Evidence map›Paper›PMID 32993680›Full record

ArticlePopulation health metrics2020

The burden of diabetes and hyperglycemia in Brazil: a global burden of disease study 2017.

Bruce Bartholow Duncan, Ewerton Cousin, Mohsen Naghavi, Ashkan Afshin, Elisabeth Barboza França, Valéria Maria de Azeredo Passos, Deborah Malta, Bruno R Nascimento, Maria Inês Schmidt

Open access · goldAbstract read
In one paragraph

Article in Population health metrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
5.3field-weighted citation impact, top 3% of its field
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

20 citing papers in PubMed, 61 citations in OpenAlex.

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  16. Indicators of the line of care for people with diabetes in Brazil: National Health Survey 2013 and 2019.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2022
    Article
  17. Cardiovascular Statistics - Brazil 2021.Arquivos brasileiros de cardiologia · 2022
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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

9 authors at 5 institutions in 2 countries.

Bruce Bartholow DuncanPrograma de Pós-graduação em Epidemiologia e Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, R. Ramiro Barcelos, 2600 Sala 414, Porto Alegre, RS, 90035-003, Brazil. bbduncan@ufrgs.br.ORCID 0000-0002-7491-2630
Ewerton CousinPrograma de Pós-graduação em Epidemiologia e Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, R. Ramiro Barcelos, 2600 Sala 414, Porto Alegre, RS, 90035-003, Brazil.
Mohsen NaghaviInstitute for Health Metrics and Evaluation, University of Washington, Seattle, USA.
Ashkan AfshinInstitute for Health Metrics and Evaluation, University of Washington, Seattle, USA.
Elisabeth Barboza FrançaPrograma de Pós-graduação em Saúde Pública, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Valéria Maria de Azeredo PassosFaculdade Ciências Médicas de Minas Gerais, Belo Horizonte, Brazil.
Deborah MaltaDepartamento de Enfermagem Materno-Infantil e Saúde Pública, Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Bruno R NascimentoHospital das Clínicas da Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Maria Inês SchmidtPrograma de Pós-graduação em Epidemiologia e Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, R. Ramiro Barcelos, 2600 Sala 414, Porto Alegre, RS, 90035-003, Brazil.
Universidade Federal do Rio Grande do Sul · BRUniversidade Federal de Minas Gerais · BRUniversity of Washington · USFaculdade de Ciências Médicas de Minas Gerais · BRHospital das Clínicas da Universidade Federal de Minas Gerais · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Global Burden of Diseases (GBD) 2017 database permits an up-to-date evaluation of the frequency and burden of diabetes at the state level in Brazil and by type of diabetes. The objective of this report is to describe, using these updated GBD data, the current and projected future burden of diabetes and hyperglycemia in Brazil, as well as its variation over time and space.

methodsWe derived all estimates using the GBD 2016 and 2017 databases to characterize disease burden related to diabetes and hyperglycemia in Brazil, from 1990 to 2040, using standard GBD methodologies.

resultsThe overall estimated prevalence of diabetes in Brazil in 2017 was 4.4% (95%UI 4.0-4.9%), with 4.0% of those with diabetes being identified as having type 1 disease. While the crude prevalence of type 1 disease has remained relatively stable from 1990, type 2 prevalence has increased 30% for males and 26% for females. In 2017, approximately 3.3% of all disability-adjusted life years lost were due to diabetes and 5.9% to hyperglycemia. Diabetes prevalence and mortality were highest in the Northeast region and growing fastest in the North, Northeast, and Center-West regions. Over this period, despite a slight decrease in age-standardized incidence of type 2 diabetes, crude overall burden due to hyperglycemia has increased 19%, with population aging being a main cause for this rise. Cardiovascular diseases, responsible for 38.3% of this burden in 1990, caused only 25.9% of it in 2017, with premature mortality attributed directly to diabetes causing 31.6% of the 2017 burden. Future projections suggest that the diabetes mortality burden will increase 144% by 2040, more than twice the expected increase in crude disease burden overall (54%). By 2040, diabetes is projected to be Brazil's third leading cause of death and hyperglycemia its third leading risk factor, in terms of deaths.

conclusionsThe disease burden in Brazil attributable to diabetes and hyperglycemia, already large, is predicted by GBD estimates to more than double to 2040. Strong actions by the Ministry of Health are necessary to counterbalance the major deleterious effects of population aging.

Indexed as

AdultAgedAged, 80 and overAge DistributionBrazilCardiovascular DiseasesDiabetes MellitusFemaleGlobal Burden of DiseaseGlobal HealthHumansHyperglycemiaIncidenceMaleMiddle AgedPrevalenceBrazilDiabetes mellitusepidemiologyGlobal Burden of Diseasehyperglycemia

Identifiers

PMID32993680
PMCPMC7526086
OpenAlexW3089597570

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.