Evidence map›Paper›PMID 31699719›Full record

Observational studyBMJ open2019

Direct estimates of disability-adjusted life years lost due to stroke : a cross-sectional observational study in a demographic surveillance site in rural Gadchiroli, India.

Nikkil Sudharsanan, Mahesh Deshmukh, Yogeshwar Kalkonde

Abstract readObservational Study
In one paragraph

Observational study in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Prevalence of CVD Among Indian Adult Population: Systematic Review and Meta-Analysis.International journal of environmental research and public health · 2025
    Pooled it
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Comment on Rochmah et al. Economic Burden of Stroke Disease: A Systematic Review.International journal of environmental research and public health · 2022
    Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Nikkil SudharsananCenter for Population and Development Studies, Harvard University T H Chan School of Public Health, Boston, Massachusetts, USA.
Mahesh DeshmukhSociety for Education Action and Research in Community Health, Gadchiroli, Maharashtra, India.
Yogeshwar KalkondeSociety for Education Action and Research in Community Health, Gadchiroli, Maharashtra, India yvkalkonde@gmail.com.ORCID 0000-0003-3543-3618

Funding

GRADUATE TRAINING IN DEMOGRAPHYT32HD007242 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI MICHEL GUILLOT · 1985 to 2026
$6.6M
NICHD NIH HHS T32 HD007242
6 · The paper itself

Abstract

objectiveTo directly estimate disability-adjusted life years (DALYs) lost due to stroke in rural Gadchiroli, India and measure the contribution of mortality and disability to total DALYs lost.

designCross-sectional descriptive study using population census, vital registration and stroke prevalence data.

settingA demographic surveillance site of 86 villages in Gadchiroli, a rural district in Maharashtra, India.

participantsPopulation counts and mortality information were drawn from a census and vital registration system covering a population of approximately 94 154 individuals; stroke prevalence information was based on a door-to-door evaluation of all 45 053 individuals from 39 of the 86 villages in the surveillance site. PRIMARY OUTCOME MEASURES: Years of life lost (YLL), years lived with disability (YLD) and DALYs lost due to stroke.

resultsThere were 229 stroke deaths among the total population of 94 154 individuals and 175 stroke survivors among the subpopulation of 45 053 individuals. An estimated 2984 DALYs were lost due to stroke per 100 000 person-years with a higher burden among men compared with women (3142 vs 2821 DALYs). Over three-fourths (80%) of the total DALYs lost due to stroke were between ages 30 and 70 years. YLL accounted for 98.9% of total DALYs lost.

conclusionsThere was a high burden of stroke in rural Gadchiroli with a significant burden at premature ages. These results reveal a substantial need for surveillance and improved preventive and curative services for stroke in rural India.

Indexed as

Cost of IllnessPersons with DisabilitiesRural PopulationAdultAgedCross-Sectional StudiesFemaleHumansIndiaMaleMiddle AgedPopulation SurveillancePrevalenceQuality-Adjusted Life YearsStrokeepidemiologyneurologypublic healthstroke

Identifiers

PMID31699719
PMCPMC6858195

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.