Evidence map›Paper›PMID 34627228›Full record

ArticleBMC public health2021

Estimating the direct Covid-19 disability-adjusted life years impact on the Malta population for the first full year.

Sarah Cuschieri, Neville Calleja, Brecht Devleesschauwer, Grant M A Wyper

Abstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Provincial Disparities in the COVID-19 Burden: Hospital Data Analysis from Iran.Medical journal of the Islamic Republic of Iran · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. COVID-19 burden in Iran: disability-adjusted life years analysis from hospital data, 2020-2021.Archives of public health = Archives belges de sante publique · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Updating Korean Disability Weights for Causes of Disease: Adopting an Add-on Study Method.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2023
    Article
  13. Article
  14. Article
  15. Disability-Adjusted Life-Years for Drug Overdose Crisis and COVID-19 Are Comparable During the Two Years of Pandemic in the United States.Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. FMC : Formacion medica continuada en atencion primaria · 2022
    Article
  20. 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

4 authors.

Sarah CuschieriDepartment of Anatomy, Faculty of Medicine and Surgery, University of Malta, Msida, Malta. sarah.cuschieri@um.edu.mt.
Neville CallejaDepartment of Public Health, Faculty of Medicine and Surgery, University of Malta, Msida, Malta.
Brecht DevleesschauwerDepartment of Epidemiology and Public Health, Sciensano, Brussels, Belgium.
Grant M A WyperPublic Health Adviser, Place and Wellbeing Directorate, Public Health Scotland, Glasgow, Scotland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisability-adjusted life years (DALYs) combine the impact of morbidity and mortality, allowing for comprehensive comparisons of the population. The aim was to estimate the DALYs due to Covid-19 in Malta (March 2020-21) and investigate its impact in relation to other causes of disease at a population level.

methodsMortality and weekly hospital admission data were used to calculate DALYs, based on the European Burden of Disease Network consensus Covid-19 model. Covid-19 infection duration of 14 days was considered. Sensitivity analyses for different morbidity scenarios, including post-acute consequences were presented.

resultsAn estimated 70,421 people were infected (with and without symptoms) by Covid-19 in Malta (March 2020-1), out of which 1636 required hospitalisation and 331 deaths, contributing to 5478 DALYs. These DALYs positioned Covid-19 as the fourth leading cause of disease in Malta. Mortality contributed to 95% of DALYs, while post-acute consequences contributed to 60% of morbidity.

conclusionsCovid-19 over 1 year has impacted substantially the population health in Malta. Post-acute consequences are the leading morbidity factors that require urgent targeted action to ensure timely multidisciplinary care. It is recommended that DALY estimations in 2021 and beyond are calculated to assess the impact of vaccine roll-out and emergence of new variants.

Indexed as

COVID-19Persons with DisabilitiesCost of IllnessHumansMaltaQuality-Adjusted Life YearsSARS-CoV-2Burden of diseaseCoronavirusCovid-19DALYDisability-adjusted life yearsEuropean burden of disease networkMaltaPopulation healthYLDYLL

Identifiers

PMID34627228
PMCPMC8501913

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.