ArticleEuropean journal of epidemiology2021
Different approaches to quantify years of life lost from COVID-19.
Article in European journal of epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Article
- Excess mortality and years of life lost from 2020 to 2023 in France: a cohort study of the overall impact of the COVID-19 pandemic on mortality.BMJ public health · 2025Article
- Using Potential Years of Life Lost (PYLL) to Compare Premature Mortality between Romanian Counties to Confirmed COVID-19 Cases in 2020 and 2021.Healthcare (Basel, Switzerland) · 2024Article
- Article
- Quantifying income inequality in years of life lost to COVID-19: a prediction model approach using Dutch administrative data.International journal of epidemiology · 2024Article
- Effectiveness of and Inequalities in COVID-19 Epidemic Control Strategies in Hungary: A Nationwide Cross-Sectional Study.Healthcare (Basel, Switzerland) · 2023Article
- How should we speak about years of life lost (YLL) values?European journal of epidemiology · 2023Article
- The Impact of Comorbidities and Obesity on the Severity and Outcome of COVID-19 in Hospitalized Patients-A Retrospective Study in a Hungarian Hospital.International journal of environmental research and public health · 2023Observational
- Time-varying risk of death after SARS-CoV-2 infection in Swedish long-term care facility residents: a matched cohort study.BMJ open · 2022Article
- Years of life lost during the Covid-19 pandemic in Sweden considering variation in life expectancy by level of geriatric care.European journal of epidemiology · 2022Article
- The estimated disease burden of acute COVID-19 in the Netherlands in 2020, in disability-adjusted life-years.European journal of epidemiology · 2022Article
- Establishing a Learning Model for Correct Hand Hygiene Technique in a NICU.Journal of clinical medicine · 2022Article
- Weeks of life lost to COVID-19, the case of the United States.Immunity, inflammation and disease · 2022Article
- Burden of COVID-19 Mortality and Morbidity in Poland in 2020.International journal of environmental research and public health · 2022Article
- Is Mandatory Vaccination in Population over 60 Adequate to Control the COVID-19 Pandemic in E.U.?Vaccines · 2022Article
- The Author Replies.European journal of epidemiology · 2022Article
- Years of life lost methods must remain fully equitable and accountable.European journal of epidemiology · 2022Article
- The Effect of the COVID-19 Pandemic on the Elderly: Population Fatality Rates, COVID Mortality Percentage, and Life Expectancy Loss.The elder law journal · 2022Article
- The Impact of Education and Lifestyle Factors on Disability-Free Life Expectancy From Mid-Life to Older Age: A Multi-Cohort Study.International journal of public health · 2022Article
- Comparison of years of life lost to 1,565 suicides versus 10,650 COVID-19 deaths in 2020 in Sweden: four times more years of life lost per suicide than per COVID-19 death.Upsala journal of medical sciences · 2022Article
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Abstract
The burden of an epidemic is often characterized by death counts, but this can be misleading as it fails to acknowledge the age of the deceased patients. Years of life lost is therefore widely used as a more relevant metric, however, such calculations in the context of COVID-19 are all biased upwards: patients dying from COVID-19 are typically multimorbid, having far worse life expectation than the general population. These questions are quantitatively investigated using a unique Hungarian dataset that contains individual patient level data on comorbidities for all COVID-19 deaths in the country. To account for the comorbidities of the patients, a parametric survival model using 11 important long-term conditions was used to estimate a more realistic years of life lost. As of 12 May, 2021, Hungary reported a total of 27,837 deaths from COVID-19 in patients above 50 years of age. The usual calculation indicates 10.5 years of life lost for each death, which decreases to 9.2 years per death after adjusting for 11 comorbidities. The expected number of years lost implied by the life table, reflecting the mortality of a developed country just before the pandemic is 11.1 years. The years of life lost due to COVID-19 in Hungary is therefore 12% or 1.3 years per death lower when accounting for the comorbidities and is below its expected value, but how this should be interpreted is still a matter of debate. Further research is warranted on how to optimally integrate this information into epidemiologic risk assessments during a pandemic.
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