Evidence map›Paper›PMID 37427272›Full record

ArticleFrontiers in public health2023

Estimating mortality and disability in Peru before the COVID-19 pandemic: a systematic analysis from the Global Burden of the Disease Study 2019.

Maria Jesus Rios-Blancas, Victoria Pando-Robles, Christian Razo, Cesar P Carcamo, Walter Mendoza, Kevin Pacheco-Barrios, J Jaime Miranda, Van Charles Lansingh, Takele Gezahegn Demie, Manika Saha and 50 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
9.9field-weighted citation impact, top 2% 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

10 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Quality and Satisfaction in Health Care: A Case Study of Two Public Hospitals in Trujillo, Peru.International journal of environmental research and public health · 2025
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  9. Review
  10. A Multifactorial Evaluation of Parental Oral Health Literacy, Attitudinal Construct, and Clinical Oral Disease Burden in Children and Youth With Special Health Care Need (CYSHCN) in India.Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Article
4 · The record

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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

60 authors at 20 institutions in 23 countries.

Maria Jesus Rios-BlancasSchool of Public Health of Mexico, National Institute of Public Health, Cuernavaca, Mexico.
Victoria Pando-RoblesInfectious Disease Research Center, National Institute of Public Health, Cuernavaca, Mexico.
Christian RazoInstitute for Health Metrics and Evaluation, University of Washington, Seattle, WA, United States.
Cesar P CarcamoSchool of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.
Walter MendozaPeru Country Office, United Nations Population Fund (UNFPA), Lima, Peru.
Kevin Pacheco-BarriosSpaulding Rehabilitation Hospital, Harvard University, Boston, MA, United States.
J Jaime MirandaCRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia (Cayetano Heredia Peruvian University), Lima, Peru.
Van Charles LansinghHelpMeSee, New York, NY, United States.
Takele Gezahegn DemieSchool of Public Health, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Manika SahaDepartment of Humanities and Social Sciences, Deakin University, Melbourne, VIC, Australia.
Osaretin Christabel OkonjiSchool of Pharmacy, University of the Western Cape, Cape Town, South Africa.
Arzu YigitDepartment of Health Management, Süleyman Demirel Üniversitesi (Süleyman Demirel University), Isparta, Türkiye.
Lucero Cahuana-HurtadoSchool of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.
Pamela R Chacón-UscamaitaEmerge, Emerging Diseases and Climate Change Research Unit, School of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.
Eduardo BernabeFaculty of Dentistry, Oral and Craniofacial Sciences, King's College London, London, United Kingdom.
Carlos CulquichiconUniversidad Privada Norbert Wiener, Centro de Investigación Epidemiológica en Salud Global, Lima, Peru.
Jesus Lorenzo Chirinos-CaceresSchool of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.
Rosario CárdenasDepartment of Health Care, Metropolitan Autonomous University, Mexico City, Mexico.
Jacqueline Elizabeth Alcalde-RabanalCenter for Health Systems Research, National Institute of Public Health, Cuernavaca, Mexico.
Francisco J BarreraDepartment of Epidemiology, Harvard University, Boston, MA, United States.
Beatriz Paulina Ayala QuintanillaThe Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia.
Seyed Afshin ShorofiMedical-Surgical Nursing, Mazandaran University of Medical Sciences, Sari, Iran.
Nuwan Darshana WickramasingheDepartment of Community Medicine, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka.
Nuno FerreiraDepartment of Social Sciences, University of Nicosia, Nicosia, Cyprus.
Louay AlmidaniNuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, United Kingdom.
Vivek Kumar GuptaFaculty of Medicine Health and Human Sciences, Macquarie University, Sydney, NSW, Australia.
Hanie KarimiSchool of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Daniel Shewaye AlayuDepartment of Epidemiology and Biostatistics, University of Gondar, Gondar, Ethiopia.
Catherine P BenzigerHeart and Vascular Center, Essentia Health, Duluth, MN, United States.
Takeshi FukumotoDepartment of Dermatology, Kobe University, Kobe, Japan.
Ebrahim MostafaviDepartment of Medicine, Stanford University, Palo Alto, CA, United States.
Elrashdy Moustafa Mohamed RedwanDepartment Biological Sciences, King Abdulaziz University, Jeddah, Egypt.
Mesfin GebrehiwotDepartment of Environmental Health, Wollo University, Dessie, Ethiopia.
Khaled KhatabHealth and Wellbeing, Sheffield Hallam University, Sheffield, United Kingdom.
Ai KoyanagiBiomedical Research Networking Center for Mental Health Network (CIBERSAM), Sant Boi de Llobregat, Spain.
Fiorella KrappInstituto de Medicina Tropical Alexander von Humboldt (Alexander von Humboldt Institute for Tropical Medicine), Cayetano Heredia University, Lima, Peru.
Seung LeeDepartment of Precision Medicine, Sungkyunkwan University, Suwon-si, Republic of Korea.
Maryam NooriStudent Research Committee, Iran University of Medical Sciences, Tehran, Iran.
Ibrahim QatteaDepartment of Neonatology, Case Western Reserve University, Cleveland, OH, United States.
Victor Daniel RosenthalInternational Nosocomial Infection Control Consortium, Independent Consultant, Buenos Aires, Argentina.
Joseph W SakshaugInstitute for Employment Research, University of Warwick, Coventry, United Kingdom.
Birhanu WagayeDepartment of Public Health Nutrition, Wollo University, Dessie, Ethiopia.
Iman ZareResearch and Development Department, Sina Medical Biochemistry Technologies Co. Ltd., Shiraz, Iran.
Doris V Ortega-AltamiranoHealth Systems Research Center, National Institute of Public Health, Cuernavaca, Mexico.
Efrén Murillo-ZamoraClinical Epidemiology Research Unit, Mexican Institute of Social Security, Villa de Alvarez, Mexico.
Dominique VervoortDepartment of Health Policy and Management, Johns Hopkins University, Baltimore, MD, United States.
Diego Augusto Santos SilvaDepartment of Physical Education, Federal University of Santa Catarina, Florianópolis, Brazil.
Abderrahim OulhajDepartment of Epidemiology and Population Health, Khalifa University, Abu Dhabi, United Arab Emirates.
Brenda Yuliana Herrera-SernaDepartamento de Salud Oral (Department of Oral Health), Universidad Autónoma de Manizales (Autonomous University of Manizales), Manizales, Colombia.
Rahul MehraFood Science and Technology, Maharishi Markandeshwar (Deemed to be University), Ambala, Haryana, India.
Mehrdad Amir-BehghadamiRoad Traffic Injury Research Center, Iranian International Safe Community Support Center, Tabriz University of Medical Sciences, Tabriz, Iran.
Nasrin AdibDepartment of Veterinary Pathobiology, Shahid Bahonar University of Kerman, Kerman, Iran.
Sandra CortésDepartment of Public Health, Pontifical Catholic University of Chile, Santiago, Chile.
Anh Kim DangInstitute for Global Health Innovations, Duy Tan University, Da Nang, Vietnam.
Binh Thanh NguyenDepartment of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States.
Ali H MokdadDepartment of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States.
Simon I HayDepartment of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States.
Christopher J L MurrayDepartment of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States.
Rafael LozanoDepartment of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, United States.
Patricia J GarcíaSchool of Public Health and Administration, Universidad Peruana Cayetano Heredia, Lima, Peru.
Universidad Peruana Cayetano Heredia · PEInstituto Nacional de Salud Pública · MXInstitute for Health Metrics and Evaluation · USUniversity of Washington · USHarvard University · USCase Western Reserve University · USCentre For Sustainable Urban Development · CLDeakin University · AUDuy Tan University · VNEssentia Health · USEthiopian Public Health Institute · ETInstitució Catalana de Recerca i Estudis Avançats · ESInstitute for Employment Studies · GBInstitute of Ophthalmology · MXIran University of Medical Sciences · IRJohns Hopkins University · USKhalifa University of Science and Technology · AEKing Abdulaziz University · SAKing's College London · GBKobe University · JP

Funding

University of California Launching Future Leaders in Global Health Research Training ProgramD43TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI CRAIG R COHEN, Sung-Jae Lee · 2017 to 2026
$14.7M
FIC NIH HHS D43 TW009343
6 · The paper itself

Abstract

Background: Estimating and analyzing trends and patterns of health loss are essential to promote efficient resource allocation and improve Peru's healthcare system performance. Methods: Using estimates from the Global Burden of Disease (GBD), Injuries, and Risk Factors Study (2019), we assessed mortality and disability in Peru from 1990 to 2019. We report demographic and epidemiologic trends in terms of population, life expectancy at birth (LE), mortality, incidence, prevalence, years of life lost (YLLs), years lived with disability (YLDs), and disability-adjusted life-years (DALYs) caused by the major diseases and risk factors in Peru. Finally, we compared Peru with 16 countries in the Latin American (LA) region. Results: The Peruvian population reached 33.9 million inhabitants (49.9% women) in 2019. From 1990 to 2019, LE at birth increased from 69.2 (95% uncertainty interval 67.8-70.3) to 80.3 (77.2-83.2) years. This increase was driven by the decline in under-5 mortality (-80.7%) and mortality from infectious diseases in older age groups (+60 years old). The number of DALYs in 1990 was 9.2 million (8.5-10.1) and reached 7.5 million (6.1-9.0) in 2019. The proportion of DALYs due to non-communicable diseases (NCDs) increased from 38.2% in 1990 to 67.9% in 2019. The all-ages and age-standardized DALYs rates and YLLs rates decreased, but YLDs rates remained constant. In 2019, the leading causes of DALYs were neonatal disorders, lower respiratory infections (LRIs), ischemic heart disease, road injuries, and low back pain. The leading risk factors associated with DALYs in 2019 were undernutrition, high body mass index, high fasting plasma glucose, and air pollution. Before the COVID-19 pandemic, Peru experienced one of the highest LRIs-DALYs rates in the LA region. Conclusion: In the last three decades, Peru experienced significant improvements in LE and child survival and an increase in the burden of NCDs and associated disability. The Peruvian healthcare system must be redesigned to respond to this epidemiological transition. The new design should aim to reduce premature deaths and maintain healthy longevity, focusing on effective coverage and treatment of NCDs and reducing and managing the related disability.

Indexed as

COVID-19Noncommunicable DiseasesRespiratory Tract InfectionsAgedChild, PreschoolFemaleHumansInfantInfant, NewbornLife ExpectancyMaleMiddle AgedPandemicsPeruQuality-Adjusted Life Yearsdisability-adjusted life year (DALY)global burden of diseasehealth metricsmortalityPerurisk factors

Identifiers

PMID37427272
PMCPMC10325574
OpenAlexW4381857062

What OpenQuestion holds

Textmetadata
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.