Estimating Mortality and Disability in Peru Before the Covid-19 Pandemic: A Systematic Analysis From the Global Burden of the Disease Study 2019

Estimating Mortality and Disability in Peru Before the Covid-19 Pandemic: A Systematic Analysis From the Global Burden of the Disease Study 2019 Publisher Pubmed

Riosblancas MJ^{1, 2} ; Pandorobles V³ ; Razo C⁴ ; Carcamo CP⁵ ; Mendoza W⁶ ; Pachecobarrios K^{7, 8} ; Miranda JJ^{9, 10} ; Lansingh VC^{11, 12} ; Demie TG¹³ ; Saha M^{14, 15} ; Okonji OC¹⁶ ; Yigit A¹⁷ ; Cahuanahurtado L⁵ ; Chaconuscamaita PR¹⁸ Show All Authors

Riosblancas MJ^{1, 2}
Pandorobles V³
Razo C⁴
Carcamo CP⁵
Mendoza W⁶
Pachecobarrios K^{7, 8}
Miranda JJ^{9, 10}
Lansingh VC^{11, 12}
Demie TG¹³
Saha M^{14, 15}
Okonji OC¹⁶
Yigit A¹⁷
Cahuanahurtado L⁵
Chaconuscamaita PR¹⁸
Bernabe E¹⁹
Culquichicon C²⁰
Chirinoscaceres JL⁵
Cardenas R²¹
Alcalderabanal JE²²
Barrera FJ²³
Quintanilla BPA^{24, 25}
Shorofi SA^{26, 27}
Wickramasinghe ND²⁸
Ferreira N²⁹
Almidani L^{30, 31}
Gupta VK³²
Karimi H³³
Alayu DS³⁴
Benziger CP³⁵
Fukumoto T³⁶
Mostafavi E^{37, 38}
Redwan EMM^{39, 40}
Gebrehiwot M⁴¹
Khatab K⁴²
Koyanagi A^{43, 44}
Krapp F^{45, 46}
Lee S⁴⁷
Noori M⁴⁸
Qattea I⁴⁹
Rosenthal VD⁵⁰
Sakshaug JW^{51, 52}
Wagaye B^{52, 53}
Zare I⁵⁴
Ortegaaltamirano DV⁵⁵
Murillozamora E^{56, 57}
Vervoort D⁵⁸
Silva DAS⁵⁹
Oulhaj A⁶⁰
Herreraserna BY⁶¹
Mehra R⁶²
Amirbehghadami M^{63, 64}
Adib N⁶⁵
Cortes S^{66, 67}
Dang AK⁶⁸
Nguyen BT⁶⁹
Mokdad AH⁶⁹
Hay SI⁶⁹
Murray CJL⁶⁹
Lozano R⁶⁹
Garcia PJ⁵

Show Affiliations

1. School of Public Health of Mexico, National Institute of Public Health, Cuernavaca, Mexico
2. Carlos Slim Foundation, Mexico City, Mexico
3. Infectious Disease Research Center, National Institute of Public Health, Cuernavaca, Mexico
4. Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States
5. School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru
6. Peru Country Office, United Nations Population Fund (UNFPA), Lima, Peru
7. Spaulding Rehabilitation Hospital, Harvard University, Boston, MA, United States
8. Universidad San Ignacio de Loyola (University of Saint Ignatius of Loyola), Lima, Peru
9. CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia (Cayetano Heredia Peruvian University), Lima, Peru
10. Department of Medicine, Universidad Peruana Cayetano Heredia (Cayetano Heredia Peruvian University), Lima, Peru
11. HelpMeSee, New York, NY, United States
12. Mexican Institute of Ophthalmology, Queretaro, Mexico
13. School of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia
14. Department of Humanities and Social Sciences, Deakin University, Melbourne, VIC, Australia
15. Department of Human-Centred Computing, Monash University, Melbourne, VIC, Australia
16. School of Pharmacy, University of the Western Cape, Cape Town, South Africa
17. Department of Health Management, Suleyman Demirel Universitesi (Suleyman Demirel University), Isparta, Turkey
18. Emerge, Emerging Diseases and Climate Change Research Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru
19. Faculty of Dentistry, Oral and Craniofacial Sciences, Kingâ€™s College London, London, United Kingdom
20. Universidad Privada Norbert Wiener, Centro de Investigacion Epidemiologica en Salud Global, Lima, Peru
21. Department of Health Care, Metropolitan Autonomous University, Mexico City, Mexico
22. Center for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico
23. Department of Epidemiology, Harvard University, Boston, MA, United States
24. The Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia
25. San Martin de Porres University, Lima, Peru
26. Medical-Surgical Nursing, Mazandaran University of Medical Sciences, Sari, Iran
27. College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia
28. Department of Community Medicine, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka
29. Department of Social Sciences, University of Nicosia, Nicosia, Cyprus
30. Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom
31. Doheny Image Reading and Research Lab (DIRRL) - Doheny Eye Institute, University of California, Los Angeles, Los Angeles, CA, United States
32. Faculty of Medicine Health and Human Sciences, Macquarie University, Sydney, NSW, Australia
33. School of Medicine, Tehran University of Medical Sciences, Tehran, Iran
34. Department of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia
35. Heart and Vascular Center, Essentia Health, Duluth, MN, United States
36. Department of Dermatology, Kobe University, Kobe, Japan
37. Department of Medicine, Stanford University, Palo Alto, CA, United States
38. Stanford Cardiovascular Institute, Stanford University, Palo Alto, CA, United States
39. Department Biological Sciences, King Abdulaziz University, Jeddah, Egypt
40. Department of Protein Research, Research and Academic Institution, Alexandria, Egypt
41. Department of Environmental Health, Wollo University, Dessie, Ethiopia
42. Health and Wellbeing, Sheffield Hallam University, Sheffield, United Kingdom
43. Biomedical Research Networking Center for Mental Health Network (CIBERSAM), Sant Boi de Llobregat, Spain
44. Catalan Institution for Research and Advanced Studies (ICREA), Barcelona, Spain
45. Instituto de Medicina Tropical Alexander von Humboldt (Alexander von Humboldt Institute for Tropical Medicine), Cayetano Heredia University, Lima, Peru
46. Doctoral School of Biomedical Sciences, Katholieke Universiteit Leuven, Leuven, Belgium
47. Department of Precision Medicine, Sungkyunkwan University, Suwon-si, South Korea
48. Student Research Committee, Iran University of Medical Sciences, Tehran, Iran
49. Department of Neonatology, Case Western Reserve University, Cleveland, OH, United States
50. International Nosocomial Infection Control Consortium, Independent Consultant, Buenos Aires, Argentina
51. Institute for Employment Research, University of Warwick, Coventry, United Kingdom
52. Department of Statistics, Ludwig Maximilians University, Munich, Germany
53. Infection Prevention and Control and Water, Sanitation and Hygiene Unit, Ethiopian Public Health Institute, Addis Ababa, Ethiopia
54. Research and Development Department, Sina Medical Biochemistry Technologies Co. Ltd., Shiraz, Iran
55. Health Systems Research Center, National Institute of Public Health, Cuernavaca, Mexico
56. Clinical Epidemiology Research Unit, Mexican Institute of Social Security, Villa de Alvarez, Mexico
57. Postgraduate in Medical Sciences, Universidad de Colima, Colima, Mexico
58. Department of Health Policy and Management, Johns Hopkins University, Baltimore, MD, United States
59. Department of Physical Education, Federal University of Santa Catarina, Florianopolis, Brazil
60. Department of Epidemiology and Population Health, Khalifa University, Abu Dhabi, United Arab Emirates
61. Departamento de Salud Oral (Department of Oral Health), Universidad Autonoma de Manizales (Autonomous University of Manizales), Manizales, Colombia
62. Food Science and Technology, Maharishi Markandeshwar (Deemed to be University), Haryana, Ambala, India
63. Road Traffic Injury Research Center, Iranian International Safe Community Support Center, Tabriz University of Medical Sciences, Tabriz, Iran
64. Department of Health Service Management, Iranian Center of Excellence in Health Management, Tabriz, Iran
65. Department of Veterinary Pathobiology, Shahid Bahonar University of Kerman, Kerman, Iran
66. Department of Public Health, Pontifical Catholic University of Chile, Santiago, Chile
67. Research Line in Environmental Exposures and Health Effects at Population Level, Centro de Desarrollo Urbano Sustentable (CEDEUS), Advanced Center for Chronic Diseases (ACCDIS), Santiago, Chile
68. Institute for Global Health Innovations, Duy Tan University, Da Nang, Viet Nam
69. Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States

Source: Frontiers in Public Health Published:2023

Abstract

Background: Estimating and analyzing trends and patterns of health loss are essential to promote efficient resource allocation and improve Peru’s healthcare system performance. Methods: Using estimates from the Global Burden of Disease (GBD), Injuries, and Risk Factors Study (2019), we assessed mortality and disability in Peru from 1990 to 2019. We report demographic and epidemiologic trends in terms of population, life expectancy at birth (LE), mortality, incidence, prevalence, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) caused by the major diseases and risk factors in Peru. Finally, we compared Peru with 16 countries in the Latin American (LA) region. Results: The Peruvian population reached 33.9 million inhabitants (49.9% women) in 2019. From 1990 to 2019, LE at birth increased from 69.2 (95% uncertainty interval 67.8–70.3) to 80.3 (77.2–83.2) years. This increase was driven by the decline in under-5 mortality (−80.7%) and mortality from infectious diseases in older age groups (+60 years old). The number of DALYs in 1990 was 9.2 million (8.5–10.1) and reached 7.5 million (6.1–9.0) in 2019. The proportion of DALYs due to non-communicable diseases (NCDs) increased from 38.2% in 1990 to 67.9% in 2019. The all-ages and age-standardized DALYs rates and YLLs rates decreased, but YLDs rates remained constant. In 2019, the leading causes of DALYs were neonatal disorders, lower respiratory infections (LRIs), ischemic heart disease, road injuries, and low back pain. The leading risk factors associated with DALYs in 2019 were undernutrition, high body mass index, high fasting plasma glucose, and air pollution. Before the COVID-19 pandemic, Peru experienced one of the highest LRIs-DALYs rates in the LA region. Conclusion: In the last three decades, Peru experienced significant improvements in LE and child survival and an increase in the burden of NCDs and associated disability. The Peruvian healthcare system must be redesigned to respond to this epidemiological transition. The new design should aim to reduce premature deaths and maintain healthy longevity, focusing on effective coverage and treatment of NCDs and reducing and managing the related disability. Copyright © 2023 Rios-Blancas, Pando-Robles, Razo, Carcamo, Mendoza, Pacheco-Barrios, Miranda, Lansingh, Demie, Saha, Okonji, Yigit, Cahuana-Hurtado, Chacon-Uscamaita, Bernabe, Culquichicon, Chirinos-Caceres, Cardenas, Alcalde-Rabanal, Barrera, Quintanilla, Shorofi, Wickramasinghe, Ferreira, Almidani, Gupta, Karimi, Alayu, Benziger, Fukumoto, Mostafavi, Redwan, Gebrehiwot, Khatab, Koyanagi, Krapp, Lee, Noori, Qattea, Rosenthal, Sakshaug, Wagaye, Zare, Ortega-Altamirano, Murillo-Zamora, Vervoort, Silva, Oulhaj, Herrera-Serna, Mehra, Amir-Behghadami, Adib, Cortes, Dang, Nguyen, Mokdad, Hay, Murray, Lozano and Garcia.

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Farshad Farzadfar (68)

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Style	Citing Format
MLA	Riosblancas MJ, et al.. "Estimating Mortality and Disability in Peru Before the Covid-19 Pandemic: A Systematic Analysis From the Global Burden of the Disease Study 2019." Frontiers in Public Health, vol. 11, no. , 2023, pp. -.
APA	Riosblancas MJ, Pandorobles V, Razo C, Carcamo CP, Mendoza W, Pachecobarrios K, Miranda JJ, Lansingh VC, Demie TG, Saha M, Okonji OC, Yigit A, Cahuanahurtado L, Chaconuscamaita PR, Bernabe E, Culquichicon C, Chirinoscaceres JL, Cardenas R, Alcalderabanal JE, ... Garcia PJ (2023). Estimating Mortality and Disability in Peru Before the Covid-19 Pandemic: A Systematic Analysis From the Global Burden of the Disease Study 2019. Frontiers in Public Health, 11(), -.
Chicago	Riosblancas MJ, Pandorobles V, Razo C, Carcamo CP, Mendoza W, Pachecobarrios K, Miranda JJ, et al.. "Estimating Mortality and Disability in Peru Before the Covid-19 Pandemic: A Systematic Analysis From the Global Burden of the Disease Study 2019." Frontiers in Public Health 11, no. (2023): -.
Harvard	Riosblancas MJ et al. (2023) 'Estimating Mortality and Disability in Peru Before the Covid-19 Pandemic: A Systematic Analysis From the Global Burden of the Disease Study 2019', Frontiers in Public Health, 11(), pp. -.
Vancouver	Riosblancas MJ, Pandorobles V, Razo C, Carcamo CP, Mendoza W, Pachecobarrios K, et al.. Estimating Mortality and Disability in Peru Before the Covid-19 Pandemic: A Systematic Analysis From the Global Burden of the Disease Study 2019. Frontiers in Public Health. 2023;11():-.
BibTex	@article{ author = {Riosblancas MJ and Pandorobles V and Razo C and Carcamo CP and Mendoza W and Pachecobarrios K and Miranda JJ and Lansingh VC and Demie TG and Saha M and Okonji OC and Yigit A and Cahuanahurtado L and Chaconuscamaita PR and Bernabe E and Culquichicon C and Chirinoscaceres JL and Cardenas R and Alcalderabanal JE and Barrera FJ and Quintanilla BPA and Shorofi SA and Wickramasinghe ND and Ferreira N and Almidani L and Gupta VK and Karimi H and Alayu DS and Benziger CP and Fukumoto T and Mostafavi E and Redwan EMM and Gebrehiwot M and Khatab K and Koyanagi A and Krapp F and Lee S and Noori M and Qattea I and Rosenthal VD and Sakshaug JW and Wagaye B and Zare I and Ortegaaltamirano DV and Murillozamora E and Vervoort D and Silva DAS and Oulhaj A and Herreraserna BY and Mehra R and Amirbehghadami M and Adib N and Cortes S and Dang AK and Nguyen BT and Mokdad AH and Hay SI and Murray CJL and Lozano R and Garcia PJ}, title = {Estimating Mortality and Disability in Peru Before the Covid-19 Pandemic: A Systematic Analysis From the Global Burden of the Disease Study 2019}, journal = {Frontiers in Public Health}, volume = {11}, number = {}, pages = {-}, year = {2023} }
RIS	TY - JOUR AU - Riosblancas MJ AU - Pandorobles V AU - Razo C AU - Carcamo CP AU - Mendoza W AU - Pachecobarrios K AU - Miranda JJ AU - Lansingh VC AU - Demie TG AU - Saha M AU - Okonji OC AU - Yigit A AU - Cahuanahurtado L AU - Chaconuscamaita PR AU - Bernabe E AU - Culquichicon C AU - Chirinoscaceres JL AU - Cardenas R AU - Alcalderabanal JE AU - Barrera FJ AU - Quintanilla BPA AU - Shorofi SA AU - Wickramasinghe ND AU - Ferreira N AU - Almidani L AU - Gupta VK AU - Karimi H AU - Alayu DS AU - Benziger CP AU - Fukumoto T AU - Mostafavi E AU - Redwan EMM AU - Gebrehiwot M AU - Khatab K AU - Koyanagi A AU - Krapp F AU - Lee S AU - Noori M AU - Qattea I AU - Rosenthal VD AU - Sakshaug JW AU - Wagaye B AU - Zare I AU - Ortegaaltamirano DV AU - Murillozamora E AU - Vervoort D AU - Silva DAS AU - Oulhaj A AU - Herreraserna BY AU - Mehra R AU - Amirbehghadami M AU - Adib N AU - Cortes S AU - Dang AK AU - Nguyen BT AU - Mokdad AH AU - Hay SI AU - Murray CJL AU - Lozano R AU - Garcia PJ TI - Estimating Mortality and Disability in Peru Before the Covid-19 Pandemic: A Systematic Analysis From the Global Burden of the Disease Study 2019 JO - Frontiers in Public Health VL - 11 IS - SP - EP - PY - 2023 ER -

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