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@article{Kyu:2018:10.1016/S0140-6736(18)32335-3,
author = {Kyu, HH and Abate, D and Abate, KH and Abay, SM and Abbafati, C and Abbasi, N and Abbastabar, H and Abd-Allah, F and Abdela, J and Abdelalim, A and Abdollahpour, I and Abdulkader, RS and Abebe, M and Abebe, Z and Abil, OZ and Aboyans, V and Abrham, AR and Abu-Raddad, LJ and Abu-Rmeileh, NME and Accrombessi, MMK and Acharya, D and Acharya, P and Ackerman, IN and Adamu, AA and Adebayo, OM and Adekanmbi, V and Ademi, Z and Adetokunboh, OO and Adib, MG and Adsuar, JC and Afanvi, KA and Afarideh, M and Afshin, A and Agarwal, G and Agesa, KM and Aggarwal, R and Aghayan, SA and Agrawal, A and Ahmadi, A and Ahmadi, M and Ahmadieh, H and Ahmed, MB and Ahmed, S and Aichour, AN and Aichour, I and Aichour, MTE and Akinyemiju, T and Akseer, N and Ayman, ZA-A and Al-Eyadhy, A and Al-Mekhlafi, HM and Al-Raddadi, RM and Alahdab, F and Alam, K and Alam, T and Alashi, A and Alavian, SM and Alene, KA and Alijanzadeh, M and Alizadeh-Navaei, R and Aljunid, SM and Alkerwi, A and Alla, F and Allebeck, P and },
doi = {10.1016/S0140-6736(18)32335-3},
journal = {The Lancet},
pages = {1859--1922},
title = {Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017},
url = {http://dx.doi.org/10.1016/S0140-6736(18)32335-3},
volume = {392},
year = {2018}
}

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TY  - JOUR
AB  - BackgroundHow long one lives, how many years of life are spent in good and poor health, and how the population's state of health and leading causes of disability change over time all have implications for policy, planning, and provision of services. We comparatively assessed the patterns and trends of healthy life expectancy (HALE), which quantifies the number of years of life expected to be lived in good health, and the complementary measure of disability-adjusted life-years (DALYs), a composite measure of disease burden capturing both premature mortality and prevalence and severity of ill health, for 359 diseases and injuries for 195 countries and territories over the past 28 years.MethodsWe used data for age-specific mortality rates, years of life lost (YLLs) due to premature mortality, and years lived with disability (YLDs) from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2017 to calculate HALE and DALYs from 1990 to 2017. We calculated HALE using age-specific mortality rates and YLDs per capita for each location, age, sex, and year. We calculated DALYs for 359 causes as the sum of YLLs and YLDs. We assessed how observed HALE and DALYs differed by country and sex from expected trends based on Socio-demographic Index (SDI). We also analysed HALE by decomposing years of life gained into years spent in good health and in poor health, between 1990 and 2017, and extra years lived by females compared with males.FindingsGlobally, from 1990 to 2017, life expectancy at birth increased by 7·4 years (95% uncertainty interval 7·1–7·8), from 65·6 years (65·3–65·8) in 1990 to 73·0 years (72·7–73·3) in 2017. The increase in years of life varied from 5·1 years (5·0–5·3) in high SDI countries to 12·0 years (11·3–12·8) in low SDI countries. Of the additional years of life expected at birth, 26·3% (20·1&ndash
AU  - Kyu,HH
AU  - Abate,D
AU  - Abate,KH
AU  - Abay,SM
AU  - Abbafati,C
AU  - Abbasi,N
AU  - Abbastabar,H
AU  - Abd-Allah,F
AU  - Abdela,J
AU  - Abdelalim,A
AU  - Abdollahpour,I
AU  - Abdulkader,RS
AU  - Abebe,M
AU  - Abebe,Z
AU  - Abil,OZ
AU  - Aboyans,V
AU  - Abrham,AR
AU  - Abu-Raddad,LJ
AU  - Abu-Rmeileh,NME
AU  - Accrombessi,MMK
AU  - Acharya,D
AU  - Acharya,P
AU  - Ackerman,IN
AU  - Adamu,AA
AU  - Adebayo,OM
AU  - Adekanmbi,V
AU  - Ademi,Z
AU  - Adetokunboh,OO
AU  - Adib,MG
AU  - Adsuar,JC
AU  - Afanvi,KA
AU  - Afarideh,M
AU  - Afshin,A
AU  - Agarwal,G
AU  - Agesa,KM
AU  - Aggarwal,R
AU  - Aghayan,SA
AU  - Agrawal,A
AU  - Ahmadi,A
AU  - Ahmadi,M
AU  - Ahmadieh,H
AU  - Ahmed,MB
AU  - Ahmed,S
AU  - Aichour,AN
AU  - Aichour,I
AU  - Aichour,MTE
AU  - Akinyemiju,T
AU  - Akseer,N
AU  - Ayman,ZA-A
AU  - Al-Eyadhy,A
AU  - Al-Mekhlafi,HM
AU  - Al-Raddadi,RM
AU  - Alahdab,F
AU  - Alam,K
AU  - Alam,T
AU  - Alashi,A
AU  - Alavian,SM
AU  - Alene,KA
AU  - Alijanzadeh,M
AU  - Alizadeh-Navaei,R
AU  - Aljunid,SM
AU  - Alkerwi,A
AU  - Alla,F
AU  - Allebeck,P
AU  - Alonso,J
AU  - Alsharif,U
AU  - Altirkawi,K
AU  - Alvis-Guzman,N
AU  - Aminde,LN
AU  - Amini,E
AU  - Amiresmaili,M
AU  - Ammar,W
AU  - Amoako,YA
AU  - Anber,NH
AU  - Andrei,CL
AU  - Androudi,S
AU  - Animut,MD
AU  - Anjomshoa,M
AU  - Ansha,MG
AU  - Antonio,CAT
AU  - Anwari,P
AU  - Arabloo,J
AU  - Aremu,O
AU  - Arnlov,J
AU  - Arora,A
AU  - Arora,M
AU  - Artaman,A
AU  - Aryal,KK
AU  - Asayesh,H
AU  - Ataro,Z
AU  - Ausloos,M
AU  - Avila-Burgos,L
AU  - Avokpaho,EFGA
AU  - Awasthi,A
AU  - Quintanilla,BPA
AU  - Ayer,R
AU  - Azzopardi,PS
AU  - Babazadeh,A
AU  - Badali,H
AU  - Balakrishnan,K
AU  - Bali,AG
AU  - Banach,M
AU  - Banoub,JAM
AU  - Barac,A
AU  - Barboza,MA
AU  - Barker-Collo,SL
AU  - Bamighausen,TW
AU  - Barquera,S
AU  - Barrero,LH
AU  - Bazargan-Hejazi,S
AU  - Bedi,N
AU  - Beghi,E
AU  - Behzadifar,M
AU  - Behzadifar,M
AU  - Bekele,BB
AU  - Bekru,ET
AU  - Belachew,AB
AU  - Belay,YA
AU  - Bell,ML
AU  - Bello,AK
AU  - Bennett,DA
AU  - Bensenor,IM
AU  - Berhane,A
AU  - Bernabe,E
AU  - Bernstein,RS
AU  - Beuran,M
AU  - Beyranvand,F
AU  - Bhala,N
AU  - Bhatt,S
AU  - Bhaumik,S
AU  - Bhutta,ZA
AU  - Biadgo,B
AU  - Biehl,MH
AU  - Bijani,A
AU  - Bikbov,B
AU  - Bilano,V
AU  - Bililign,N
AU  - Bin,Sayeed MS
AU  - Bisanzio,D
AU  - Bjorge,T
AU  - Bleyer,A
AU  - Bobasa,EM
AU  - Bou-Orm,IR
AU  - Boufous,S
AU  - Bourne,R
AU  - Brady,OJ
AU  - Brant,LC
AU  - Brayne,C
AU  - Brazinova,A
AU  - Breitborde,NJK
AU  - Brenner,H
AU  - Briant,PS
AU  - Briko,AN
AU  - Britton,G
AU  - Brugha,T
AU  - Buchbinder,R
AU  - Busse,R
AU  - Butt,ZA
AU  - Cahuana-Hurtado,L
AU  - Rincon,JCC
AU  - Cano,J
AU  - Cardenas,R
AU  - Carrero,JJ
AU  - Carter,A
AU  - Carvalho,F
AU  - Castaneda-Orjuela,CA
AU  - Rivas,JC
AU  - Castro,F
AU  - Catala-Lopez,F
AU  - Cercy,KM
AU  - Cerin,E
AU  - Chaiah,Y
AU  - Chang,J-C
DO  - 10.1016/S0140-6736(18)32335-3
EP  - 1922
PY  - 2018///
SN  - 0140-6736
SP  - 1859
TI  - Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017
T2  - The Lancet
UR  - http://dx.doi.org/10.1016/S0140-6736(18)32335-3
UR  - http://hdl.handle.net/10044/1/65186
VL  - 392
ER  -

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