Global, regional, and national disability adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countries, 1990–2013: quantifying …

Christopher JL Murray,Ryan M Barber,Kyle J Foreman,Ayse Abbasoglu Ozgoren,Foad Abd-Allah,Semaw F Abera,Victor Aboyans,Jerry P Abraham,Ibrahim Abubakar,Laith J Abu-Raddad,Niveen M Abu-Rmeileh,Tom Achoki,Ilana N Ackerman,Zanfina Ademi,Arsène K Adou,José C Adsuar,Ashkan Afshin,Emilie E Agardh,Sayed Saidul Alam,Deena Alasfoor,Mohammed I Albittar,Miguel A Alegretti,Zewdie A Alemu,Rafael Alfonso-Cristancho,Samia Alhabib,Raghib Ali,François Alla,Peter Allebeck,Mohammad A Almazroa,Ubai Alsharif,Elena Alvarez,Nelson Alvis-Guzman,Azmeraw T Amare,Emmanuel A Ameh,Heresh Amini,Walid Ammar,H Ross Anderson,Benjamin O Anderson,Carl Abelardo T Antonio,Palwasha Anwari,Johan Arnlöv,Valentina S Arsic Arsenijevic,Al Artaman,Rana J Asghar,Reza Assadi,Lydia S Atkins, Marco A Avila,Baffour Awuah, Victoria F Bachman,Alaa Badawi, Maria C Bahit,Kalpana Balakrishnan,Amitava Banerjee,Suzanne L Barker-Collo,Simon Barquera,Lars Barregard,Lope H Barrero,Arindam Basu,Sanjay Basu,Mohammed O Basulaiman,Justin Beardsley,Neeraj Bedi,Ettore Beghi,Tolesa Bekele,Michelle L Bell,Corina Benjet,Derrick A Bennett,Isabela M Bensenor,Habib Benzian,Eduardo Bernabé,Amelia Bertozzi-Villa,Tariku J Beyene,Neeraj Bhala,Ashish Bhalla,Zulfiqar A Bhutta,Kelly Bienhoff,Boris Bikbov,Stan Biryukov,Jed D Blore,Christopher D Blosser,Fiona M Blyth,Megan A Bohensky,Ian W Bolliger,Berrak Bora Başara,Natan M Bornstein,Dipan Bose,Soufiane Boufous,Rupert RA Bourne,Lindsay N Boyers,Michael Brainin,Carol E Brayne,Alexandra Brazinova, Nicholas JK Breitborde,Hermann Brenner,Adam D Briggs,Peter M Brooks,Jonathan C Brown,Traolach S Brugha,Rachelle Buchbinder,Geoffrey C Buckle,Christine M Budke, Anne Bulchis, Andrew G Bulloch,Ismael R Campos-Nonato,Hélène Carabin,Jonathan R Carapetis,Rosario Cárdenas,David O Carpenter,Valeria Caso,Carlos A Castañeda-Orjuela,Ruben E Castro,Ferrán Catalá-López,Fiorella Cavalleri,Alanur Çavlin, Vineet K Chadha,Jung-Chen Chang,Fiona J Charlson,Honglei Chen,Wanqing Chen,Peggy P Chiang,Odgerel Chimed-Ochir,Rajiv Chowdhury,Hanne Christensen,Costas A Christophi,Massimo Cirillo,Matthew M Coates,Luc E Coffeng,Megan S Coggeshall,Valentina Colistro,Samantha M Colquhoun,Graham S Cooke,Cyrus Cooper,Leslie T Cooper,Luis M Coppola,Monica Cortinovis,Michael H Criqui,John A Crump,Lucia Cuevas-Nasu, Hadi Danawi,Lalit Dandona,Rakhi Dandona, Emily Dansereau,Paul I Dargan,Gail Davey,Adrian Davis,Dragos V Davitoiu,Anand Dayama,Diego De Leo,Louisa Degenhardt,Borja Del Pozo-Cruz

The Lancet（2015）

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摘要

BackgroundThe Global Burden of Disease Study 2013 (GBD 2013) aims to bring together all available epidemiological data using a coherent measurement framework, standardised estimation methods, and transparent data sources to enable comparisons of health loss over time and across causes, age–sex groups, and countries. The GBD can be used to generate summary measures such as disability-adjusted life-years (DALYs) and healthy life expectancy (HALE) that make possible comparative assessments of broad epidemiological patterns across countries and time. These summary measures can also be used to quantify the component of variation in epidemiology that is related to sociodemographic development.MethodsWe used the published GBD 2013 data for age-specific mortality, years of life lost due to premature mortality (YLLs), and years lived with disability (YLDs) to calculate DALYs and HALE for …

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