Global burden of chronic respiratory diseases and risk factors, 1990–2019: an update from the Global Burden of Disease Study 2019
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Abstract
Background: Updated data on chronic respiratory diseases (CRDs) are vital in their prevention, control, and treatment in the path to achieving the third UN Sustainable Development Goals (SDGs), a one-third reduction in premature mortality from non-communicable diseases by 2030. We provided global, regional, and national estimates of the burden of CRDs and their attributable risks from 1990 to 2019. Methods: Using data from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019, we estimated mortality, years lived with disability, years of life lost, disability-adjusted life years (DALYs), prevalence, and incidence of CRDs, i.e. chronic obstructive pulmonary disease (COPD), asthma, pneumoconiosis, interstitial lung disease and pulmonary sarcoidosis, and other CRDs, from 1990 to 2019 by sex, age, region, and Socio-demographic Index (SDI) in 204 countries and territories. Deaths and DALYs from CRDs attributable to each risk factor were estimated according to relative risks, risk exposure, and the theoretical minimum risk exposure level input. Findings: In 2019, CRDs were the third leading cause of death responsible for 4.0 million deaths (95% uncertainty interval 3.6-4.3) with a prevalence of 454.6 million cases (417.4-499.1) globally. While the total deaths and prevalence of CRDs have increased by 28.5% and 39.8%, the age-standardised rates have dropped by 41.7% and 16.9% from 1990 to 2019, respectively. COPD, with 212.3 million (200.4-225.1) prevalent cases, was the primary cause of deaths from CRDs, accounting for 3.3 million (2.9-3.6) deaths. With 262.4 million (224.1-309.5) prevalent cases, asthma had the highest prevalence among CRDs. The age-standardised rates of all burden measures of COPD, asthma, and pneumoconiosis have reduced globally from 1990 to 2019. Nevertheless, the age-standardised rates of incidence and prevalence of interstitial lung disease and pulmonary sarcoidosis have increased throughout this period. Low- and low-middle SDI countries had the highest age-standardised death and DALYs rates while the high SDI quintile had the highest prevalence rate of CRDs. The highest deaths and DALYs from CRDs were attributed to smoking globally, followed by air pollution and occupational risks. Non-optimal temperature and high body-mass index were additional risk factors for COPD and asthma, respectively. Interpretation: Albeit the age-standardised prevalence, death, and DALYs rates of CRDs have decreased, they still cause a substantial burden and deaths worldwide. The high death and DALYs rates in low and low-middle SDI countries highlights the urgent need for improved preventive, diagnostic, and therapeutic measures. Global strategies for tobacco control, enhancing air quality, reducing occupational hazards, and fostering clean cooking fuels are crucial steps in reducing the burden of CRDs, especially in low- and lower-middle income countries.
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The record
- Venue
- EClinicalMedicine
- Topic
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Field
- Medicine
- Canadian institutions
- —
- Funders
- National Institute of General Medical SciencesNational Institute for Health Research Applied Research Collaboration South LondonNational Research, Development and Innovation OfficeNational Health and Medical Research CouncilAustralian Research CouncilDepartment of Anthropology, McMaster UniversityDebre Tabor UniversityRajshahi UniversityNational Science and Technology CouncilFakultet Medicinskih Nauka, Univerziteta U KragujevcuUniversitas PadjadjaranInternational Medical UniversityKhulna UniversityUniversitatea din BucureștiChina Medical UniversityFederation University AustraliaLung Foundation AustraliaUnited Arab Emirates UniversityAl Jouf UniversityShahid Beheshti University of Medical SciencesTehran Heart CenterUniversidad de AntioquiaUniversitair Medisch Centrum GroningenDepartment of Epidemiology, Biostatistics and Occupational Health, McGill UniversityTaipei Medical UniversityUniversiti Kebangsaan MalaysiaUniversity of WaterlooTrakya ÜniversitesiIsfahan University of Medical SciencesMcGill UniversityConselho Nacional de Desenvolvimento Científico e TecnológicoUniversity of TehranDirectorate for Biological SciencesKing Abdulaziz UniversityKing's Health PartnersUniversity of QueenslandUniversity of Central FloridaSeoul National UniversityUniversity of New South WalesAin Shams UniversityRijksuniversiteit GroningenCancer Institute NSWDepartment of Biotechnology, Ministry of Science and Technology, IndiaUniversity of AberdeenEuropean CommissionKerman University of Medical SciencesKosin UniversityInstitute for Health Metrics and EvaluationKing's College LondonInstitut für WeltwirtschaftKasturba Medical College, ManipalAmirkabir University of TechnologyChandigarh UniversityMinistero della SaluteLa Trobe UniversityUniversidad de ColimaDepartment of Health and Social CareUniversity of the Western CapeBundesministerium für Bildung und ForschungNational Institute for Health Research Applied Research Collaboration WestUniversity of Southern CaliforniaKing's College Hospital NHS Foundation TrustUniversity of WollongongMashhad University of Medical SciencesMinistarstvo Prosvete, Nauke i Tehnološkog RazvojaPublic Health EnglandShahrekord University of Medical SciencesRafsanjan University of Medical SciencesUniversity of LeedsUniversidade de CoimbraHealth Effects InstituteInstituto de Salud Carlos IIIIndiana University HealthMadda Walabu UniversityColorado State UniversityBirjand University of Medical SciencesUniversity of SydneyWorld Health OrganizationSocial Science Research CouncilWellcome TrustDivision of Human Resource DevelopmentMinisterul Cercetării, Inovării şi DigitalizăriiShahrekord UniversityAlexander von Humboldt-StiftungUniversity of Engineering and Technology, LahoreNational Institutes of HealthTehran University of Medical Sciences and Health ServicesThe Wellcome Trust DBT India AllianceNational Institute for Health and Care ResearchZahedan University of Medical SciencesBill and Melinda Gates Foundation
- Keywords
- MedicineDisease burdenCOPDEnvironmental healthBurden of diseaseYears of potential life lostAsthmaIncidence (geometry)Cause of deathMortality rateRelative riskDiseaseConfidence intervalPopulationLife expectancySurgeryInternal medicine
- Has abstract in OpenAlex
- yes