JAM51, 52
  26. Bennett DA53
  27. Bensenor IM54
  28. Berfield KSS5, 55
  29. Bernstein RS56
  30. Bhattacharyya K57, 58
  31. Bijani A59
  32. Brauer M4, 13
  33. Bukhman G61, 64
  34. Butt ZA65, 66
  35. Camera LA67, 68
  36. Car J70, 72
  37. Carrero JJ74
  38. Carvalho F75
  39. Castanedaorjuela CA77, 78
  40. Choi JYJ79
  41. Christopher DJ80
  42. Cohen AJ4, 81
  43. Dandona L6, 82, 83
  44. Dandona R4, 82
  45. Dang AK84
  46. Daryani A85
  47. De Courten B88
  48. Demeke FM91
  49. Demoz GT92
  50. De Neve JW94
  51. Desai R96
  52. Dharmaratne SD4, 6, 97
  53. Diaz D98, 99
  54. Douiri A100
  55. Driscoll TR102
  56. Duken EE105, 107
  57. Eftekhari A43, 108
  58. Elkout H109, 110
  59. Endries AY111
  60. Fadhil I112
  61. Faro A113
  62. Farzadfar F114
  63. Fernandes E76
  64. Filip I123, 124
  65. Fischer F125
  66. Foroutan M126
  67. Garciagordillo MA127
  68. Gebre AK128, 135
  69. Gebremedhin KB136
  70. Gebremeskel GG93, 129
  71. Gezae KE130
  72. Ghoshal AG140, 141
  73. Gill PS142
  74. Gillum RF143, 144
  75. Goudarzi H145, 146
  76. Guo Y89, 147
  77. Gupta R148, 149
  78. Hailu GB131
  79. Hasanzadeh A44, 115
  80. Hassen HY150, 151
  81. Hay SI4, 6
  82. Hoang CL152
  83. Hole MK153
  84. Horita N154, 155
  85. Hosgood HD156
  86. Hostiuc M33
  87. Househ M157
  88. Ilesanmi OS158, 160
  89. Ilic MD161
  90. Irvani SSN163
  91. Islam SMS103, 166
  92. Jakovljevic M162, 167
  93. Jamal AA28
  94. Jha RP168, 169
  95. Jonas JB170, 171
  96. Kabir Z172
  97. Kasaeian A40, 116
  98. Kasahun GG92
  99. Kassa GM173
  100. Kefale AT174, 175
  101. Kengne AP176, 178
  102. Khader YS180
  103. Khafaie MA181
  104. Khan EA183
  105. Khan J184
  106. Khubchandani J185
  107. Kim YE186, 187
  108. Kim YJ188
  109. Kisa S188
  110. Kisa A189, 190
  111. Knibbs LD191
  112. Komaki H192, 193
  113. Koul PA194
  114. Koyanagi A195, 196
  115. Kumar GA82
  116. Lan Q197
  117. Lasrado S198
  118. Lauriola P199
  119. La Vecchia C200
  120. Le TT201
  121. Leigh J104
  122. Levi M203, 204
  123. Li S90
  124. Lopez AD4, 6, 205
  125. Lotufo PA206
  126. Madotto F207
  127. Mahotra NB208
  128. Majdan M209
  129. Majeed A72
  130. Malekzadeh R117, 210
  131. Mamun AA211
  132. Manafi N11, 41
  133. Manafi F50
  134. Mantovani LG207, 212
  135. Meharie BG213
  136. Meles HG134
  137. Meles GG132
  138. Menezes RG216
  139. Mestrovic T217, 218
  140. Miller TR219, 220
  141. Mini GK221, 222
  142. Mirrakhimov EM223, 224
  143. Moazen B94, 225
  144. Mohammad KA226
  145. Mohammed S94, 227
  146. Mohebi F114, 118
  147. Mokdad AH4, 6
  148. Molokhia M101
  149. Monasta L228
  150. Moradi M229
  151. Moradi G233, 234
  152. Morawska L235
  153. Mousavi SM119
  154. Musa KI236
  155. Mustafa G237, 238
  156. Naderi M230
  157. Naghavi M4, 6
  158. Naik G239
  159. Nair S241, 242
  160. Nangia V243
  161. Nansseu JR244, 245
  162. Nazari J246
  163. Ndwandwe DE247
  164. Negoi RI34, 248
  165. Nguyen TH152
  166. Nguyen CT84
  167. Nguyen HLT84
  168. Nixon MR4
  169. Oforiasenso R89, 249
  170. Ogbo FA250
  171. Olagunju AT251, 253
  172. Olagunju TO252
  173. Oren E9, 254
  174. Ortiz JR7, 202
  175. Owolabi MO159, 255
  176. Mahesh M159, 256
  177. Pakhale S257
  178. Pana A258, 259
  179. Pandajonas S95
  180. Park EK260
  181. Pham HQ84
  182. Postma MJ261, 262
  183. Pourjafar H45, 263
  184. Poustchi H117
  185. Radfar A264
  186. Rafiei A86, 87
  187. Rahim F120, 182
  188. Rahman MHU265, 266, 267
  189. Rahman MA72
  190. Rawaf S72, 268
  191. Rawaf DL73, 269
  192. Rawal L270
  193. Reitsma MB4
  194. Roever L271
  195. Ronfani L228
  196. Roro EM106, 137
  197. Roshandel G272
  198. Rudd KE273
  199. Sabde YD274
  200. Sabour S164
  201. Saddik B275
  202. Safari S165
  203. Saleem K276, 277
  204. Samy AM278
  205. Santricmilicevic MM279, 280
  206. Sao Jose BP281
  207. Sartorius B6, 282
  208. Satpathy M283, 284
  209. Savic M285
  210. Sawhney M286
  211. Sepanlou SG117, 210
  212. Shaikh MA287
  213. Sheikh A62, 288
  214. Shigematsu M289
  215. Shirkoohi R121, 122
  216. Si S90
  217. Siabani S231, 290
  218. Singh V291
  219. Singh JA240, 292
  220. Soljak M71, 72
  221. Somayaji R8, 293
  222. Soofi M232
  223. Soyiri IN294
  224. Tefera YM214, 295
  225. Temsah MH27
  226. Tesfay BE296
  227. Thakur JS297
  228. Toma AT298
  229. Tortajadagirbes M299, 300
  230. Tran KB301, 302
  231. Tran BX303
  232. Tudor Car L71
  233. Ullah I304
  234. Vacante M305
  235. Valdez PR69, 306
  236. Van Boven JFM261
  237. Vasankari TJ307
  238. Veisani Y308
  239. Violante FS309, 310
  240. Wagner GR63
  241. Westerman R311
  242. Wolfe CDA100, 312
  243. Wondafrash DZ133, 138
  244. Wondmieneh AB139, 215
  245. Yonemoto N313, 314
  246. Yoon SJ186
  247. Zaidi Z315
  248. Zamani M60
  249. Zar HJ177, 179
  250. Zhang Y316, 317
  251. Vos T4, 6
Show Affiliations
Authors Affiliations
  1. 1. Hospital Universitario de La Princesa (Princess University Hospital), Madrid, Spain
  2. 2. Autonomous University of Madrid, Madrid, Spain
  3. 3. Centro de Investigacion Biomedica en Red Enfermedades Respiratorias (CIBERES) (Center for Biomedical Research in Respiratory Diseases Network), Madrid, Spain
  4. 4. Institute for Health Metrics and Evaluation, Seattle, WA, United States
  5. 5. Department of Surgery, University of Washington, Seattle, WA, United States
  6. 6. Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States
  7. 7. Department of Global Health, University of Washington, Seattle, WA, United States
  8. 8. Department of Medicine, University of Washington, Seattle, WA, United States
  9. 9. University of Washington, Seattle, WA, United States
  10. 10. Section of Allergy and Clinical Immunology, University of Manitoba, Winnipeg, MB, Canada
  11. 11. Ophthalmology Department, University of Manitoba, Winnipeg, MB, Canada
  12. 12. Department of Paediatrics, University of British Columbia, Vancouver, BC, Canada
  13. 13. School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada
  14. 14. Department of Medical Rehabilitation, Obafemi Awolowo University, Ile-Ife, Nigeria
  15. 15. Department of Public Health, Aarhus University, Aarhus, Denmark
  16. 16. Nepal Health Frontiers, University of Southern Denmark, Kathmandu, Nepal
  17. 17. Social Behavioral Research Branch, National Institute of Health, Bethesda, MD, United States
  18. 18. Department of Oncology, Georgetown University, Washington DC, United States
  19. 19. Institute of Genomics and Integrative Biology, Council of Scientific & Industrial Research, Delhi, India
  20. 20. Internal Medicine, Baylor College of Medicine, Houston, TX, United States
  21. 21. Research Center for Chronic Kidney Disease, Tabriz University of Medical Sciences, Tabriz, Iran
  22. 22. Research Center for Evidence Based Medicine, Tabriz University of Medical Sciences, Tabriz, Iran
  23. 23. Joint Ukraine-Azerbaijan International Research and Education Center of Nanobiotechnology and Functional Nanosystems, Baku, Azerbaijan
  24. 24. Mayo Evidence-based Practice Center, Mayo Clinic Foundation for Medical Education and Research, Rochester, MN, United States
  25. 25. Department of Health Policy and Management, Kuwait University, Safat, Kuwait
  26. 26. International Centre for Casemix and Clinical Coding, National University of Malaysia, Bandar Tun Razak, Malaysia
  27. 27. Pediatric Intensive Care Unit, King Saud University, Riyadh, Saudi Arabia
  28. 28. Department of Family and Community Medicine, King Saud University, Riyadh, Saudi Arabia
  29. 29. Research Group in Health Economics, University of Cartagena, Cartagena, Colombia
  30. 30. Research Group in Hospital Management and Health Policies, University of the Coast, Barranquilla, Colombia
  31. 31. Faculty of Medicine, Mansoura University, Mansoura, Egypt
  32. 32. Cardiology Department, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  33. 33. Department of Internal Medicine, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  34. 34. Department of Anatomy and Embryology, Carol Davila University of Medicine and Pharmacy, Bucharest, Romania
  35. 35. Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
  36. 36. Razi Vaccine and Serum Research Institute, Agricultural Research, Education, and Extension Organization (AREEO), Tehran, Iran
  37. 37. Non-Communicable Diseases & Environment Programme, Barcelona Institute for Global Health, Barcelona, Spain
  38. 38. Department of Experimental and Health Sciences, Pompeu Fabra University, Barcelona, Spain
  39. 39. Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran
  40. 40. Pars Advanced and Minimally Invasive Medical Manners Research Center, Iran University of Medical Sciences, Tehran, Iran
  41. 41. Department of Ophthalmology, Iran University of Medical Sciences, Tehran, Iran
  42. 42. Department of Biology, Maragheh University of Medical Sciences, Maragheh, Iran
  43. 43. Department of Pharmacology and Toxicology, Maragheh University of Medical Sciences, Maragheh, Iran
  44. 44. Department of Microbiology, Maragheh University of Medical Sciences, Maragheh, Iran
  45. 45. Department of Nutrition and Food Sciences, Maragheh University of Medical Sciences, Maragheh, Iran
  46. 46. Department of Immunology, Zanjan University of Medical Sciences, Zanjan, Iran
  47. 47. Department of Nursing, Wolaita Sodo University, Wolaita Sodo, Ethiopia
  48. 48. Public Health Risk Sciences Division, Public Health Agency of Canada, Toronto, ON, Canada
  49. 49. Department of Nutritional Sciences, University of Toronto, Toronto, ON, Canada
  50. 50. Joint Centre for Bioethics, University of Toronto, Toronto, ON, Canada
  51. 51. Department of Internal Medicine, University of London, London, United Kingdom
  52. 52. Department of General Medicine, Alexandria University, Alexandria, Egypt
  53. 53. Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom
  54. 54. Department of Internal Medicine, University of Sao Paulo, Sao Paulo, Brazil
  55. 55. Thoracic Surgery, Department of Veterans Affairs, Seattle, WA, United States
  56. 56. Hubert Department of Global Health, Emory University, Atlanta, GA, United States
  57. 57. Department of Statistical and Computational Genomics, National Institute of Biomedical Genomics, Kalyani, India
  58. 58. Department of Statistics, University of Calcutta, Kolkata, India
  59. 59. Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran
  60. 60. Student Research Committee, Babol University of Medical Sciences, Babol, Iran
  61. 61. Department of Global Health and Social Medicine, Harvard University, Boston, MA, United States
  62. 62. Division of General Internal Medicine, Harvard University, Boston, MA, United States
  63. 63. Department of Environmental Health, Harvard University, Boston, MA, United States
  64. 64. Partners In Health, Boston, MA, United States
  65. 65. School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada
  66. 66. Al Shifa School of Public Health, Al Shifa Trust Eye Hospital, Rawalpindi, Pakistan
  67. 67. Internal Medicine Department, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina
  68. 68. Board of Directors, Buenos Aires, Argentina
  69. 69. Argentine Society of Medicine, Buenos Aires, Argentina
  70. 70. Centre for Population Health Sciences, Nanyang Technological University, Singapore, Singapore
  71. 71. Lee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore
  72. 72. Department of Primary Care and Public Health, Imperial College London, London, United Kingdom
  73. 73. WHO Collaborating Centre for Public Health Education and Training, Imperial College London, London, United Kingdom
  74. 74. Department of Medical Epidemiology and Biostatistics, Karolinska Institutet, Stockholm, Sweden
  75. 75. Research Unit on Applied Molecular Biosciences, (UCIBIO), University of Porto, Porto, Portugal
  76. 76. Associated Laboratory for Green Chemistry, (LAQV), University of Porto, Porto, Portugal
  77. 77. Colombian National Health Observatory, National Institute of Health, Bogota, Colombia
  78. 78. Epidemiology and Public Health Evaluation Group, National University of Colombia, Bogota, Colombia
  79. 79. Biomedical Informatics, Seoul National University Hospital, Seoul, South Korea
  80. 80. Department of Pulmonary Medicine, Christian Medical College and Hospital (CMC), Vellore, India
  81. 81. Health Effects Institute, Boston, MA, United States
  82. 82. Public Health Foundation of India, Gurugram, India
  83. 83. Indian Council of Medical Research, New Delhi, India
  84. 84. Institute for Global Health Innovations, Duy Tan University, Hanoi, Viet Nam
  85. 85. Toxoplasmosis Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  86. 86. Department of Immunology, Mazandaran University of Medical Sciences, Sari, Iran
  87. 87. Molecular and Cell Biology Research Center, Mazandaran University of Medical Sciences, Sari, Iran
  88. 88. The School of Clinical Sciences, Monash University, Melbourne, VIC, Australia
  89. 89. Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, VIC, Australia
  90. 90. School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia
  91. 91. Department of Medical Laboratory Sciences, Bahir Dar University, Bahir Dar, Ethiopia
  92. 92. School of Pharmacy, Aksum University, Aksum, Ethiopia
  93. 93. Department of Nursing, Aksum University, Aksum, Ethiopia
  94. 94. Heidelberg Institute of Global Health (HIGH), Germany
  95. 95. Department of Ophthalmology, Heidelberg University, Heidelberg, Germany
  96. 96. Division of Cardiology, Atlanta Veterans Affairs Medical Center, Decatur, GA, United States
  97. 97. Department of Community Medicine, University of Peradeniya, Peradeniya, Sri Lanka
  98. 98. Center of Complexity Sciences, National Autonomous University of Mexico, Mexico City, Mexico
  99. 99. Faculty of Veterinary Medicine and Zootechnics, Autonomous University of Sinaloa, Culiacan Rosales, Mexico
  100. 100. School of Population Health and Environmental Sciences, King's College London, London, United Kingdom
  101. 101. Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom
  102. 102. Sydney School of Public Health, University of Sydney, Sydney, NSW, Australia
  103. 103. Sydney Medical School, University of Sydney, Sydney, NSW, Australia
  104. 104. Asbestos Diseases Research Institute, University of Sydney, Sydney, NSW, Australia
  105. 105. College of Health Sciences, Wollega University, Nekemte, Ethiopia
  106. 106. Department of Public Health, Wollega University, Nekemte, Ethiopia
  107. 107. Mycobacteriology Research Center, Jimma University, Jimma, Ethiopia
  108. 108. Department of Pharmacology and Toxicology, The John Paul II Catholic University of Lublin, Lublin, Poland
  109. 109. Department of Community Medicine, Tripoli University, Tripoli, Libya
  110. 110. Health Information, World Health Organization (WHO), Tripoli, Libya
  111. 111. Public Health Department, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
  112. 112. Division of Non-Communicable Diseases, Ministry of Public Health and Population, Dubai, United Arab Emirates
  113. 113. Department of Psychology, Federal University of Sergipe, Sao Cristovao, Brazil
  114. 114. Non-communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran
  115. 115. Department of Microbiology, Tehran University of Medical Sciences, Tehran, Iran
  116. 116. Hematology, Oncology and Stem Cell Transplantation Research Center, Tehran University of Medical Sciences, Tehran, Iran
  117. 117. Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  118. 118. National Institute of Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran
  119. 119. Department of Health Policy, Management, and Economics, Tehran University of Medical Sciences, Tehran, Iran
  120. 120. Metabolomics and Genomics Research Center, Tehran University of Medical Sciences, Tehran, Iran
  121. 121. Cancer Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  122. 122. Cancer Biology Research Center, Kaiser Permanente, Fontana, CA, United States
  123. 123. Psychiatry Department, Kaiser Permanente, Fontana, CA, United States
  124. 124. School of Health Sciences, A.T. Still University, Mesa, AZ, United States
  125. 125. Institute of Gerontological Health Services and Nursing Research, Ravensburg-Weingarten University of Applied Sciences, Weingarten, Germany
  126. 126. Department of Medical Parasitology, Abadan Faculty of Medical Sciences, Abadan, Iran
  127. 127. Faculty of Business and Management, Autonomous University of Chile, Talca, Chile
  128. 128. School of Pharmacy, Mekelle University, Mekelle, Ethiopia
  129. 129. Department of Nursing, Mekelle University, Mekelle, Ethiopia
  130. 130. Department of Biostatistics, Mekelle University, Mekelle, Ethiopia
  131. 131. Department of Medical Parasitology and Entomology, Mekelle University, Mekelle, Ethiopia
  132. 132. School of Public Health, Mekelle University, Mekelle, Ethiopia
  133. 133. Department of Pharmacology and Toxicology, Mekelle University, Mekelle, Ethiopia
  134. 134. Mekelle University, Mekelle, Ethiopia
  135. 135. School of Medical and Health sciences, Edith Cowan University, Perth, WA, Australia
  136. 136. Department of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia
  137. 137. School of Public Health, Addis Ababa University, Addis Ababa, Ethiopia
  138. 138. Department of Pharmacology, Addis Ababa University, Addis Ababa, Ethiopia
  139. 139. School of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia
  140. 140. Respiratory Medicine, National Allergy Asthma Bronchitis Institute, Kolkata, India
  141. 141. Department of Respiratory Medicine, Fortis Hospital, Kolkata, India
  142. 142. Medical School, University of Warwick, Coventry, United Kingdom
  143. 143. Division of General Internal Medicine, Howard University, Washington, DC, United States
  144. 144. Department of Community and Family Medicine, Howard University, Washington, DC, United States
  145. 145. Department of Respiratory Medicine, Hokkaido University, Sapporo, Japan
  146. 146. Center for Environmental and Health Sciences, Hokkaido University, Sapporo, Japan
  147. 147. Department of Epidemiology, Binzhou Medical University, Yantai City, China
  148. 148. Department of Preventive Cardiology, Eternal Heart Care Centre & Research Institute, Jaipur, India
  149. 149. Department of Medicine, Mahatma Gandhi University Medical Sciences, Jaipur, India
  150. 150. Department of Primary and Interdisciplinary Care, University Hospital Antwerp, Antwerp, Belgium
  151. 151. Department of Public Health, Mizan-Tepi University, Mizan Teferi, Ethiopia
  152. 152. Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Viet Nam
  153. 153. Department of Pediatrics, University of Texas Austin, Austin, TX, United States
  154. 154. Department of Pulmonology, Yokohama City University, Kanazawa-ku, Yokohama, Japan
  155. 155. National Human Genome Research Institute (NHGRI), National Institutes of Health, Bethesda, MD, United States
  156. 156. Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, NY, United States
  157. 157. College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar
  158. 158. Department of Community Medicine, University of Ibadan, Ibadan, Nigeria
  159. 159. Department of Medicine, University of Ibadan, Ibadan, Nigeria
  160. 160. Department of Community Medicine, University College Hospital, Ibadan, Nigeria
  161. 161. Department of Epidemiology, University of Kragujevac, Kragujevac, Serbia
  162. 162. Department of Global Health, Economics and Policy, University of Kragujevac, Kragujevac, Serbia
  163. 163. Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  164. 164. Department of Epidemiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  165. 165. Department of Emergency Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
  166. 166. Institute for Physical Activity and Nutrition, Deakin University, Burwood, VIC, Australia
  167. 167. N. A. Semashko Department of Public Health and Healthcare, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation
  168. 168. Department of Community Medicine, Baba Saheb Ambedkar Medical College & Hospital, Delhi, India
  169. 169. Department of Community Medicine, Banaras Hindu University, Varanasi, India
  170. 170. Department of Ophthalmology, Heidelberg University, Mannheim, Germany
  171. 171. Beijing Institute of Ophthalmology, Beijing Tongren Hospital, Beijing, China
  172. 172. School of Public Health, University College Cork, Cork, Ireland
  173. 173. College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia
  174. 174. Department of Pharmacy, Debre Berhan University, Debre Berhan, Ethiopia
  175. 175. School of Pharmacy, University of Tasmania, Hobart, TAS, Australia
  176. 176. Non-Communicable Diseases Research Unit, Medical Research Council South Africa, Cape Town, South Africa
  177. 177. Unit on Child & Adolescent Health, Medical Research Council South Africa, Cape Town, South Africa
  178. 178. Department of Medicine, University of Cape Town, Cape Town, South Africa
  179. 179. Department of Paediatrics & Child Health, University of Cape Town, Cape Town, South Africa
  180. 180. Department of Public Health, Jordan University of Science and Technology, Irbid, Jordan
  181. 181. Social Determinants of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  182. 182. Thalassemia and Hemoglobinopathy Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
  183. 183. Department of Epidemiology and Biostatistics, Health Services Academy, Islamabad, Pakistan
  184. 184. Department of Population Studies, International Institute for Population Sciences, Mumbai, India
  185. 185. Department of Nutrition and Health Science, Ball State University, Muncie, IN, United States
  186. 186. Department of Preventive Medicine, Korea University, Seoul, South Korea
  187. 187. School of Traditional Chinese Medicine, Xiamen University Malaysia, Sepang, Malaysia
  188. 188. Department of Nursing and Health Promotion, Oslo Metropolitan University, Oslo, Norway
  189. 189. School of Health Sciences, Kristiania University College, Oslo, Norway
  190. 190. Global Community Health and Behavioral Sciences, Tulane University, New Orleans, LA, United States
  191. 191. School of Public Health, The University of Queensland, Herston, QLD, Australia
  192. 192. Neurophysiology Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
  193. 193. Brain Engineering Research Center, Institute for Research in Fundamental Sciences, Tehran, Iran
  194. 194. Department of Internal and Pulmonary Medicine, Sheri Kashmir Institute of Medical Sciences, Srinagar, India
  195. 195. CIBERSAM, San Juan de Dios Sanitary Park, Sant Boi de Llobregat, Spain
  196. 196. Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
  197. 197. Division of Cancer Epidemiology and Genetics, National Cancer Institute, Rockville, MD, United States
  198. 198. Department of Otorhinolaryngology, Father Muller Medical College, Mangalore, India
  199. 199. Institute of Clinical Physiology, National Research Council, Pisa, Italy
  200. 200. Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy
  201. 201. Department of Pharmaceutical Health Services Research, University of Maryland, Baltimore, MD, United States
  202. 202. Center for Vaccine Development, University of Maryland, Baltimore, MD, United States
  203. 203. Department of Prevention, USL Tuscany Center, Firenze, Italy
  204. 204. Department of Health Sciences, University of Florence, Florence, Italy
  205. 205. Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia
  206. 206. Department of Medicine, University of Sao Paulo, Sao Paulo, Brazil
  207. 207. Value-Based Healthcare Unit, IRCCS MultiMedica, Sesto San Giovanni, Italy
  208. 208. Department of Clinical physiology, Tribhuvan University, Kathmandu, Nepal
  209. 209. Department of Public Health, Trnava University, Trnava, Slovakia
  210. 210. Non-communicable Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
  211. 211. Institute for Social Science Research, The University of Queensland, Indooroopilly, QLD, Australia
  212. 212. School of Medicine and Surgery, University of Milan Bicocca, Monza, Italy
  213. 213. Department of Pharmacy, Wollo University, Dessie, Ethiopia
  214. 214. Department of Environmental Health, Wollo University, Dessie, Ethiopia
  215. 215. Department of Nursing, Wollo University, Dessie, Ethiopia
  216. 216. Forensic Medicine Division, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  217. 217. Clinical Microbiology and Parasitology Unit, Zora Profozic Polyclinic, Zagreb, Croatia
  218. 218. University Centre Varazdin, University North, Varazdin, Croatia
  219. 219. Pacific Institute for Research & Evaluation, Calverton, MD, United States
  220. 220. School of Public Health, Curtin University, Perth, WA, Australia
  221. 221. Global Institute of Public Health, Ananthapuri Hospitals and Research Institute, Trivandrum, India
  222. 222. Women’s Social and Health Studies Foundation, Trivandrum, India
  223. 223. Internal Medicine Programme, Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan
  224. 224. Department of Atherosclerosis and Coronary Heart Disease, National Center of Cardiology and Internal Disease, Bishkek, Kyrgyzstan
  225. 225. Institute of Addiction Research (ISFF), Frankfurt University of Applied Sciences, Frankfurt, Germany
  226. 226. Department of Biology, Salahaddin University-Erbil, Erbil, Iraq
  227. 227. Health Systems and Policy Research Unit, Ahmadu Bello University, Zaria, Nigeria
  228. 228. Clinical Epidemiology and Public Health Research Unit, Burlo Garofolo Institute for Maternal and Child Health, Trieste, Italy
  229. 229. Research Center for Environmental Determinants of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran
  230. 230. Clinical Research Development Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  231. 231. Department of Health Education and Health Promotion, Kermanshah University of Medical Sciences, Kermanshah, Iran
  232. 232. Social Development and Health Promotion Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran
  233. 233. Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran
  234. 234. Department of Epidemiology and Biostatistics, Kurdistan University of Medical Sciences, Sanandaj, Iran
  235. 235. International Laboratory for Air Quality and Health, Queensland University of Technology, Brisbane, QLD, Australia
  236. 236. School of Medical Sciences, Science University of Malaysia, Kubang Kerian, Malaysia
  237. 237. Department of Pediatric Medicine, The Children's Hospital & The Institute of Child Health, Multan, Pakistan
  238. 238. Department of Pediatrics & Pediatric Pulmonology, Institute of M & Child Care, Multan, Pakistan
  239. 239. Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL, United States
  240. 240. School of Medicine, University of Alabama at Birmingham, Birmingham, AL, United States
  241. 241. Department of Pulmonary Medicine, Government Medical College Trivandrum, Trivandrum, India
  242. 242. Health Action by People, Trivandrum, India
  243. 243. Suraj Eye Institute, Nagpur, India
  244. 244. Department for the Control of Disease, Epidemics, and Pandemics, Ministry of Public Health, Yaounde, Cameroon
  245. 245. Department of Public Heath, University of Yaounde I, Yaounde, Cameroon
  246. 246. Department of Pediatrics, Arak University of Medical Sciences, Arak, Iran
  247. 247. Cochrane South Africa, South African Medical Research Council, Cape Town, South Africa
  248. 248. Cardio-Aid, Bucharest, Romania
  249. 249. Department of Pharmacy, University of Copenhagen, Copenhagen, Denmark
  250. 250. Translational Health Research Institute, Western Sydney University, Sydney, NSW, Australia
  251. 251. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada
  252. 252. Department of Pathology and Molecular Medicine, McMaster University, Hamilton, ON, Canada
  253. 253. Department of Psychiatry, University of Lagos, Lagos, Nigeria
  254. 254. Graduate School of Public Health, San Diego State University, San Diego, CA, United States
  255. 255. Department of Medicine, University College Hospital, Ibadan, Ibadan, Nigeria
  256. 256. Department of Respiratory Medicine, Jagadguru Sri Shivarathreeswara Academy of Health Education and Research, Mysore, India
  257. 257. Department of Medicine, Ottawa Hospital Research Institute, Ottawa, ON, Canada
  258. 258. Department of Statistics and Econometrics, Bucharest University of Economic Studies, Bucharest, Romania
  259. 259. Department of Health Metrics, Center for Health Outcomes & Evaluation, Bucharest, Romania
  260. 260. Department of Medical Humanities and Social Medicine, Kosin University, Busan, South Korea
  261. 261. University Medical Center Groningen, University of Groningen, Groningen, Netherlands
  262. 262. School of Economics and Business, University of Groningen, Groningen, Netherlands
  263. 263. Dietary Supplements and Probiotic Research Center, Alborz University of Medical Sciences, Karaj, Iran
  264. 264. College of Medicine, University of Central Florida, Orlando, FL, United States
  265. 265. Department of Community Medicine, Maharishi Markandeshwar Institute of Medical Sciences & Research, Ambala, India
  266. 266. School of Nursing and Healthcare Professions, Federation University Australia, Berwick, VIC, Australia
  267. 267. Schoolof Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia
  268. 268. Academic Public Health England, Public Health England, London, United Kingdom
  269. 269. University College London Hospitals, London, United Kingdom
  270. 270. School of Health, Medical and Applied Sciences, CQ University, Sydney, NSW, Australia
  271. 271. Department of Clinical Research, Federal University of Uberlandia, Uberlandia, Brazil
  272. 272. Golestan Research Center of Gastroenterology and Hepatology (GRCGH), Golestan University of Medical Sciences, Gorgan, Iran
  273. 273. Department of Critical Care Medicine, University of Pittsburgh, Pittsburgh, PA, United States
  274. 274. Environmental Epidemiology and Public Health, National Institute for Research in Environmental Health, Bhopal, India
  275. 275. Department of Family and Community Medicine, University of Sharjah, Sharjah, United Arab Emirates
  276. 276. Medical and Human Science Department, University of Manchester, Manchester, United Kingdom
  277. 277. Division of Medicine, University College London, London, United Kingdom
  278. 278. Department of Entomology, Ain Shams University, Cairo, Egypt
  279. 279. Faculty of Medicine, University of Belgrade, Belgrade, Serbia
  280. 280. School of Public Health and Health Management, University of Belgrade, Belgrade, Serbia
  281. 281. Department of Infectious Diseases and Tropical Medicine, Federal University of Minas Gerais, Belo Horizonte, Brazil
  282. 282. Faculty of Infectious and Tropical Diseases, London School of Hygiene & Tropical Medicine, London, United Kingdom
  283. 283. UGC Centre of Advanced Study in Psychology, Utkal University, Bhubaneswar, India
  284. 284. Udyam-Global Association for Sustainable Development, Bhubaneswar, India
  285. 285. GSK Biologicals, Wavre, Belgium
  286. 286. Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, United States
  287. 287. Independent Consultant, Karachi, Pakistan
  288. 288. Centre for Medical Informatics, University of Edinburgh, Edinburgh, United Kingdom
  289. 289. National Institute of Infectious Diseases, Tokyo, Japan
  290. 290. School of Health, University of Technology Sydney, Sydney, NSW, Australia
  291. 291. Department of Pulmonary Medicine, Asthma Bhawan, Jaipur, India
  292. 292. Medicine Service, US Department of Veterans Affairs (VA), Birmingham, AL, United States
  293. 293. Department of Medicine, University of Calgary, Calgary, AB, Canada
  294. 294. Hull York Medical School, University of Hull, Hull City, United Kingdom
  295. 295. School of Public Health, University of Adelaide, Adelaide, SA, Australia
  296. 296. Department of Public Health, Adigrat University, Adigrat, Ethiopia
  297. 297. School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  298. 298. Department of Pharmacy, Hawassa University, Hawassa, Ethiopia
  299. 299. Pediatric Department, University Hospital Doctor Peset, Valencia, Spain
  300. 300. Department of Pediatrics, Obstetrics and Gynecology, University of Valencia, Valencia, Spain
  301. 301. Molecular Medicine and Pathology, University of Auckland, Auckland, New Zealand
  302. 302. Clinical Hematology and Toxicology, Maurice Wilkins Centre, Auckland, New Zealand
  303. 303. Department of Health Economics, Hanoi Medical University, Hanoi, Viet Nam
  304. 304. Department of Allied Health Sciences, Iqra National University, Peshawar, Pakistan
  305. 305. Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy
  306. 306. Velez Sarsfield Hospital, Buenos Aires, Argentina
  307. 307. UKK Institute, Tampere, Finland
  308. 308. Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran
  309. 309. Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy
  310. 310. Occupational Health Unit, Sant'Orsola Malpighi Hospital, Bologna, Italy
  311. 311. Competence Center of Mortality-Follow-Up of the German National Cohort, Federal Institute for Population Research, Wiesbaden, Germany
  312. 312. NIHR Biomedical Research Centre, Guy's and St.Thomas' Hospital and Kings College London, London, United Kingdom
  313. 313. Department of Neuropsychopharmaology, National Center of Neurology and Psychiatry, Kodaira, Japan
  314. 314. Department of Public Health, Juntendo University, Tokyo, Japan
  315. 315. Department of Medicine, University Ferhat Abbas of Setif, Setif, Algeria
  316. 316. School of Public Health, Wuhan University of Science and Technology, Wuhan, China
  317. 317. Hubei Province Key Laboratory of Occupational Hazard Identification and Control, Wuhan University of Science and Technology, Wuhan, China

Source: The Lancet Respiratory Medicine Published:2020


Abstract

Background: Previous attempts to characterise the burden of chronic respiratory diseases have focused only on specific disease conditions, such as chronic obstructive pulmonary disease (COPD) or asthma. In this study, we aimed to characterise the burden of chronic respiratory diseases globally, providing a comprehensive and up-to-date analysis on geographical and time trends from 1990 to 2017. Methods: Using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017, we estimated the prevalence, morbidity, and mortality attributable to chronic respiratory diseases through an analysis of deaths, disability-adjusted life-years (DALYs), and years of life lost (YLL) by GBD super-region, from 1990 to 2017, stratified by age and sex. Specific diseases analysed included asthma, COPD, interstitial lung disease and pulmonary sarcoidosis, pneumoconiosis, and other chronic respiratory diseases. We also assessed the contribution of risk factors (smoking, second-hand smoke, ambient particulate matter and ozone pollution, household air pollution from solid fuels, and occupational risks) to chronic respiratory disease-attributable DALYs. Findings: In 2017, 544·9 million people (95% uncertainty interval [UI] 506·9–584·8) worldwide had a chronic respiratory disease, representing an increase of 39·8% compared with 1990. Chronic respiratory disease prevalence showed wide variability across GBD super-regions, with the highest prevalence among both males and females in high-income regions, and the lowest prevalence in sub-Saharan Africa and south Asia. The age-sex-specific prevalence of each chronic respiratory disease in 2017 was also highly variable geographically. Chronic respiratory diseases were the third leading cause of death in 2017 (7·0% [95% UI 6·8–7·2] of all deaths), behind cardiovascular diseases and neoplasms. Deaths due to chronic respiratory diseases numbered 3 914 196 (95% UI 3 790 578–4 044 819) in 2017, an increase of 18·0% since 1990, while total DALYs increased by 13·3%. However, when accounting for ageing and population growth, declines were observed in age-standardised prevalence (14·3% decrease), age-standardised death rates (42·6%), and age-standardised DALY rates (38·2%). In males and females, most chronic respiratory disease-attributable deaths and DALYs were due to COPD. In regional analyses, mortality rates from chronic respiratory diseases were greatest in south Asia and lowest in sub-Saharan Africa, also across both sexes. Notably, although absolute prevalence was lower in south Asia than in most other super-regions, YLLs due to chronic respiratory diseases across the subcontinent were the highest in the world. Death rates due to interstitial lung disease and pulmonary sarcoidosis were greater than those due to pneumoconiosis in all super-regions. Smoking was the leading risk factor for chronic respiratory disease-related disability across all regions for men. Among women, household air pollution from solid fuels was the predominant risk factor for chronic respiratory diseases in south Asia and sub-Saharan Africa, while ambient particulate matter represented the leading risk factor in southeast Asia, east Asia, and Oceania, and in the Middle East and north Africa super-region. Interpretation: Our study shows that chronic respiratory diseases remain a leading cause of death and disability worldwide, with growth in absolute numbers but sharp declines in several age-standardised estimators since 1990. Premature mortality from chronic respiratory diseases seems to be highest in regions with less-resourced health systems on a per-capita basis. Funding: Bill & Melinda Gates Foundation. © 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license
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