ArticleBMC geriatrics2019
The burden of health conditions for middle-aged and older adults in the United States: disability-adjusted life years.
Article in BMC geriatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.
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Who cites it
33 citing papers in PubMed, 3 syntheses or guidelines pooled it.
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- Safety of sodium-glucose cotransporter 2 inhibitors drugs among heart failure patients: a systematic review and meta-analysis.ESC heart failure · 2024Pooled it
- Physical exercise for bone health in men with prostate cancer receiving androgen deprivation therapy: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Pooled it
- Understanding the Association Between Substance Use and Loneliness in Midlife and Older Adults.International journal of environmental research and public health · 2026Article
- Neighborhood economic and demographic landscape as predictors of 90-day outcomes post-stroke hospitalization.Frontiers in stroke · 2026Article
- Microbiome and Heart Failure: A Comprehensive Review of Gut Health and Microbiota-Derived Metabolites in Heart Failure Progression.Medical sciences (Basel, Switzerland) · 2025Review
- Current trends in the treatment of focal cartilage lesions: a comprehensive review.EFORT open reviews · 2025Review
- Medication-based profiling of older orthopedic patients: a multicenter cross-sectional study.BMC geriatrics · 2024Article
- Neighborhood Resources and Health Outcomes Among Stroke Survivors in a Population-Based Cohort.Journal of the American Heart Association · 2024Article
- Barriers to Pulmonary Rehabilitation.Respiratory care · 2024Article
- Considerations beyond spine pain: do different co-occurring lower body joint pains differentially influence physical function and quality of life ratings?BMC musculoskeletal disorders · 2024Article
- Predictors of Health in Substance Use Disorder Recovery: Economic Stability in Residential Aftercare Environments.Journal of social work practice in the addictions · 2024Article
- Prevalence of Heart Failure Stages in a Universal Health Care System: The Military Health System Experience.The American journal of medicine · 2023Observational
- Recent Advances in Microbiota-Associated Metabolites in Heart Failure.Biomedicines · 2023Review
- Article
- Positron Emission Tomography with Computed Tomography in Evaluations of Classical Fever of Unknown Origin and Length of Hospitalization: A 10-Year Medical Record Review of a Tertiary Hospital.Infection & chemotherapy · 2023Article
- Prevalence of and Risk Factors for Adhesive Capsulitis of the Shoulder in Older Adults from Germany.Journal of clinical medicine · 2023Article
- Prediction of posttraumatic functional recovery in middle-aged and older patients through dynamic ensemble selection modeling.Frontiers in public health · 2023Article
- Understanding the role of financial health literacy in midlife and old age: A scoping review.Health & social care in the community · 2022Article
- Role of publicly funded health insurance in financial protection of the elderly from hospitalisation expenditure in India-findings from the longitudinal aging study.BMC geriatrics · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundMany adults are living longer with health conditions in the United States. Understanding the disability-adjusted life years (DALYs) for such health conditions may help to inform healthcare providers and their patients, guide health interventions, reduce healthcare costs, improve quality of life, and increase longevity for aging Americans. The purpose of this study was to determine the burden of 10 health conditions for a nationally-representative sample of adults aged 50 years and older in the United States.
methodsData from the 1998-2014 waves of the Health and Retirement Study were analyzed. At each wave, participants indicated if they were diagnosed with the following 10 conditions: cancer, chronic obstructive pulmonary disease (COPD), congestive heart failure, diabetes, back pain, hypertension, a fractured hip, myocardial infarction, rheumatism or arthritis, and a stroke. Years lived with a disability and years of life lost to premature mortality were summed for calculating DALYs. Sample weights were utilized in the analyses to make the DALY estimates nationally-representative. Results for the DALYs were presented in thousands.
resultsThere were 30,101 participants included. Sex stratified DALY estimates ranged from 4092 (fractured hip)-to-178,055 (hypertension) for men and 13,621 (fractured hip)-to-200,794 (hypertension) for women. The weighted overall DALYs were: 17,660 for hip fractures, 62,630 for congestive heart failure, 64,710 for myocardial infarction, 90,337 for COPD, 93,996 for stroke, 142,012 for cancer, 117,534 for diabetes, 186,586 for back pain, 333,420 for arthritis, and 378,849 for hypertension. In total, there were an estimated 1,487,734 years of healthy life lost from the 10 health conditions examined over the study period.
conclusionsThe burden of these health conditions accounted for over a million years of healthy life lost for middle-aged and older Americans over the 16 year study period. Our results should be used to inform healthcare providers and guide health interventions aiming to improve the health of middle-aged and older adults. Moreover, shifting health policy and resources to match DALY trends may help to improve quality of life during aging and longevity.
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