Five insights from the Global Burden of Disease Study 2019

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Abstract

The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 provides a rules-based synthesis of the available evidence on levels and trends in health outcomes, a diverse set of risk factors, and health system responses. GBD 2019 covered 204 countries and territories, as well as first administrative level disaggregations for 22 countries, from 1990 to 2019. Because GBD is highly standardised and comprehensive, spanning both fatal and non-fatal outcomes, and uses a mutually exclusive and collectively exhaustive list of hierarchical disease and injury causes, the study provides a powerful basis for detailed and broad insights on global health trends and emerging challenges. GBD 2019 incorporates data from 281 586 sources and provides more than 3·5 billion estimates of health outcome and health system measures of interest for global, national, and subnational policy dialogue. All GBD estimates are publicly available and adhere to the Guidelines on Accurate and Transparent Health Estimate Reporting. From this vast amount of information, five key insights that are important for health, social, and economic development strategies have been distilled. These insights are subject to the many limitations outlined in each of the component GBD capstone papers.

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The record

Venue

The Lancet

Topic

Healthcare cost, quality, practices

Field

Health Professions

Canadian institutions

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Funders

Division of Human Resource DevelopmentDivision of Mathematical SciencesFogarty International CenterFaculty of Medicine and Health, University of SydneyDipartimento di Medicina e Chirurgia, Università degli Studi di Milano-BicoccaUniversité de LimogesPediatric Infectious Diseases Research Center, Tehran University of Medical Sciences and Health ServicesResearch Management Centre, International Islamic University MalaysiaLee Kuan Yew School of Public Policy, National University of SingaporeHealth Services Management Research CenterLee Kong Chian School of Medicine, Nanyang Technological UniversityErasmus Universitair Medisch Centrum RotterdamCenter for International HealthNational Drug and Alcohol Research CentreQueensland Brain InstituteInstituto de Salud Carlos IIISydney Medical SchoolAgenzia Italiana del Farmaco, Ministero della SaluteRussian Academy of SciencesGreat Ormond Street Institute of Child HealthMenzies Centre for Australian Studies, King's College London, University of LondonMedical Research CouncilWeill Cornell Medicine - QatarHealth CanadaHealth Equity Research Center, Washington State UniversityĐại học Quốc gia Hà NộiDepartment of Global Health and Population, Harvard T.H. Chan School of Public HealthMedical Center, University of PittsburghDuke Global Health Institute, Duke UniversityUniversity of Colorado DenverUniversity of Illinois at Urbana-ChampaignNational Oceanic and Atmospheric AdministrationNational Institutes of HealthSeqirusAgencja Badań MedycznychUniwersytet OpolskiUniversidad de Ciencias Aplicadas y AmbientalesUniversity of Health and Allied SciencesDebre Markos UniversityArvelle TherapeuticsMadda Walabu UniversityAlfaisal UniversityLaboratório Associado para a Química VerdeRUDN UniversityHubei UniversityCentro de Investigação em Tecnologias e Serviços de SaúdeMahatma Gandhi UniversityAl-Farabi Kazakh National UniversityUniversidad Autónoma de SinaloaHögskolan i BoråsUniversidade Federal de SergipeARC Centre of Excellence for Children and Families over the Life CourseCentral University of KeralaDuke Kunshan UniversityCochrane South AfricaUniversitätsklinikum HeidelbergJenderal Soedirman UniversityUniversiti Sultan Zainal AbidinMenzies Institute for Medical ResearchI.M. Sechenov First Moscow State Medical UniversityUniversity of ColomboUniversidade Federal de GoiásH. Lundbeck A/SNational Medical Research CouncilUniversity of OxfordLorestan University of Medical SciencesAlborz University of Medical SciencesSwedish Orphan BiovitrumUniversity of Occupational and Environmental HealthChandigarh UniversityKwame Nkrumah University of Science and TechnologyDirectorate for Biological SciencesSan Diego State UniversityDelhi Technological UniversityUniversité de BordeauxSt. Olavs Hospital Universitetssykehuset i TrondheimZabol University of Medical SciencesUniversity of BernUmweltbundesamtGonabad University of Medical SciencesIstituto di Ricerche Farmacologiche Mario Negri - IRCCSCharotar University of Science and TechnologyAmgenPublic Health EnglandYonsei UniversityHawassa UniversityDavid Geffen School of Medicine, University of California, Los AngelesNational Center of Neurology and PsychiatryManipal College of Pharmaceutical Sciences, Manipal Academy of Higher EducationMekelle UniversitySanofiUnited Arab Emirates UniversityUniversity of ThessalyStockholms UniversitetInternational Centre for Diarrhoeal Disease Research, BangladeshHubei University of MedicineUniversität UlmNational Human Genome Research InstituteUniversity of PeradeniyaXiamen UniversityWuhan University of Science and TechnologySchool of Public Health and Family Medicine, University of Cape TownUniversitas AirlanggaTrường Đại học Duy TânAddis Ababa UniversityPeking UniversityTartu ÜlikoolUniversity of TabrizUniversitas Sebelas MaretUniversity of Agriculture, FaisalabadInstitute for Advanced Studies in Basic SciencesIlam UniversityInstitute for Social and Economic ChangeLembaga Pengelola Dana PendidikanUniversity of PennsylvaniaUniversity of the PhilippinesChina Medical UniversityUniversity of Cape TownHamad Bin Khalifa UniversityNazarbayev UniversityServierPublic Health Agency of CanadaWuhan UniversityUniversidade do PortoCentro de Investigación Biomédica en Red de Salud MentalUnited Nations Population FundUniversity of TsukubaCleveland ClinicUniversity of Social Welfare and Rehabilitation SciencesFundação Oswaldo CruzNational Taiwan UniversityUniversity of LeicesterMedical University - VarnaSyddansk UniversitetOulun YliopistoMinistério da Ciência, Tecnologia e Ensino SuperiorUniversity of ZanjanZanjan University of Medical SciencesUniversity of GondarAteneo de Manila UniversityBangladesh University of Health SciencesIsfahan University of Medical SciencesUniversità di BolognaBahir Dar UniversityGolestan University of Medical SciencesBabol University of Medical SciencesUniversitatea de Medicină şi Farmacie "Carol Davila" BucureştiDepartment of Social Services, Australian GovernmentShahid Beheshti University of Medical SciencesDeakin UniversityGuilan University of Medical SciencesUniversitat de BarcelonaUniversity of JordanDebre Tabor UniversityUniversidade de São PauloNewcastle UniversityTarbiat Modares UniversityInstitute for Research in Fundamental SciencesYasuj University of Medical SciencesUniversiteit UtrechtHacettepe ÜniversitesiUniversitetet i OsloNorth-West UniversityDanmarks Tekniske UniversitetInjury Prevention Research CenterBirjand University of Medical SciencesUniversity Of Nigeria NsukkaRigshospitaletEuropean Observatory on Health Systems and PoliciesUniversitair Medisch Centrum GroningenUniversidade Federal de Santa CatarinaShiraz UniversityUniversitetet i BergenSabzevar University of Medical SciencesUniversidade Federal do Rio Grande do SulUmeå UniversitetGeorge Institute for Global HealthWestfälische Wilhelms-Universität MünsterChinese University of Hong KongCurtin University of TechnologyZahedan University of Medical SciencesTribhuvan UniversityUniversity of TwenteQueensland University of TechnologyZhejiang UniversityUniversiteit van die VrystaatUniversidad Autónoma del Estado de HidalgoUniversidade de MacauHamadan University of Medical SciencesPublic Health AgencyInyuvesi Yakwazulu-NataliShahroud University of Medical SciencesUniversité de BourgogneWeill Cornell Medical CollegeNaresuan UniversityUniversiti Sains MalaysiaMinistarstvo Prosvete, Nauke i Tehnološkog RazvojaUniversity of Veterinary and Animal SciencesUniversity of WaterlooKuwait UniversityUrmia UniversityPrograma Operacional Temático Factores de CompetitividadeTampereen YliopistoTabriz University of Medical SciencesSultan Qaboos UniversityUniversity of Technology SydneyRajiv Gandhi University of Health SciencesBaker Heart and Diabetes InstituteQuaid-i-Azam UniversityPublic Health Foundation of IndiaUniversidad del ValleRazi Vaccine and Serum Research InstituteNovo NordiskSeoul National University HospitalUniversidad Autónoma MetropolitanaClinical Science Research and DevelopmentNovavaxJames Cook UniversitySemmelweis EgyetemShahrekord UniversityMazandaran University of Medical SciencesKhalifa University of Science, Technology and ResearchOmron HealthcareKarolinska InstitutetUniversitas Muhammadiyah SurakartaJordan University of Science and TechnologyHaramaya UniversityMinistry of Health and Medical EducationIlam University of Medical SciencesImam Abdulrahman Bin Faisal UniversityUniversitat de ValènciaU.S. Department of Veterans AffairsBundesministerium für GesundheitEscola Nacional de Saúde Pública Sérgio AroucaMbarara University of Science and TechnologyAhmadu Bello UniversityUniversity of South AustraliaAkademiska SjukhusetDalhousie UniversityMinistero della SaluteCentral South UniversityEmory UniversityNanjing UniversityUniversidade de LisboaUniversity of CalcuttaStudent Research Committee, Tabriz University of Medical SciencesWashington University in St. LouisFoundation for Advancement of International Medical Education and ResearchUniversidad Nacional de ColombiaNational Taiwan University HospitalHormozgan University of Medical SciencesAmirkabir University of TechnologyUniversidade Federal de Minas GeraisUniversity of AlbertaInternational Medical UniversityHelsingin YliopistoAristotle University of ThessalonikiIslamic Azad UniversityJohns Hopkins UniversityKyung Hee UniversitySeoul National UniversityRijksuniversiteit GroningenSharif University of TechnologySecretaría Nacional de Ciencia, Tecnología e InnovaciónLunds UniversitetCairo UniversityBrandeis UniversityOttawa Hospital Research InstituteSamara UniversityKing Saud UniversityAin Shams UniversityAcademy of FinlandUniversiti Kebangsaan MalaysiaUniversity College LondonNational Natural Science Foundation of ChinaUniversidad de Costa RicaJazan UniversityGriffith UniversityUniversity of CreteMarch of Dimes FoundationRMIT UniversityNational Health and Medical Research CouncilRoyal College of Surgeons in IrelandKermanshah University of Medical SciencesMashhad University of Medical SciencesThomas Jefferson UniversityUniversity of New South WalesDanmarks GrundforskningsfondIndian Institute of Technology KanpurMinistry of Education, Culture, Sports, Science and TechnologyAuckland University of Technology, New ZealandKeio UniversityFlinders UniversityEli Lilly and CompanyUniversidade Federal do Espírito SantoUniversity of DhakaKurdistan University Of Medical SciencesUniversity Grants CommissionAmity UniversityBauman Moscow State Technical UniversityUniversity of ExeterIndian Council of Medical ResearchWuhan Polytechnic UniversitySouth African Medical Research CouncilKaiser PermanenteImperial College LondonLondon South Bank UniversityUniversity of TasmaniaUniversità degli Studi di Napoli Federico IIU.S. Department of EnergyLa Trobe UniversityCentre for Heart Rhythm Disorders, University of AdelaideAustralian Catholic UniversityOhio State UniversityUniversity of WarwickUniversity of East AngliaDepartment of Health and Social CareTehran University of Medical Sciences and Health ServicesUniversity of Arkansas for Medical SciencesYork UniversityAfrican Population and Health Research CenterTechnische Universität BerlinResearch Institute for Endocrine Sciences, Shahid Beheshti University of Medical SciencesUniversity of Health Sciences LahoreUniversity of California, Los AngelesShahed UniversityShanghai Jiao Tong UniversityCooperative Institute for Research in Environmental SciencesKasturba Medical College, ManipalUniversidad Peruana Cayetano HerediaDaiichi Sankyo EuropeAmbo UniversityWellcome TrustGastrointestinal and Liver Diseases Research CenterSalahaddin University-ErbilKing's College LondonUniversity of TorontoSree Chitra Tirunal Institute for Medical Sciences and TechnologyUniversitat Pompeu FabraBrien Holden Vision InstituteKrishna Institute Of Medical Sciences Deemed To Be UniversityAugusta UniversityUniversity of EmbuCoordenação de Aperfeiçoamento de Pessoal de Nível SuperiorSoutheast UniversityGeorge Washington UniversityBanaras Hindu UniversityPfizerManipal Academy of Higher EducationNational University of SingaporeHealth Research Council of New ZealandWollega UniversityTrường Đại học Nguyễn Tất ThànhEuropean CommissionGeorgetown UniversityWachemo UniversityApplied Molecular Biosciences UnitDepartment of Science and Technology, Ministry of Science and Technology, IndiaNIHR Nottingham Biomedical Research CentreGlaxoSmithKlineMcMaster UniversityConselho Nacional de Desenvolvimento Científico e TecnológicoAnglia Ruskin UniversityQueen Elizabeth Hospital Birmingham CharityUniversität BaselUniversidad El BosqueUniversity of SulaimaniUniversidad de ChileDepartment of Biotechnology, Ministry of Science and Technology, IndiaKashan University of Medical SciencesUniversità degli Studi di PaviaNord universitetFundação para a Ciência e a TecnologiaMerck Sharp and DohmeNational Heart Foundation of AustraliaNational Research University Higher School of EconomicsUniversity of Massachusetts BostonUniversidad Nacional Autónoma de MéxicoAcademy of Medical SciencesAksum UniversityUniversity of QueenslandNational Institute for Health and Care ResearchTufts Medical CenterA.T. Still UniversityAn-Najah National UniversityMoscow Institute of Physics and TechnologyShahrekord University of Medical SciencesQueensland HealthUniverzita Karlova v PrazeHokkaido UniversityTexas Tech UniversityRajshahi UniversityUniversità degli Studi di UdineHögskolan DalarnaMurdoch UniversitySheffield Hallam UniversityQazvin University of Medical SciencesGazi ÜniversitesiUniversity of South CarolinaBurnet InstituteArabian Gulf UniversityBirmingham City UniversityJohns Hopkins Bloomberg School of Public HealthUniversität BielefeldRajarata University of Sri LankaNational Research FoundationNorges Teknisk-Naturvitenskapelige UniversitetChang Gung Memorial HospitalJimma UniversityUniversity of HullBoston CollegeIran University of Medical SciencesNational Cancer InstituteBritish Heart FoundationUniversity of PittsburghMassachusetts General HospitalUniwersytet Jagielloński Collegium MedicumLawson Health Research InstituteHarvard UniversityDeutsches KrebsforschungszentrumUniversity of California, IrvineBournemouth UniversityYale UniversityAdigrat UniversityUniversité de LiègeUniversity of Texas Health Science Center at HoustonUniversity of CalgaryUniversità degli Studi di PerugiaWest Virginia UniversityBinzhou Medical UniversityUniwersytet ŁódzkiMaragheh University of Medical SciencesSveučilište u ZagrebuFundação de Amparo à Pesquisa do Estado de Minas GeraisNanyang Technological UniversityPomorski Uniwersytet Medyczny W SzczecinieUniversità degli Studi di MilanoHamad Medical CorporationUniversity of OtagoSouth Australian Health and Medical Research InstituteKing Abdulaziz UniversityInstitute for Health Metrics and EvaluationCase Western Reserve UniversityUniversity of LouisvilleUniversity of Central FloridaHáskólinn í ReykjavíkKeimyung UniversityBundesministerium für Bildung und ForschungUniversity of OklahomaAmarin CorporationUniversity of OttawaWenzhou Medical UniversityFederation University AustraliaInstitució Catalana de Recerca i Estudis AvançatsBill and Melinda Gates FoundationUniversity of WashingtonBristol-Myers SquibbAarhus UniversitetBispebjerg HospitalAlexandria UniversityMcGill UniversityWorld Health OrganizationMansoura UniversityWayne State UniversityAstraZenecaUniversity of BathNIHR Bristol Biomedical Research CentreJackson State UniversityUniversitas IndonesiaTsinghua UniversityInstitut National de la Santé et de la Recherche MédicaleVetenskapsrådetAmerican University of BeirutInstitute for Clinical Evaluative SciencesUniversità di CataniaRafsanjan University of Medical SciencesCancer Research InstituteKosin UniversityUniversitatea din BucureștiUniversity College CorkGeorge Mason UniversityUniversity of Southern CaliforniaGöteborgs UniversitetArak University of Medical SciencesBrigham and Women's HospitalUniversity of MinnesotaUniversity of Oklahoma Health Sciences CenterFlorida International UniversityUppsala UniversitetUniversity of GlasgowWestern Sydney UniversityUniversity of BaghdadTehran Heart CenterUniversidad ICESISemnan UniversityHealth Effects InstituteDamon Runyon Cancer Research FoundationKerman University of Medical SciencesFakultet Medicinskih Nauka, Univerziteta U KragujevcuShiraz University of Medical SciencesInstitute of Infection and ImmunityU.S. Environmental Protection AgencyArizona State University

Keywords

Burden of diseaseMedicineDisease burdenDiseaseMEDLINEIntensive care medicineInternal medicinePolitical science

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