ArticleDeutsches Arzteblatt international2022
The Burden of Disease in Germany at the National and Regional Level—Results in Terms of Disability-Adjusted Life Years (DALY) from the BURDEN 2020 Study.
Article in Deutsches Arzteblatt international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled it.
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Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- Burden of disease studies supporting policymaking in the European Union: a systematic review.European journal of public health · 2024Pooled it
- Comparing the Effectiveness of Digital and Conventional Rehabilitation Aftercare on Work Ability in Orthopedic Patients: A Longitudinal Study in Germany.Journal of occupational rehabilitation · 2026Trial
- On the Unfairness of the 'Fair-share Principle' for Health Research.Public health ethics · 2026Article
- Pre-pandemic sub-national disparities in the disease burden of ischemic heart disease and stroke in France.BMC cardiovascular disorders · 2026Article
- Population aging and changing hospitalization risks in Germany: a decomposition of changes in inpatient cases, 2005-2021.BMC public health · 2026Article
- [Analysis of lipid levels in medical laboratories in Germany from 2017 to 2022 considering the impact of COVID-19 lockdown measures].Wiener medizinische Wochenschrift (1946) · 2026Article
- [Regional characteristics of diagnoses of unemployed people under socio-medical assessments by the Medical Service of the Federal Employment Agency].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2026Article
- Assessing the burden of oral health conditions in the German population: a focus on dental caries, periodontitis, and edentulism.BMC oral health · 2026Article
- A practical guide to the management of dyslipidaemia.Clinical research in cardiology : official journal of the German Cardiac Society · 2026Review
- [Prehospital treatment of severely injured children in Germany : Epidemiology, interventions and structural perspectives].Die Anaesthesiologie · 2026Review
- Sub-national disparities in disease burden of diabetes mellitus and chronic kidney disease in France: a pre-pandemic analysis.Archives of public health = Archives belges de sante publique · 2025Article
- Response to electroconvulsive therapy is associated with a more diverse oral microbiome- a prospective longitudinal cohort pilot study.European archives of psychiatry and clinical neuroscience · 2025Article
- Stroke - prevalence, trends, and regional patterns in Germany. An analysis based on routine data from the statutory health insurance.Journal of health monitoring · 2025Article
- Widening socioeconomic inequalities in cancer incidence and related potential to reduce cancer between 2008 and 2019 in Germany.Scientific reports · 2025Article
- Article
- Temporal trends in mortality due to coronary heart disease in Germany from 1998 to 2023.Journal of health monitoring · 2025Article
- Risk of cardiovascular disease in Germany: results from GEDA 2022.Journal of health monitoring · 2025Article
- Dementia - Prevalence, trends and regional patterns in Germany. An analysis based on routine data from the statutory health insurance.Journal of health monitoring · 2025Article
- Parkinson disease - Prevalence, trends and regional patterns in Germany. An analysis based on routine data from the statutory health insurance.Journal of health monitoring · 2025Article
- The disease and economic burden of notified and underestimated Campylobacter enteritis cases and associated sequelae in Germany.PloS one · 2025Article
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Authors and funding
23 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
background.Summary measures such as disability-adjusted life years (DALY) are becoming increasingly important for the standardized assessment of the burden of disease due to death and disability. The BURDEN 2020 pilot project was designed as an independent burden-of-disease study for Germany, which was based on nationwide data, but which also yielded regional estimates.
methodsDALY is defined as the sum of years of life lost due to death (YLL) and years lived with disability (YLD). YLL is the difference between the age at death due to disease and the remaining life expectancy at this age, while YLD quantifies the number of years individuals have spent with health impairments. Data are derived mainly from causes of death statistics, population health surveys, and claims data from health insurers.
resultsIn 2017, there were approximately 12 million DALY in Germany, or 14 584 DALY per 100 000 inhabitants. Conditions which caused the greatest number of DALY were coronary heart disease (2321 DALY), low back pain (1735 DALY), and lung cancer (1197 DALY). Headache and dementia accounted for a greater disease burden in women than in men, while lung cancer and alcohol use disorders accounted for a greater disease burden in men than in women. Pain disorders and alcohol use disorders were the leading causes of DALY among young adults of both sexes. The disease burden rose with age for some diseases, including cardiovascular diseases, dementia, and diabetes mellitus. For some diseases and conditions, the disease burden varied by geographical region.
conclusionThe results indicate a need for age- and sex-specific prevention and for differing interventions according to geographic region. Burden of disease studies yield comprehensive population health surveillance data and are a useful aid to decision-making in health policy.
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