Atlas of the global burden of stroke (1990-2013)

The GBD 2013 study

GBD 2013 Stroke Panel Experts Group

Research output: Contribution to journalArticle

86 Citations (Scopus)

Abstract

Background: World mapping is an important tool to visualize stroke burden and its trends in various regions and countries. Objectives: To show geographic patterns of incidence, prevalence, mortality, disability-adjusted life years (DALYs) and years lived with disability (YLDs) and their trends for ischemic stroke and hemorrhagic stroke in the world for 1990-2013. Methodology: Stroke incidence, prevalence, mortality, DALYs and YLDs were estimated following the general approach of the Global Burden of Disease (GBD) 2010 with several important improvements in methods. Data were updated for mortality (through April 2014) and stroke incidence, prevalence, case fatality and severity through 2013. Death was estimated using an ensemble modeling approach. A new software package, DisMod-MR 2.0, was used as part of a custom modeling process to estimate YLDs. All rates were age-standardized to new GBD estimates of global population. All estimates have been computed with 95% uncertainty intervals. Results: Age-standardized incidence, mortality, prevalence and DALYs/YLDs declined over the period from 1990 to 2013. However, the absolute number of people affected by stroke has substantially increased across all countries in the world over the same time period, suggesting that the global stroke burden continues to increase. There were significant geographical (country and regional) differences in stroke burden in the world, with the majority of the burden borne by low- and middle-income countries. Conclusions: Global burden of stroke has continued to increase in spite of dramatic declines in age-standardized incidence, prevalence, mortality rates and disability. Population growth and aging have played an important role in the observed increase in stroke burden.

Original languageEnglish (US)
Pages (from-to)230-236
Number of pages7
JournalNeuroepidemiology
Volume45
Issue number3
DOIs
StatePublished - Oct 1 2015
Externally publishedYes

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Atlases
Stroke
Quality-Adjusted Life Years
Mortality
Incidence
Global Burden of Disease
Population Growth
Uncertainty
Software

Keywords

  • Atlas
  • Burden
  • GBD 2013
  • Stroke

ASJC Scopus subject areas

  • Epidemiology
  • Clinical Neurology

Cite this

Atlas of the global burden of stroke (1990-2013) : The GBD 2013 study. / GBD 2013 Stroke Panel Experts Group.

In: Neuroepidemiology, Vol. 45, No. 3, 01.10.2015, p. 230-236.

Research output: Contribution to journalArticle

GBD 2013 Stroke Panel Experts Group. / Atlas of the global burden of stroke (1990-2013) : The GBD 2013 study. In: Neuroepidemiology. 2015 ; Vol. 45, No. 3. pp. 230-236.
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abstract = "Background: World mapping is an important tool to visualize stroke burden and its trends in various regions and countries. Objectives: To show geographic patterns of incidence, prevalence, mortality, disability-adjusted life years (DALYs) and years lived with disability (YLDs) and their trends for ischemic stroke and hemorrhagic stroke in the world for 1990-2013. Methodology: Stroke incidence, prevalence, mortality, DALYs and YLDs were estimated following the general approach of the Global Burden of Disease (GBD) 2010 with several important improvements in methods. Data were updated for mortality (through April 2014) and stroke incidence, prevalence, case fatality and severity through 2013. Death was estimated using an ensemble modeling approach. A new software package, DisMod-MR 2.0, was used as part of a custom modeling process to estimate YLDs. All rates were age-standardized to new GBD estimates of global population. All estimates have been computed with 95{\%} uncertainty intervals. Results: Age-standardized incidence, mortality, prevalence and DALYs/YLDs declined over the period from 1990 to 2013. However, the absolute number of people affected by stroke has substantially increased across all countries in the world over the same time period, suggesting that the global stroke burden continues to increase. There were significant geographical (country and regional) differences in stroke burden in the world, with the majority of the burden borne by low- and middle-income countries. Conclusions: Global burden of stroke has continued to increase in spite of dramatic declines in age-standardized incidence, prevalence, mortality rates and disability. Population growth and aging have played an important role in the observed increase in stroke burden.",
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author = "{GBD 2013 Stroke Panel Experts Group} and Feigin, {Valery L.} and Mensah, {George A.} and Bo Norrving and Murray, {Christopher J L} and Roth, {Gregory A.} and Bahit, {Maria Cecilia} and Thrift, {Amanda G.} and Atte Meretoja and Bill Stavreski and Anderson, {Craig S.} and Edwin Pearse and Geoffrey Donnan and Hankey, {Graeme J.} and Mackay, {Mark T.} and Stephen Davis and Zanfina Ademi and Michael Brainin and Tural Guliyev and Hamadeh, {Randah R.} and Heather Harewood and Karen Springer and {Da Costa Leite}, Iuri and {Gomes Fernandes}, Jefferson and Cabral, {Norberto Luiz} and Lotufo, {Paulo A.} and Klara Dokova and Farshad Pourmalek and Gabrielle DeVeber and Sposato, {Luciano A.} and Lindsay, {M. Patrice} and Riccio, {Patricia M.} and Lavados, {Pablo M.} and Bin Li and Chuanhua Yu and Guohong Jiang and Jixiang Ma and Maigeng Zhou and Ming Liu and Shankuan Zhu and Wenzhi Wang and Xiaofeng Liang and Yong Zhang and Gabriel Alcal{\'a}-Cerra and Christensen, {Hanne K.} and Thomas Truelsen and Foad Abd-Allah and Awoke Temesgen and Sahle, {Berhe Weldearegawi} and Abera, {Semaw Ferede} and Sacco, {Ralph L}",
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T1 - Atlas of the global burden of stroke (1990-2013)

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AU - Feigin, Valery L.

AU - Mensah, George A.

AU - Norrving, Bo

AU - Murray, Christopher J L

AU - Roth, Gregory A.

AU - Bahit, Maria Cecilia

AU - Thrift, Amanda G.

AU - Meretoja, Atte

AU - Stavreski, Bill

AU - Anderson, Craig S.

AU - Pearse, Edwin

AU - Donnan, Geoffrey

AU - Hankey, Graeme J.

AU - Mackay, Mark T.

AU - Davis, Stephen

AU - Ademi, Zanfina

AU - Brainin, Michael

AU - Guliyev, Tural

AU - Hamadeh, Randah R.

AU - Harewood, Heather

AU - Springer, Karen

AU - Da Costa Leite, Iuri

AU - Gomes Fernandes, Jefferson

AU - Cabral, Norberto Luiz

AU - Lotufo, Paulo A.

AU - Dokova, Klara

AU - Pourmalek, Farshad

AU - DeVeber, Gabrielle

AU - Sposato, Luciano A.

AU - Lindsay, M. Patrice

AU - Riccio, Patricia M.

AU - Lavados, Pablo M.

AU - Li, Bin

AU - Yu, Chuanhua

AU - Jiang, Guohong

AU - Ma, Jixiang

AU - Zhou, Maigeng

AU - Liu, Ming

AU - Zhu, Shankuan

AU - Wang, Wenzhi

AU - Liang, Xiaofeng

AU - Zhang, Yong

AU - Alcalá-Cerra, Gabriel

AU - Christensen, Hanne K.

AU - Truelsen, Thomas

AU - Abd-Allah, Foad

AU - Temesgen, Awoke

AU - Sahle, Berhe Weldearegawi

AU - Abera, Semaw Ferede

AU - Sacco, Ralph L

PY - 2015/10/1

Y1 - 2015/10/1

N2 - Background: World mapping is an important tool to visualize stroke burden and its trends in various regions and countries. Objectives: To show geographic patterns of incidence, prevalence, mortality, disability-adjusted life years (DALYs) and years lived with disability (YLDs) and their trends for ischemic stroke and hemorrhagic stroke in the world for 1990-2013. Methodology: Stroke incidence, prevalence, mortality, DALYs and YLDs were estimated following the general approach of the Global Burden of Disease (GBD) 2010 with several important improvements in methods. Data were updated for mortality (through April 2014) and stroke incidence, prevalence, case fatality and severity through 2013. Death was estimated using an ensemble modeling approach. A new software package, DisMod-MR 2.0, was used as part of a custom modeling process to estimate YLDs. All rates were age-standardized to new GBD estimates of global population. All estimates have been computed with 95% uncertainty intervals. Results: Age-standardized incidence, mortality, prevalence and DALYs/YLDs declined over the period from 1990 to 2013. However, the absolute number of people affected by stroke has substantially increased across all countries in the world over the same time period, suggesting that the global stroke burden continues to increase. There were significant geographical (country and regional) differences in stroke burden in the world, with the majority of the burden borne by low- and middle-income countries. Conclusions: Global burden of stroke has continued to increase in spite of dramatic declines in age-standardized incidence, prevalence, mortality rates and disability. Population growth and aging have played an important role in the observed increase in stroke burden.

AB - Background: World mapping is an important tool to visualize stroke burden and its trends in various regions and countries. Objectives: To show geographic patterns of incidence, prevalence, mortality, disability-adjusted life years (DALYs) and years lived with disability (YLDs) and their trends for ischemic stroke and hemorrhagic stroke in the world for 1990-2013. Methodology: Stroke incidence, prevalence, mortality, DALYs and YLDs were estimated following the general approach of the Global Burden of Disease (GBD) 2010 with several important improvements in methods. Data were updated for mortality (through April 2014) and stroke incidence, prevalence, case fatality and severity through 2013. Death was estimated using an ensemble modeling approach. A new software package, DisMod-MR 2.0, was used as part of a custom modeling process to estimate YLDs. All rates were age-standardized to new GBD estimates of global population. All estimates have been computed with 95% uncertainty intervals. Results: Age-standardized incidence, mortality, prevalence and DALYs/YLDs declined over the period from 1990 to 2013. However, the absolute number of people affected by stroke has substantially increased across all countries in the world over the same time period, suggesting that the global stroke burden continues to increase. There were significant geographical (country and regional) differences in stroke burden in the world, with the majority of the burden borne by low- and middle-income countries. Conclusions: Global burden of stroke has continued to increase in spite of dramatic declines in age-standardized incidence, prevalence, mortality rates and disability. Population growth and aging have played an important role in the observed increase in stroke burden.

KW - Atlas

KW - Burden

KW - GBD 2013

KW - Stroke

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