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dalys
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تکرار جستجوی کلیدواژه dalys در مقالات مجلات علمی
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BackgroundOne of the major causes of liver-related mortality and morbidity is Hepatitis C Virus (HCV) infection. It is also one of the reasons behinds of chronic liver disease and related complications such as cirrhosis and hepatocellular carcinoma. This autoimmune liver disease imposes a high economic burden on individuals and the society. This study aimed to estimate burden of HCV in Iran.MethodsOverall, 200 patients with HCV infection, referred to hospitals in three cities of Tehran, Karaj and Tabriz, Iran during year 2015, were randomly enrolled. To estimate the total burden of hepatitis, direct and indirect costs, costs of DALYs and social welfare were calculated.ResultsEconomic burden of HCV infection was obtained 26242.8 purchasing power parity (PPP$). Intangible costs of HCV was calculated 207421.6 PPP$.ConclusionTotal direct costs of HCV for each patient are more than household consumption expenditure. Therefore, it is a reasonable policy to control and increase insurance coverage of HCV patients in order to decrease their costs.Keywords: Hepatitis C, Economic burden of disease, Direct, indirect costs, DALYs, Iran
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BackgroundOne of the major causes of liver-related mortality and morbidity is Hepatitis C Virus (HCV) infection. It is also one of the reasons behinds of chronic liver disease and related complications such as cirrhosis and hepatocellular carcinoma. This autoimmune liver disease imposes a high economic burden on individuals and the society. This study aimed to estimate burden of HCV in Iran.MethodsOverall, 200 patients with HCV infection, referred to hospitals in three cities of Tehran, Karaj and Tabriz, Iran during year 2015, were randomly enrolled. To estimate the total burden of hepatitis, direct and indirect costs, costs of DALYs and social welfare were calculated.ResultsEconomic burden of HCV infection was obtained 26242.8 purchasing power parity (PPP$). Intangible costs of HCV was calculated 207421.6 PPP$.ConclusionTotal direct costs of HCV for each patient are more than household consumption expenditure. Therefore, it is a reasonable policy to control and increase insurance coverage of HCV patients in order to decrease their costs.Keywords: Hepatitis C, Economic burden of disease, Direct, indirect costs, DALYs, Iran
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BackgroundIran and its neighboring countries represent four world regions with unique cultures and geography. Skin diseases span a wide diversity of etiologies including infectious, inflammatory, autoimmune, vascular, neurogenic, and oncologic. The Global Burden of Disease Study (GBD) 2015 measures the burden from skin diseases in 195 countries.MethodsEpidemiologic data were collected from literature review, survey data, and hospital inpatient/outpatient claims data. These raw data entered modeling using a Bayesian meta-regression tool, DisMod MR-2.1, which yielded prevalence estimates by age/sex/location/year. Prevalence estimates were combined with disability weights to yield years lived with disability (YLDs). YLDs are combined with years of life lost (YLLs), from mortality estimates, to yield disability-adjusted life years (DALYs). DALYs were obtained for 16 skin conditions and both sexes in Iran and 15 surrounding countries. The sociodemographic index (SDI) for each country was also correlated with skin disease DALY rate using the Pearson coefficient (r) with two-tailed p-value.ResultsThere was no significant correlation between individual skin diseases and SDI. Acne and dermatitis caused the greatest burden and BCC the lowest burden of skin diseases in Iran and the other 15 countries. SCC and BCC were responsible for the largest discrepancy by sex, with higher burden in males compared to females.ConclusionSkin diseases, particularly dermatitis and acne, cause considerable burden in Iran and surrounding regions. Objective and transparent epidemiologic data such as GBD has the potential to inform and impact many facets of healthcare, research prioritization, public policy, and international partnerships.Keywords: DALYs, global burden of disease study (GBD), Iran, skin
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One of the most important public health concerns in both developing and developed countries is viral hepatitis B. It is an autoimmune liver disease, which imposes a high economic burden on individuals and the society. The aim of our study was to determine economic burden of hepatitis B virus (HBV) infection in Iran. To this end, 300 patients with HBV infection, who referred to hospitals in three cities of Iran during the year 2015, were randomly selected. To estimate the total burden of hepatitis, direct and indirect costs, costs of DALYs and social welfare were calculated which gave the costs of 7500.93 PPP$ and 96782 PPP$, respectively. Finally, our results showed that the total economic burden of HBV in Iran is dramatic which can lead to decreased quality of life of household members and damage the economy of the society. Therefore, the benefit of prevention and control measures will justify the costs from social perspective..Keywords: Hepatitis B, Economic Burden of Disease, Direct, Indirect Costs, DALYs
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مقدمه و اهدافباتوجه به تمایل سیاست گذاران نظام سلامت به آگاهی از تاثیر کاهش شیوع یک عامل خطر بر تغییر بار بیماری، مطالعه حاضر با هدف تعیین آثارکاهش شیوع دیابت بر بار قابل انتساب به بیماری های قلبی و عروقی در استان کرمانشاه انجام شد.روش کاربه منظور محاسبه سهم تاثیر بالقوه و درصد بار قابل انتساب بیماری های قلبی و عروقی از روش ارزیابی خطر مقایسه ای سازمان جهانی بهداشت استفاده شد. داده های شیوع دیابت برای استان کرمانشاه از سومین دورهبررسی کشوری نظام مراقبت عوامل خطر بیماری های غیرواگیر در سال 1386 استخراج گردید. شاخص اندازه اثر دیابت بر ابتلا به بیماری های قلبی و عروقی، یعنی نسبت مخاطره تطبیق یافته برای متغیرهای مخدوش گر نیز، برگرفته از یک مطالعهکشوری است.نتایجسهم بیماری دیابت در کاهش بار قابل انتساب به بیماری های قلبی و عروقی در زنان، در صورتی که شیوع را به صفر برسانیم، برابر با 2/11درصد، و در حالتی که شیوع را به 4 درصد برسانیم، برابر با 7/5 درصد است. همچنین، بار قابل اجتناب در مردان، در صورتی که شیوع را به صفر برسانیم، برابر با 6/5 درصد و در حالتی که شیوع را به 3 درصد برسانیم، برابر با 9/2 درصد است.نتیجه گیریبرای تصمیم گیری بهتر سیاست گذاران نظام سلامت پیشنهاد می شود که گزارش بار قابل اجتناب بر اساس مطالعه های به روز شده محاسبه بار بیماری و به صورت تعداد سال های از دست رفته تعدیل شده با ناتوانی انجام گیرد.
کلید واژگان: بیماری های قلبی و عروقی، دیابت، خطر قابل انتساب، سهم تاثیر بالقوه، بار بیماری، کرمانشاهBackground and ObjectivesKnowledge of the magnitude of attributable burden of cardiovascular diseases (CVDs) due to diabetes is necessary for health policy, priority setting and preventing CVD deaths. Our study aimed at estimating the attribute of proportion of diabetes to the burden of cardiovascular diseases in Kermanshah, West of Iran.MethodsWorld Health Organization Comparative Risk Assessment methodology was used to calculating Potential Impact Fraction (PIF). Data on the Prevalence of newly diagnosed diabetes mellitus (People who have fasting plasma glucose (FPG) equal or greater than 126 mg/dl) were obtained from 3rd Iranian surveillance of risk factors of non- communicable diseases and data on corresponding measures of effect were derived from a national- specific study with age and multivariate adjusted hazard ratios.ResultsBased on multivariate- adjusted hazard ratios, by reducing the percent of women with diabetes from 8.1 percent to the zero level and the feasible minimum risk level i.e. 4 percent, 11.2% and 5.7% of attributable Disability Adjusted Life Years (DALYs) to CVD are avoidable, respectively. The corresponding value for men at the theoretical (zero level) and feasible minimum risk level (3 percent) were 5.6% and 2.9%, respectively.ConclusionTo better planning, decision making and priority setting, PIF should be applied to updated and revised burden of CVDs in Iranian Health system.Keywords: Cardiovascular diseases, Diabetes, Attributable Risk, DALYs, Potential Impact Fraction, Kermanshah -
مقدمهبا توجه به شیوع فزاینده دیابت در دنیا، اداره و درمان دیابت و عوارض آن نیازمند صرف هزینه های قابل توجهی ازطرف بیماران و سیستم بهداشتی – درمانی جامعه می باشد. با در نظرگرفتن محدودیت منابع، دولت ها می بایست با پایش مستمر سلامت جامعه، مهم ترین نیازهای سلامتی را شناسایی و با به کار گیری مداخله های کارآمد برای کاستن از بار آنها تلاش کنند. یکی از شاخص های ارزیابی سلامت جامعه، تعیین بار بیماری ها می باشد که به کمک آن سال های از دست رفته به علت ابتلا به بیماری ها محاسبه می گردد. در این مقاله، هدف برآورد بار دیابت و عوارض آن در سال 1380 در ایران با استفاده از مطالعات دهه اخیرمی باشد.روش هابا استفاده از مطالعات انجام شده دردهه اخیر در مورد شیوع دیابت و عوارض آن، بار بیماری دیابت و عوارض آن در سال1380 در ایران و در قالب شاخص DALYsیا سال های از دست رفته با ناتوانی تعدیل شده، و به کمک نرم افزار DisMod محاسبه شد.یافته هابار بیماری دیابت در سال 1380 برابر با 306440 سال به دست آمد. در همان سال بار رتینوپاتی دیابتی ونیز نفروپاتی دیابتی هر کدام جداگانه 20532 سال،نوروپاتی 33286 سال، پای دیابتی 5848 سال و بار قطع عضو بدلیل دیابت 1573 سال برآورد شد.نتیجه گیریباتوجه به بار حاصل از دیابت و عوارض آن و نیز محدودیت منابع تامین کننده نیازهای بهداشتی – درمانی جامعه، دیابت یکی از اولویت های بهداشتی – درمانی جهان و به ویژه کشور ما بوده و اتخاذ اقداماتی موثر جهت پیشگیری و درمان دیابت به منظور کاهش این بیماری و عوارض آن ضروری می باشد.
کلید واژگان: بار دیابت، عوارض دیابت، BALYs، DisModBackgroundSince by considering increases worldwide prevalence of diabetes mellitus, and its management in the short and long–term requires significant expenditure on the part of patients and healthcare providers alike, and on the other hand existing resources fall short of the country's needs in this domain, diabetes has become one of the major health priorities in our country, as it has across the globe. Assessment of injuries due to diabetes mellitus and complications are divided to two sections: 1– economic cost of diabetes mellitus and 2 – burden of diabetes mellitus. In this study we assessed burden of diabetes mellitus and complications in Iran in year 2000.MethodsWe used ten years ago studies about prevalence of diabetes and complications in Iran, associated DALYs index by helping computer model (DisMod) for assessment of burden of diabetes and complications in Iran in year 2000.ResultsBurden of diabetes in Iran was 306440 years in year 2000. Burden of diabetic retinopathy, nephropathy, neuropathy, diabetic foot and lower limb amputation were 20532, 20532, 33286, 5848 and 1573 years, respectively.ConclusionPay attention to this study, we will need to reduce diabetes's burden by setting serious programs about prevention and treatment of diabetes mellitus and complications. Thus, we suggest, other studies are planning for assessment of burden of other diseases. Then after comparing burden of diabetes to other diseases, government politicians are performance priorities setting for using of our country resource.Keywords: Burden of diabetes, Complications, DisMod, DALYs -
BURDEN OF DIABETES AND ITS COMPLICATIONS IN IRAN IN YEAR 2000BackgroundSince by considering increases worldwide prevalence of diabetes mellitus, and its management in the short and long-term requires significant expenditure on the part of patients and healthcare providers alike, and on the other hand existing resources fall short of the country's needs in this domain, diabetes has become one of the major health priorities in our country, as it has across the globe. Assessment of injuries due to diabetes mellitus and complications are divided to two sections: 1- economic cost of diabetes mellitus and 2 - burden of diabetes mellitus. In this study we assessed burden of diabetes mellitus and complications in Iran in year 2000.MethodsWe used ten years ago studies about prevalence of diabetes and complications in Iran, associated DALYs index by helping computer model (DisMod) for assessment of burden of diabetes and complications in Iran in year 2000.ResultsBurden of diabetes in Iran was 306440 years in year 2000. Burden of diabetic retinopathy, nephropathy, neuropathy, diabetic foot and lower limb amputation were 20532, 20532, 33286, 5848 and 1573 years, respectively.ConclusionPay attention to this study, we will need to reduce diabetes's burden by setting serious programs about prevention and treatment of diabetes mellitus and complications. Thus, we suggest, other studies are planning for assessment of burden of other diseases. Then after comparing burden of diabetes to other diseases, government politicians are performance priorities setting for using of our country resource.Keywords: Burden of diabetes, Complications, DisMod, DALYs
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