Evidence map›Paper›PMID 29634829›Full record

ArticleJAMA2018

The State of US Health, 1990-2016: Burden of Diseases, Injuries, and Risk Factors Among US States.

US Burden of Disease Collaborators, Ali H Mokdad, Katherine Ballestros, Michelle Echko, Scott Glenn, Helen E Olsen, Erin Mullany, Alex Lee, Abdur Rahman Khan, Alireza Ahmadi and 106 more

7 registry-linked trialsAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JAMA, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 779 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
779citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03713333 nacompletednot on this map

Implementation of High Definition Screening Using Handheld Imaging and Digital Health Technologies Within a Learning Health System to Identify Cardiovascular Disease at the Point-of-care: The ASE-INNOVATE Program

TypeinterventionalSponsorScripps HealthRan2018 to 2020Enrolled374ConditionsCardiovascular Diseases, Hypertension, Heart Failure, Atrial FibrillationArmsDigital Health Device Diagnostics
NCT04297826 nacompletednot on this mapstarted 2021, after this paper: background citation

Expanding Our Cancer Prevention and Control Infrastructure to Reduce Cancer and Other Chronic Disease Health Disparities in the Deep South

TypeinterventionalSponsorUniversity of Alabama at BirminghamRan2021 to 2022Enrolled137ConditionsChronic DiseaseArmsHarvest for Health
NCT05889715 nacompletednot on this mapstarted 2023, after this paper: background citation

An Interprofessional-led Model of Care to Prevent and Treat Chronic Diseases Using a Whole Food, Plant-based Nutrition Program in a Primary Care Setting

TypeinterventionalSponsorThe University of Texas Health Science Center at San AntonioRan2023 to 2024Enrolled47ConditionsChronic Disease, Nutrition, HealthyArmsGreen Wellness Program: Plants-2-Plate
NCT06072313 nacompletednot on this mapstarted 2023, after this paper: background citation

Efficacy of Monopolar Dielectric Diathermy and Therapeutic Exercise on Pain, Functionality, Movement Phobia and Quality of Life in Patients With Chronic Neck Pain.

TypeinterventionalSponsorUniversidad de AlmeriaRan2023 to 2024Enrolled70ConditionsChronic Pain, Neck PainArmsMonopolar electrical diathermy plus therapeutic exercise, Therapeutic Exercise
NCT06614920 narecruitingnot on this mapstarted 2025, after this paper: background citation

Addressing Food-Insecurity: Plant-Based Food Prescription Program to Improve Health Food Access

TypeinterventionalSponsorUniversity of MiamiRan2025 to 2028Enrolled100ConditionsHealth Literacy, Nutrition, Healthy, Nutrition Poor, Food InsecurityArmsPlant-Based Food Provision (with or without food prescription), Plant-Based Nutrition Education
NCT06989632 completednot on this map

Total Lumbar Disc Prosthesis and Subsequent Work Activity 5 Years After Total Lumbar Disc Replacement

TypeobservationalSponsorUniversity of ValenciaRan2008 to 2025Enrolled130ConditionsLumbar Disc Degeneration, Lumbar Disc Disease, Sciatica, Lumbar Disc HerniationArmsTotal lumbar disc prosthesis (Baguera®L, Spineart, Switzerland)
NCT07422922 narecruitingnot on this mapstarted 2026, after this paper: background citation

A Longitudinal, Randomized-Controlled Experiment of Healthy Food Policies in Online Retail Settings

TypeinterventionalSponsorUniversity of PennsylvaniaRan2026 to 2028Enrolled300ConditionsChronic DiseaseArmsSuite of healthy food policies
3 · Its place in the literature

Who cites it

779 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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719 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

116 authors.

US Burden of Disease Collaborators
Ali H MokdadInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Katherine BallestrosInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Michelle EchkoInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Scott GlennInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Helen E OlsenInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Erin MullanyInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Alex LeeInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Abdur Rahman KhanUniversity of Louisville, Louisville, Kentucky.
Alireza AhmadiKermanshah University of Medical Sciences, Kermanshah, Iran.
Alize J FerrariInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Amir KasaeianHematology-Oncology and Stem Cell Transplantation Research Center, and Hematologic Malignancies Research Center, Tehran University of Medical Sciences, Tehran, Iran.
Andrea WerdeckerCompetence Center Mortality-Follow-Up of the German National Cohort, Federal Institute for Population Research, Wiesbaden, Hessen, Germany.
Austin CarterInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Ben ZipkinInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Benn SartoriusPublic Health Medicine, School of Nursing and Public Health, University of KwaZulu-Natal, Durban, South Africa.
Berrin SerdarUniversity of Colorado, Aurora.
Bryan L SykesDepartments of Criminology, Law & Society, Sociology, and Public Health, University of California, Irvine.
Chris TroegerInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Christina FitzmauriceInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Colin D RehmMontefiore Medical Center, Bronx, New York.
Damian SantomauroInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Daniel KimDepartment of Health Sciences, Northeastern University, Boston, Massachusetts.
Danny ColombaraInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
David C SchwebelUniversity of Alabama at Birmingham.
Derrick TsoiInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Dhaval KolteDivision of Cardiology, Brown University, Providence, Rhode Island.
Elaine NsoesieInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Emma NicholsInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Eyal OrenDivision of Epidemiology & Biostatistics, Graduate School of Public Health, San Diego State University, San Diego, California.
Fiona J CharlsonInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
George C PattonMurdoch Childrens Research Institute, Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.
Gregory A RothInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
H Dean HosgoodAlbert Einstein College of Medicine, Bronx, New York.
Harvey A WhitefordInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Hmwe KyuInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Holly E ErskineInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Hsiang HuangCambridge Health Alliance, Cambridge, Massachusetts.
Ira MartopulloInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Jasvinder A SinghUniversity of Alabama at Birmingham.
Jean B NachegaGraduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania.
Juan R SanabriaJoan C. Edwards School of Medicine, Marshall University, Huntington, West Virginia.
Kaja AbbasDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, London, England.
Kanyin OngInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Karen TabbSchool of Social Work, University of Illinois at Urbana-Champaign.
Kristopher J KrohnInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Leslie CornabyInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Louisa DegenhardtInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Mark MosesInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Maryam FarvidHarvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts.
Max GriswoldInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Michael CriquiUniversity of California, San Diego, La Jolla, California.
Michelle BellYale University, New Haven, Connecticut.
Minh NguyenInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Mitch WallinVA Medical Center, Washington, DC.
Mojde MirarefinInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Mostafa QorbaniNon-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Alborz, Iran.
Mustafa YounisJackson State University, Jackson, Mississippi.
Nancy FullmanInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Patrick LiuInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Paul BriantInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Philimon GonaUniversity of Massachusetts, Boston.
Rasmus HavmollerKarolinska Institutet, Stockholm, Sweden.
Ricky LeungState University of New York, Albany, Rensselaer, New York.
Ruth KimokotiSimmons College, Boston, Massachusetts.
Shahrzad Bazargan-HejaziCollege of Medicine, Charles R. Drew University of Medicine and Science, Los Angeles, California.
Simon I HayInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Simon YadgirInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Stan BiryukovInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Stein Emil VollsetInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Tahiya AlamInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Tahvi FrankInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Talha FaridUniversity of Louisville, Louisville, Kentucky.
Ted MillerPacific Institute for Research & Evaluation, Calverton, Maryland.
Theo VosInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Till BärnighausenDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts.
Tsegaye Telwelde GebrehiwotJimma University, Jimma, Oromia, Ethiopia.
Yuichiro YanoDepartment of Preventive Medicine, Northwestern University, Chicago, Illinois.
Ziyad Al-AlyWashington University in St Louis, St Louis, Missouri.
Alem MehariCollege of Medicine, Howard University, Washington, DC.
Alexis HandalUniversity of New Mexico, Albuquerque.
Amit KandelUniversity at Buffalo, Buffalo, New York.
Ben AndersonUniversity of Washington, Seattle.
Brian BiroscakYale University, New Haven, Connecticut.
Dariush MozaffarianFriedman School of Nutrition Science and Policy, Tufts University, Boston, Massachusetts.
E Ray DorseyUniversity of Rochester Medical Center, Rochester, New York.
Eric L DingHarvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts.
Eun-Kee ParkDepartment of Medical Humanities and Social Medicine, College of Medicine, Kosin University, Busan, South Korea.
Gregory WagnerDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts.
Guoqing HuDepartment of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha, Hunan, China.
Honglei ChenMichigan State University, East Lansing.
Jacob E SunshineUniversity of Washington, Seattle.
Jagdish KhubchandaniDepartment of Nutrition and Health Science, Ball State University, Muncie, Indiana.
Janet LeasherCollege of Optometry, Nova Southeastern University, Fort Lauderdale, Florida.
Janni LeungUniversity of Washington, Seattle.
Joshua SalomonDepartment of Global Health and Population, Harvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts.
Jurgen UnutzerUniversity of Washington, Seattle.
Leah CahillHarvard T.H. Chan School of Public Health, Harvard University, Boston, Massachusetts.
Leslie CooperMayo Clinic, Jacksonville, Florida.
Masako HorinoBureau of Child, Family & Community Wellness, Nevada Division of Public and Behavioral Health, Carson City.
Michael BrauerInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Nicholas BreitbordeThe Ohio State University, Columbus.
Peter HotezCollege of Medicine, Baylor University, Houston, Texas.
Roman Topor-MadryInstitute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland.
Samir SonejiDartmouth College, Hanover, New Hampshire.
Saverio StrangesDepartment of Epidemiology & Biostatistics, Schulich School of Medicine & Dentistry, Western University, London, Canada.
Spencer JamesInstitute for Health Metrics and Evaluation, University of Washington, Seattle.
Stephen AmrockOregon Health & Science University, Portland.
Sudha JayaramanDepartment of Surgery, Virginia Commonwealth University, Richmond.
Tejas PatelWhite Plains Hospital, White Plains, New York.
Tomi AkinyemijuUniversity of Alabama at Birmingham.
Vegard SkirbekkNorwegian Institute of Public Health, Oslo, Norway.
Yohannes KinfuCentre for Research and Action in Public Health, University of Canberra, Canberra, Australia.
Zulfiqar BhuttaCentre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan.
Jost B JonasDepartment of Ophthalmology, Medical Faculty Mannheim, Ruprecht-Karls-University Heidelberg, Heidelberg, Germany.
Christopher J L MurrayInstitute for Health Metrics and Evaluation, University of Washington, Seattle.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Several studies have measured health outcomes in the United States, but none have provided a comprehensive assessment of patterns of health by state. Objective: To use the results of the Global Burden of Disease Study (GBD) to report trends in the burden of diseases, injuries, and risk factors at the state level from 1990 to 2016. Design and Setting: A systematic analysis of published studies and available data sources estimates the burden of disease by age, sex, geography, and year. Main Outcomes and Measures: Prevalence, incidence, mortality, life expectancy, healthy life expectancy (HALE), years of life lost (YLLs) due to premature mortality, years lived with disability (YLDs), and disability-adjusted life-years (DALYs) for 333 causes and 84 risk factors with 95% uncertainty intervals (UIs) were computed. Results: Between 1990 and 2016, overall death rates in the United States declined from 745.2 (95% UI, 740.6 to 749.8) per 100 000 persons to 578.0 (95% UI, 569.4 to 587.1) per 100 000 persons. The probability of death among adults aged 20 to 55 years declined in 31 states and Washington, DC from 1990 to 2016. In 2016, Hawaii had the highest life expectancy at birth (81.3 years) and Mississippi had the lowest (74.7 years), a 6.6-year difference. Minnesota had the highest HALE at birth (70.3 years), and West Virginia had the lowest (63.8 years), a 6.5-year difference. The leading causes of DALYs in the United States for 1990 and 2016 were ischemic heart disease and lung cancer, while the third leading cause in 1990 was low back pain, and the third leading cause in 2016 was chronic obstructive pulmonary disease. Opioid use disorders moved from the 11th leading cause of DALYs in 1990 to the 7th leading cause in 2016, representing a 74.5% (95% UI, 42.8% to 93.9%) change. In 2016, each of the following 6 risks individually accounted for more than 5% of risk-attributable DALYs: tobacco consumption, high body mass index (BMI), poor diet, alcohol and drug use, high fasting plasma glucose, and high blood pressure. Across all US states, the top risk factors in terms of attributable DALYs were due to 1 of the 3 following causes: tobacco consumption (32 states), high BMI (10 states), or alcohol and drug use (8 states). Conclusions and Relevance: There are wide differences in the burden of disease at the state level. Specific diseases and risk factors, such as drug use disorders, high BMI, poor diet, high fasting plasma glucose level, and alcohol use disorders are increasing and warrant increased attention. These data can be used to inform national health priorities for research, clinical care, and policy.

Indexed as

AdultCost of IllnessFemaleHealth Status DisparitiesHumansMaleMiddle AgedMorbidityMortalityMortality, PrematurePersons with DisabilitiesQuality-Adjusted Life YearsRisk FactorsUnited StatesWounds and Injuries

Identifiers

PMID29634829
PMCPMC5933332

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 1 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.