Evidence map›Paper›PMID 34498172›Full record

ArticleJournal of neurology2022

Incidence, prevalence and disability associated with neurological disorders in Italy between 1990 and 2019: an analysis based on the Global Burden of Disease Study 2019.

Alberto Raggi, Lorenzo Monasta, Ettore Beghi, Valeria Caso, Giulio Castelpietra, Stefania Mondello, Giorgia Giussani, Giancarlo Logroscino, Francesca Giulia Magnani, Marco Piccininni and 14 more

Open access · greenAbstract read
In one paragraph

Article in Journal of neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 4 pooled it
3.7field-weighted citation impact, top 6% 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

35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  5. Trial
  6. Long-term trends in selected neurological disorders in Italy (1990-2023): analysis of the global burden of disease (GBD) 2023 data.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
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  14. The role of neurology in the development of community healthcare within the Italian national health service. The position of the Italian society of neurology (SIN).Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
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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

24 authors at 11 institutions in 4 countries.

Alberto RaggiNeurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy. alberto.raggi@istituto-besta.it.ORCID http://orcid.org/0000-0002-7433-7779
Lorenzo MonastaS.C.R. Epidemiologia Clinica e Ricerca Sui Servizi Sanitari, IRCCS Materno Infantile "Burlo Garofolo", Trieste, Italy.
Ettore BeghiDepartment of Neurosciences, IRCCS Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Valeria CasoStroke Unit and Division of Internal and Cardiovascular Medicine, Università di Perugia, Perugia, Italy.
Giulio CastelpietraRegion Friuli Venezia Giulia, Central Health Directorate, Outpatient and Inpatient Care Service, Trieste, Italy.
Stefania MondelloDepartment of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy.
Giorgia GiussaniDepartment of Neurosciences, IRCCS Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Giancarlo LogroscinoDepartment of Basic Medical Sciences, Neuroscience, and Sense Organs, Università di Bari Aldo Moro, Bari, Italy.
Francesca Giulia MagnaniNeurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
Marco PiccininniInstitute of Public Health, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Elisabetta PupilloDepartment of Neurosciences, IRCCS Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Stefano RicciNeurology and Stroke Unit, USL Umbria 1, Gubbio and Città di Castello Hospital, Perugia, Italy.
Luca RonfaniS.C.R. Epidemiologia Clinica e Ricerca Sui Servizi Sanitari, IRCCS Materno Infantile "Burlo Garofolo", Trieste, Italy.
Paola SantaluciaNeurology and Stroke Unit, Ospedale San Giuseppe-Multimedica, Milan, Italy.
Davide SattinNeurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
Silvia SchiavolinNeurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
Claudia ToppoNeurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
Eugenio TrainiS.C.R. Epidemiologia Clinica e Ricerca Sui Servizi Sanitari, IRCCS Materno Infantile "Burlo Garofolo", Trieste, Italy.
Jaimie SteinmetzInstitute for Health Metrics and Evaluation, University of Washington, Seattle, USA.
Emma NicholsInstitute for Health Metrics and Evaluation, University of Washington, Seattle, USA.
Rui MaInstitute for Health Metrics and Evaluation, University of Washington, Seattle, USA.
Theo VosInstitute for Health Metrics and Evaluation, University of Washington, Seattle, USA.
Valery FeiginNational Institute for Stroke and Applied Neurosciences, Auckland University of Technology, Auckland, Australia.
Matilde LeonardiNeurology, Public Health and Disability Unit, Fondazione IRCCS Istituto Neurologico Carlo Besta, Via Celoria 11, 20133, Milan, Italy.
Fondazione IRCCS Istituto Neurologico Carlo Besta · ITUniversity of Washington · USMario Negri Institute for Pharmacological Research · ITIRCCS Materno Infantile Burlo Garofolo · ITCharité - Universitätsmedizin Berlin · DECittà di Castello Hospital · ITOspedale San Giuseppe · ITUniversity of Bari Aldo Moro · ITUniversity of Messina · ITUniversity of Perugia · ITUtrecht University · NL

Funding

EPIDEMIOLOGY AND BIOSTATISTICS OF AGINGT32AG000247 · NIA · JOHNS HOPKINS UNIVERSITY · PI Karen J. Bandeen-Roche · 1996 to 2026
$13.2M
NIA NIH HHS T32 AG000247
6 · The paper itself

Abstract

backgroundNeurological conditions are highly prevalent and disabling, in particular in the elderly. The Italian population has witnessed sharp ageing and we can thus expect a rising trend in the incidence, prevalence and disability of these conditions.

methodsWe relied on the Global Burden of Disease 2019 study to extract Italian data on incidence, prevalence and years lived with a disability (YLDs) referred to a broad set of neurological disorders including, brain and nervous system cancers, stroke, encephalitis, meningitis, tetanus, traumatic brain injury, and spinal cord injury. We assessed changes between 1990 and 2019 in counts and age-standardized rates.

resultsThe most prevalent conditions were tension-type headache, migraine, and dementias, whereas the most disabling were migraine, dementias and traumatic brain injury. YLDs associated with neurological conditions increased by 22.5%, but decreased by 2.3% in age-standardized rates. The overall increase in prevalence and YLDs counts was stronger for non-communicable diseases with onset in old age compared to young to adult-age onset ones. The same trends were in the opposite direction when age-standardized rates were taken into account.

conclusionsThe increase in YLDs associated with neurological conditions is mostly due to population ageing and growth: nevertheless, lived disability and, as a consequence, impact on health systems has increased. Actions are needed to improve outcome and mitigate disability associated with neurological conditions, spanning among diagnosis, treatment, care pathways and workplace interventions.

Indexed as

Global Burden of DiseaseNervous System DiseasesAdultAgedGlobal HealthHumansIncidenceItalyPrevalenceDementiaDisabilityMigraineMotor neuron diseaseMultiple sclerosisStroke

Identifiers

PMID34498172
PMCPMC9938710
OpenAlexW3196333201

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.