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1. Global, regional, and national burden of neurological disorders, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

Author

Feigin, VL, Nichols, E, Alam, T, Bannick, MS, Beghi, E, Blake, N, Culpepper, WJ, Dorsey, ER, Elbaz, A, Ellenbogen, RG, Fisher, JL, Fitzmaurice, C, Giussani, G, Glennie, L, James, SL, Johnson, CO, Kassebaum, NJ, Logroscino, G, Marin, B, Mountjoy-Venning, WC, Nguyen, M, Ofori-Asenso, R, Patel, AP, Piccininni, M, Roth, GA, Steiner, TJ, Stovner, LJ, Szoeke, CEI, Theadom, A, Vollset, SE, Wallin, MT, Wright, C, Zunt, JR, Abbasi, N, Abd-Allah, F, Abdelalim, A, Abdollahpour, I, Aboyans, V, Abraha, HN, Acharya, D, Adamu, AA, Adebayo, OM, Adeoye, AM, Adsuar, JC, Afarideh, M, Agrawal, S, Ahmadi, A, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akinyemi, RO, Akseer, N, Al-Eyadhy, A, Al-Shahi Salman, R, Alahdab, F, Alene, KA, Aljunid, SM, Altirkawi, K, Alvis-Guzman, N, Anber, NH, Antonio, CAT, Arabloo, J, Aremu, O, Ärnlöv, J, Asayesh, H, Asghar, RJ, Atalay, HT, Awasthi, A, Ayala Quintanilla, BP, Ayuk, TB, Badawi, A, Banach, M, Banoub, JAM, Barboza, MA, Barker-Collo, SL, Bärnighausen, TW, Baune, BT, Bedi, N, Behzadifar, M, Béjot, Y, Bekele, BB, Belachew, AB, Bennett, DA, Bensenor, IM, Berhane, A, Beuran, M, Bhattacharyya, K, Bhutta, ZA, Biadgo, B, Bijani, A, Bililign, N, Bin Sayeed, MS, Blazes, CK, Brayne, C, Butt, ZA, Campos-Nonato, IR, Cantu-Brito, C, Car, M, Feigin, VL, Nichols, E, Alam, T, Bannick, MS, Beghi, E, Blake, N, Culpepper, WJ, Dorsey, ER, Elbaz, A, Ellenbogen, RG, Fisher, JL, Fitzmaurice, C, Giussani, G, Glennie, L, James, SL, Johnson, CO, Kassebaum, NJ, Logroscino, G, Marin, B, Mountjoy-Venning, WC, Nguyen, M, Ofori-Asenso, R, Patel, AP, Piccininni, M, Roth, GA, Steiner, TJ, Stovner, LJ, Szoeke, CEI, Theadom, A, Vollset, SE, Wallin, MT, Wright, C, Zunt, JR, Abbasi, N, Abd-Allah, F, Abdelalim, A, Abdollahpour, I, Aboyans, V, Abraha, HN, Acharya, D, Adamu, AA, Adebayo, OM, Adeoye, AM, Adsuar, JC, Afarideh, M, Agrawal, S, Ahmadi, A, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akinyemi, RO, Akseer, N, Al-Eyadhy, A, Al-Shahi Salman, R, Alahdab, F, Alene, KA, Aljunid, SM, Altirkawi, K, Alvis-Guzman, N, Anber, NH, Antonio, CAT, Arabloo, J, Aremu, O, Ärnlöv, J, Asayesh, H, Asghar, RJ, Atalay, HT, Awasthi, A, Ayala Quintanilla, BP, Ayuk, TB, Badawi, A, Banach, M, Banoub, JAM, Barboza, MA, Barker-Collo, SL, Bärnighausen, TW, Baune, BT, Bedi, N, Behzadifar, M, Béjot, Y, Bekele, BB, Belachew, AB, Bennett, DA, Bensenor, IM, Berhane, A, Beuran, M, Bhattacharyya, K, Bhutta, ZA, Biadgo, B, Bijani, A, Bililign, N, Bin Sayeed, MS, Blazes, CK, Brayne, C, Butt, ZA, Campos-Nonato, IR, Cantu-Brito, C, and Car, M

Abstract

© 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: Neurological disorders are increasingly recognised as major causes of death and disability worldwide. The aim of this analysis from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 is to provide the most comprehensive and up-to-date estimates of the global, regional, and national burden from neurological disorders. Methods: We estimated prevalence, incidence, deaths, and disability-adjusted life-years (DALYs; the sum of years of life lost [YLLs] and years lived with disability [YLDs]) by age and sex for 15 neurological disorder categories (tetanus, meningitis, encephalitis, stroke, brain and other CNS cancers, traumatic brain injury, spinal cord injury, Alzheimer's disease and other dementias, Parkinson's disease, multiple sclerosis, motor neuron diseases, idiopathic epilepsy, migraine, tension-type headache, and a residual category for other less common neurological disorders) in 195 countries from 1990 to 2016. DisMod-MR 2.1, a Bayesian meta-regression tool, was the main method of estimation of prevalence and incidence, and the Cause of Death Ensemble model (CODEm) was used for mortality estimation. We quantified the contribution of 84 risks and combinations of risk to the disease estimates for the 15 neurological disorder categories using the GBD comparative risk assessment approach. Findings: Globally, in 2016, neurological disorders were the leading cause of DALYs (276 million [95% UI 247–308]) and second leading cause of deaths (9·0 million [8·8–9·4]). The absolute number of deaths and DALYs from all neurological disorders combined increased (deaths by 39% [34–44] and DALYs by 15% [9–21]) whereas their age-standardised rates decreased (deaths by 28% [26–30] and DALYs by 27% [24–31]) between 1990 and 2016. The only neurological disorders that had a decrease in rates and absolute numbers of deaths and DALYs were tetanu

Published
2019

2. Global, regional, and national burden of neurological disorders, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016

Author

Feigin, VL, Nichols, E, Alam, T, Bannick, MS, Beghi, E, Blake, N, Culpepper, WJ, Dorsey, ER, Elbaz, A, Ellenbogen, RG, Fisher, JL, Fitzmaurice, C, Giussani, G, Glennie, L, James, SL, Johnson, CO, Kassebaum, NJ, Logroscino, G, Marin, B, Mountjoy-Venning, WC, Nguyen, M, Ofori-Asenso, R, Patel, AP, Piccininni, M, Roth, GA, Steiner, TJ, Stovner, LJ, Szoeke, CEI, Theadom, A, Vollset, SE, Wallin, MT, Wright, C, Zunt, JR, Abbasi, N, Abd-Allah, F, Abdelalim, A, Abdollahpour, I, Aboyans, V, Abraha, HN, Acharya, D, Adamu, AA, Adebayo, OM, Adeoye, AM, Adsuar, JC, Afarideh, M, Agrawal, S, Ahmadi, A, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akinyemi, RO, Akseer, N, Al-Eyadhy, A, Al-Shahi Salman, R, Alahdab, F, Alene, KA, Aljunid, SM, Altirkawi, K, Alvis-Guzman, N, Anber, NH, Antonio, CAT, Arabloo, J, Aremu, O, Ärnlöv, J, Asayesh, H, Asghar, RJ, Atalay, HT, Awasthi, A, Ayala Quintanilla, BP, Ayuk, TB, Badawi, A, Banach, M, Banoub, JAM, Barboza, MA, Barker-Collo, SL, Bärnighausen, TW, Baune, BT, Bedi, N, Behzadifar, M, Béjot, Y, Bekele, BB, Belachew, AB, Bennett, DA, Bensenor, IM, Berhane, A, Beuran, M, Bhattacharyya, K, Bhutta, ZA, Biadgo, B, Bijani, A, Bililign, N, Bin Sayeed, MS, Blazes, CK, Brayne, C, Butt, ZA, Campos-Nonato, IR, Cantu-Brito, C, Car, M, Feigin, VL, Nichols, E, Alam, T, Bannick, MS, Beghi, E, Blake, N, Culpepper, WJ, Dorsey, ER, Elbaz, A, Ellenbogen, RG, Fisher, JL, Fitzmaurice, C, Giussani, G, Glennie, L, James, SL, Johnson, CO, Kassebaum, NJ, Logroscino, G, Marin, B, Mountjoy-Venning, WC, Nguyen, M, Ofori-Asenso, R, Patel, AP, Piccininni, M, Roth, GA, Steiner, TJ, Stovner, LJ, Szoeke, CEI, Theadom, A, Vollset, SE, Wallin, MT, Wright, C, Zunt, JR, Abbasi, N, Abd-Allah, F, Abdelalim, A, Abdollahpour, I, Aboyans, V, Abraha, HN, Acharya, D, Adamu, AA, Adebayo, OM, Adeoye, AM, Adsuar, JC, Afarideh, M, Agrawal, S, Ahmadi, A, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akinyemi, RO, Akseer, N, Al-Eyadhy, A, Al-Shahi Salman, R, Alahdab, F, Alene, KA, Aljunid, SM, Altirkawi, K, Alvis-Guzman, N, Anber, NH, Antonio, CAT, Arabloo, J, Aremu, O, Ärnlöv, J, Asayesh, H, Asghar, RJ, Atalay, HT, Awasthi, A, Ayala Quintanilla, BP, Ayuk, TB, Badawi, A, Banach, M, Banoub, JAM, Barboza, MA, Barker-Collo, SL, Bärnighausen, TW, Baune, BT, Bedi, N, Behzadifar, M, Béjot, Y, Bekele, BB, Belachew, AB, Bennett, DA, Bensenor, IM, Berhane, A, Beuran, M, Bhattacharyya, K, Bhutta, ZA, Biadgo, B, Bijani, A, Bililign, N, Bin Sayeed, MS, Blazes, CK, Brayne, C, Butt, ZA, Campos-Nonato, IR, Cantu-Brito, C, and Car, M

Abstract

© 2019 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license Background: Neurological disorders are increasingly recognised as major causes of death and disability worldwide. The aim of this analysis from the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2016 is to provide the most comprehensive and up-to-date estimates of the global, regional, and national burden from neurological disorders. Methods: We estimated prevalence, incidence, deaths, and disability-adjusted life-years (DALYs; the sum of years of life lost [YLLs] and years lived with disability [YLDs]) by age and sex for 15 neurological disorder categories (tetanus, meningitis, encephalitis, stroke, brain and other CNS cancers, traumatic brain injury, spinal cord injury, Alzheimer's disease and other dementias, Parkinson's disease, multiple sclerosis, motor neuron diseases, idiopathic epilepsy, migraine, tension-type headache, and a residual category for other less common neurological disorders) in 195 countries from 1990 to 2016. DisMod-MR 2.1, a Bayesian meta-regression tool, was the main method of estimation of prevalence and incidence, and the Cause of Death Ensemble model (CODEm) was used for mortality estimation. We quantified the contribution of 84 risks and combinations of risk to the disease estimates for the 15 neurological disorder categories using the GBD comparative risk assessment approach. Findings: Globally, in 2016, neurological disorders were the leading cause of DALYs (276 million [95% UI 247–308]) and second leading cause of deaths (9·0 million [8·8–9·4]). The absolute number of deaths and DALYs from all neurological disorders combined increased (deaths by 39% [34–44] and DALYs by 15% [9–21]) whereas their age-standardised rates decreased (deaths by 28% [26–30] and DALYs by 27% [24–31]) between 1990 and 2016. The only neurological disorders that had a decrease in rates and absolute numbers of deaths and DALYs were tetanu

Published
2019

3. Global, regional, and national burden of meningitis, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016

Author

Zunt, JR, Kassebaum, NJ, Blake, N, Glennie, L, Wright, C, Nichols, E, Abd-Allah, F, Abdela, J, Abdelalim, A, Adamu, AA, Adib, MG, Ahmadi, A, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akseer, N, Al-Raddadi, RM, Alahdab, F, Alene, KA, Aljunid, SM, AlMazora, MA, Khalid, Alvis-Guzman, N, Animut, MD, Anjomshoa, M, Ansha, MG, Asghar, RJ, Avokpaho, EFGA, Awasthi, A, Badali, H, Barac, A, Baernighausen, TW, Bassat, Q, Bedi, N, Belachew, AB, Bhattacharyya, K, Bhutta, ZA, Bijani, A, Butt, ZA, Carvalho, F, Castaneda-Orjuela, CA, Chitheer, A, Choi, J-YJ, Christopher, DJ, Dang, AK, Daryani, A, Demoz, GT, Djalalinia, S, Huyen, PD, Dubey, M, Dubljanin, E, Duken, EE, Zaki, MES, Elyazar, IR, Fakhim, H, Fernandes, E, Fischer, F, Fukumoto, T, Ganji, M, Gebre, AK, Gebremeskel, A, Gessner, BD, Gopalani, SV, Guo, Y, Gupta, R, Hailu, GB, Haj-Mirzaian, A, Hamidi, S, Hay, S, Henok, A, Irvani, SSN, Jha, RP, Jurisson, M, Kahsay, A, Karami, M, Karch, A, Kasaeian, A, Kassa, TD, Kefale, AT, Khader, YS, Khalil, IA, Khan, EA, Khang, Y-H, Khubchandani, J, Kimokoti, RW, Kisa, A, Lami, FH, Levi, M, Li, S, Loy, CT, Majdan, M, Majeed, A, Mantovani, LG, Martins-Melo, FR, McAlinden, C, Mehta, V, Melese, A, Memish, ZA, Mengistu, G, Mestrovic, T, Mezgebe, HB, Miazgowski, B, Milosevic, B, Mokdad, AH, Monasta, L, Moradi, G, Moraga, P, Mousavi, SM, Mueller, UO, Murthy, S, Mustafa, G, Naheed, A, Naik, G, Newton, CRJ, Nirayo, YL, Nixon, MR, Ofori-Asenso, R, Ogbo, FA, Olagunju, TO, Olusanya, BO, Ortiz, JR, Owolabi, MO, Patel, S, Pinilla-Monsalve, GD, Postma, MJ, Qorbani, M, Rafiei, A, Rahimi-Movaghar, V, Reiner, RC, Renzaho, AMN, Rezai, MS, Roba, KT, Ronfani, L, Roshandel, G, Rostami, A, Safari, S, Safiri, S, Sagar, R, Samy, AM, Milicevic, MMS, Sartorius, B, Sarvi, S, Sawhney, M, Saxena, S, Shafieesabet, A, Shaikh, MA, Sharif, M, Shigematsu, M, Si, S, Skiadaresi, E, Smith, M, Somayaji, R, Sufiyan, MB, Tawye, NY, Temsah, M-H, Tortajada-Girbes, M, Khanh, BT, Ukwaja, KN, Ullah, I, Vujcic, IS, Wagnew, F, Waheed, Y, Weldegwergs, KG, Winkler, AS, Wiyeh, AB, Wiysonge, CS, Wyper, GMA, Yimer, EM, Yonemoto, N, Zaidi, Z, Zenebe, ZM, Feigin, VL, Vos, T, Murray, CJL, Zunt, JR, Kassebaum, NJ, Blake, N, Glennie, L, Wright, C, Nichols, E, Abd-Allah, F, Abdela, J, Abdelalim, A, Adamu, AA, Adib, MG, Ahmadi, A, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akseer, N, Al-Raddadi, RM, Alahdab, F, Alene, KA, Aljunid, SM, AlMazora, MA, Khalid, Alvis-Guzman, N, Animut, MD, Anjomshoa, M, Ansha, MG, Asghar, RJ, Avokpaho, EFGA, Awasthi, A, Badali, H, Barac, A, Baernighausen, TW, Bassat, Q, Bedi, N, Belachew, AB, Bhattacharyya, K, Bhutta, ZA, Bijani, A, Butt, ZA, Carvalho, F, Castaneda-Orjuela, CA, Chitheer, A, Choi, J-YJ, Christopher, DJ, Dang, AK, Daryani, A, Demoz, GT, Djalalinia, S, Huyen, PD, Dubey, M, Dubljanin, E, Duken, EE, Zaki, MES, Elyazar, IR, Fakhim, H, Fernandes, E, Fischer, F, Fukumoto, T, Ganji, M, Gebre, AK, Gebremeskel, A, Gessner, BD, Gopalani, SV, Guo, Y, Gupta, R, Hailu, GB, Haj-Mirzaian, A, Hamidi, S, Hay, S, Henok, A, Irvani, SSN, Jha, RP, Jurisson, M, Kahsay, A, Karami, M, Karch, A, Kasaeian, A, Kassa, TD, Kefale, AT, Khader, YS, Khalil, IA, Khan, EA, Khang, Y-H, Khubchandani, J, Kimokoti, RW, Kisa, A, Lami, FH, Levi, M, Li, S, Loy, CT, Majdan, M, Majeed, A, Mantovani, LG, Martins-Melo, FR, McAlinden, C, Mehta, V, Melese, A, Memish, ZA, Mengistu, G, Mestrovic, T, Mezgebe, HB, Miazgowski, B, Milosevic, B, Mokdad, AH, Monasta, L, Moradi, G, Moraga, P, Mousavi, SM, Mueller, UO, Murthy, S, Mustafa, G, Naheed, A, Naik, G, Newton, CRJ, Nirayo, YL, Nixon, MR, Ofori-Asenso, R, Ogbo, FA, Olagunju, TO, Olusanya, BO, Ortiz, JR, Owolabi, MO, Patel, S, Pinilla-Monsalve, GD, Postma, MJ, Qorbani, M, Rafiei, A, Rahimi-Movaghar, V, Reiner, RC, Renzaho, AMN, Rezai, MS, Roba, KT, Ronfani, L, Roshandel, G, Rostami, A, Safari, S, Safiri, S, Sagar, R, Samy, AM, Milicevic, MMS, Sartorius, B, Sarvi, S, Sawhney, M, Saxena, S, Shafieesabet, A, Shaikh, MA, Sharif, M, Shigematsu, M, Si, S, Skiadaresi, E, Smith, M, Somayaji, R, Sufiyan, MB, Tawye, NY, Temsah, M-H, Tortajada-Girbes, M, Khanh, BT, Ukwaja, KN, Ullah, I, Vujcic, IS, Wagnew, F, Waheed, Y, Weldegwergs, KG, Winkler, AS, Wiyeh, AB, Wiysonge, CS, Wyper, GMA, Yimer, EM, Yonemoto, N, Zaidi, Z, Zenebe, ZM, Feigin, VL, Vos, T, and Murray, CJL

Abstract

BACKGROUND: Through the Global Burden of Diseases, Injuries, and Risk Factors (GBD) studies, headache has emerged as a major global public health concern. We aimed to use data from the GBD 2016 study to provide new estimates for prevalence and years of life lived with disability (YLDs) for migraine and tension-type headache and to present the methods and results in an accessible way for clinicians and researchers of headache disorders. METHODS: Data were derived from population-based cross-sectional surveys on migraine and tension-type headache. Prevalence for each sex and 5-year age group interval (ie, age 5 years to ≥95 years) at different time points from 1990 and 2016 in all countries and GBD regions were estimated using a Bayesian meta-regression model. Disease burden measured in YLDs was calculated from prevalence and average time spent with headache multiplied by disability weights (a measure of the relative severity of the disabling consequence of a disease). The burden stemming from medication overuse headache, which was included in earlier iterations of GBD as a separate cause, was subsumed as a sequela of either migraine or tension-type headache. Because no deaths were assigned to headaches as the underlying cause, YLDs equate to disability-adjusted life-years (DALYs). We also analysed results on the basis of the Socio-demographic Index (SDI), a compound measure of income per capita, education, and fertility. FINDINGS: Almost three billion individuals were estimated to have a migraine or tension-type headache in 2016: 1·89 billion (95% uncertainty interval [UI] 1·71-2·10) with tension-type headache and 1·04 billion (95% UI 1·00-1·09) with migraine. However, because migraine had a much higher disability weight than tension-type headache, migraine caused 45·1 million (95% UI 29·0-62·8) and tension-type headache only 7·2 million (95% UI 4·6-10·5) YLDs globally in 2016. The headaches were most burdensome in women between ages 15 and 49 years, with migraine ca

Published
2018

4. Global, regional, and national burden of neurological disorders during 1990-2015 : a systematic analysis for the Global Burden of Disease Study 2015.

Author

Feigin, VL, Abate, KH, Abd-Allah, F, Abdulle, AM, Abera, SF, Abyu, GY, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akinyemi, RO, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, AT, Ärnlöv, Johan, Larsson, Anders, Yimam, HH,, Yonemoto, N, Yu, C, Zaidi, Z, El Sayed Zaki, M, Zunt, JR, Murray, CJL, Vos, T, Feigin, VL, Abate, KH, Abd-Allah, F, Abdulle, AM, Abera, SF, Abyu, GY, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akinyemi, RO, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, AT, Ärnlöv, Johan, Larsson, Anders, Yimam, HH,, Yonemoto, N, Yu, C, Zaidi, Z, El Sayed Zaki, M, Zunt, JR, Murray, CJL, and Vos, T

Abstract

BACKGROUND: Comparable data on the global and country-specific burden of neurological disorders and their trends are crucial for health-care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study provides such information but does not routinely aggregate results that are of interest to clinicians specialising in neurological conditions. In this systematic analysis, we quantified the global disease burden due to neurological disorders in 2015 and its relationship with country development level. METHODS: We estimated global and country-specific prevalence, mortality, disability-adjusted life-years (DALYs), years of life lost (YLLs), and years lived with disability (YLDs) for various neurological disorders that in the GBD classification have been previously spread across multiple disease groupings. The more inclusive grouping of neurological disorders included stroke, meningitis, encephalitis, tetanus, Alzheimer's disease and other dementias, Parkinson's disease, epilepsy, multiple sclerosis, motor neuron disease, migraine, tension-type headache, medication overuse headache, brain and nervous system cancers, and a residual category of other neurological disorders. We also analysed results based on the Socio-demographic Index (SDI), a compound measure of income per capita, education, and fertility, to identify patterns associated with development and how countries fare against expected outcomes relative to their level of development. FINDINGS: Neurological disorders ranked as the leading cause group of DALYs in 2015 (250·7 [95% uncertainty interval (UI) 229·1 to 274·7] million, comprising 10·2% of global DALYs) and the second-leading cause group of deaths (9·4 [9·1 to 9·7] million], comprising 16·8% of global deaths). The most prevalent neurological disorders were tension-type headache (1505·9 [UI 1337·3 to 1681·6 million cases]), migraine (958·8 [872·1 to 1055·6] million), medication overuse headache (58·5 [50·8 to 67·4

Published
2017
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5. Global, regional, and national burden of neurological disorders during 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015

Author

Feigin, V, Abajobir, A, Abate, K, Abd-Allah, F, Abdulle, A, Abera, S, Abyu, G, Ahmed, M, Aichour, A, Aichour, I, Aichour, M, Akinyemi, R, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, A, Ansari, H, Anwari, P, Ärnlöv, J, Asayesh, H, Asgedom, S, Atey, T, Avila-Burgos, L, Frinel, E, Avokpaho, G, Barac, A, Barboza, M, Barker-Collo, S, Bärnighausen, T, Bedi, N, Beghi, E, Bennett, D, Bensenor, I, Berhane, A, Betsu, B, Bhaumik, S, Birlik, S, Biryukov, S, Boneya, D, Bulto, L, Carabin, H, Casey, D, Castañeda-Orjuela, C, Catalá-López, F, Chen, H, Chitheer, A, Chowdhury, R, Christensen, H, Dandona, L, Dandona, R, Veber, G, Dharmaratne, S, Do, H, Dokova, K, Dorsey, E, Ellenbogen, R, Eskandarieh, S, Farvid, M, Fereshtehnejad, S, Fischer, F, Foreman, K, Geleijnse, J, Gillum, R, Giussani, G, Gona, P, Goulart, A, Gugnani, H, Gupta, R, Hamadeh, R, Hambisa, M, Hankey, G, Hareri, H, Havmoeller, R, Hay, S, Heydarpour, P, Hotez, P, Jakovljevic, M, Javanbakht, M, Jeemon, P, Jonas, J, Kalkonde, Y, Kandel, A, Karch, A, Kasaeian, A, Kastor, A, Keiyoro, P, Khader, Y, Khalil, I, Khan, E, Khang, Y, Tawfih, A, Khoja, A, Khubchandani, J, Kim, D, Kim, Y, Kivimaki, M, Kokubo, Y, Kosen, S, Kravchenko, M, Krishnamurthi, R, Defo, B, Kumar, G, Kumar, R, Kyu, H, Larsson, A, Lavados, P, Li, Y, Liang, X, Liben, M, Lo, W, Logroscino, G, Lotufo, P, Loy, C, Mackay, M, El Razek, H, El Razek, M, Majeed, A, Malekzadeh, R, Manhertz, T, Mantovani, L, Massano, J, Mazidi, M, Mcalinden, C, Mehata, S, Mehndiratta, M, Memish, Z, Mendoza, W, Mengistie, M, Mensah, G, Meretoja, A, Mezgebe, H, Miller, T, Mishra, S, Ibrahim, N, Mohammadi, A, Mohammed, K, Mohammed, S, Mokdad, A, Moradi-Lakeh, M, Velasquez, I, Musa, K, Naghavi, M, Ngunjiri, J, Nguyen, C, Nguyen, G, Le Nguyen, Q, Nguyen, T, Nichols, E, Ningrum, D, Nong, V, Norrving, B, Noubiap, J, Ogbo, F, Owolabi, M, Pandian, J, Petzold, M, Phillips, M, Piradov, M, Poulton, R, Pourmalek, F, Qorbani, M, Rafay, A, Rahman, M, Rai, R, Rajsic, S, Ranta, A, Rawaf, S, Renzaho, A, Rezai, M, Roshandel, G, Rubagotti, E, Sachdev, P, Safiri, S, Sahathevan, R, Sahraian, M, Samy, A, Santalucia, P, Santos, I, Sartorius, B, Satpathy, M, Sawhney, M, Saylan, M, Sepanlou, S, Shaikh, M, Shakir, R, Shamsizadeh, M, Sheth, K, Shigematsu, M, Shoman, H, Silva, D, Smith, M, Sobngwi, E, Sposato, L, Stein, D, Steiner, T, Stovner, L, Abdulkader, R, EI Szoeke, C, Tabarés-Seisdedos, R, Tanne, D, Theadom, A, Thrift, A, Tirschwell, D, Topor-Madry, R, Tran, B, Truelsen, T, Tuem, K, Ukwaja, K, Uthman, O, Varakin, Y, Vasankari, T, Venketasubramanian, N, Vlassov, V, Wadilo, F, Wakayo, T, Wallin, M, Weiderpass, E, Westerman, R, Wijeratne, T, Wiysonge, C, Woldu, M, Wolfe, C, Xavier, D, Xu, G, Yano, Y, Yimam, H, Yonemoto, N, Yu, C, Zaidi, Z, El Sayed Zaki, M, Zunt, J, Murray, C, Vos, T, Feigin, VL, Abajobir, AA, Abate, KH, Abdulle, AM, Abera, SF, Abyu, GY, Ahmed, MB, Aichour, AN, Aichour, MTE, Akinyemi, RO, Amare, AT, Asgedom, SW, Atey, TM, Avokpaho, GA, Barker-Collo, SL, Bennett, DA, Bensenor, IM, Betsu, BD, Birlik, SM, Boneya, DJ, Bulto, LNB, Castañeda-Orjuela, CA, Chitheer, AA, Veber, GA, Dharmaratne, SD, Do, HP, Dorsey, ER, Ellenbogen, RG, Farvid, MS, Fereshtehnejad, SM, Foreman, KJ, Geleijnse, JM, Gillum, RF, Gona, PN, Goulart, AC, Gugnani, HC, Hamadeh, RR, Hankey, GJ, Hareri, HA, Hay, SI, Hotez, PJ, Jakovljevic, MMB, Jonas, JB, Keiyoro, PN, Khader, YS, Khalil, IA, Khan, EA, Khang, YH, Kim, YJ, Krishnamurthi, RV, Defo, BK, Kumar, GA, Kyu, HH, Lavados, PM, Liben, ML, Lo, WD, Lotufo, PA, Loy, CT, Mackay, MT, El Razek, HMA, El Razek, MMA, Mantovani, LG, McAlinden, C, Mehndiratta, MM, Memish, ZA, Mengistie, MA, Mensah, GA, Mezgebe, HB, Miller, TR, Mishra, SR, Ibrahim, NM, Mohammed, KE, Mokdad, AH, Velasquez, IM, Musa, KI, Ngunjiri, JW, Nguyen, CT, Nguyen, TH, Ningrum, DNA, Nong, VM, Noubiap, JJN, Ogbo, FA, Owolabi, MO, Pandian, JD, Phillips, MR, Piradov, MA, Poulton, RG, Rahman, MH, Rai, RK, Renzaho, AMN, Rezai, MS, Sahraian, MA, Samy, AM, Santos, IS, Saylan, MI, Sepanlou, SG, Shaikh, MA, Sheth, KN, Silva, DAS, Sposato, LA, Stein, DJ, Steiner, TJ, Stovner, LJ, Abdulkader, RS, Theadom, AM, Thrift, AG, Tirschwell, DL, Tran, BX, Tuem, KB, Ukwaja, KN, Uthman, OA, Varakin, YY, Vlassov, VV, Wallin, MT, Wiysonge, CS, Woldu, MA, Wolfe, CDA, Yimam, HH, Zunt, JR, Murray, CJL, Feigin, V, Abajobir, A, Abate, K, Abd-Allah, F, Abdulle, A, Abera, S, Abyu, G, Ahmed, M, Aichour, A, Aichour, I, Aichour, M, Akinyemi, R, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, A, Ansari, H, Anwari, P, Ärnlöv, J, Asayesh, H, Asgedom, S, Atey, T, Avila-Burgos, L, Frinel, E, Avokpaho, G, Barac, A, Barboza, M, Barker-Collo, S, Bärnighausen, T, Bedi, N, Beghi, E, Bennett, D, Bensenor, I, Berhane, A, Betsu, B, Bhaumik, S, Birlik, S, Biryukov, S, Boneya, D, Bulto, L, Carabin, H, Casey, D, Castañeda-Orjuela, C, Catalá-López, F, Chen, H, Chitheer, A, Chowdhury, R, Christensen, H, Dandona, L, Dandona, R, Veber, G, Dharmaratne, S, Do, H, Dokova, K, Dorsey, E, Ellenbogen, R, Eskandarieh, S, Farvid, M, Fereshtehnejad, S, Fischer, F, Foreman, K, Geleijnse, J, Gillum, R, Giussani, G, Gona, P, Goulart, A, Gugnani, H, Gupta, R, Hamadeh, R, Hambisa, M, Hankey, G, Hareri, H, Havmoeller, R, Hay, S, Heydarpour, P, Hotez, P, Jakovljevic, M, Javanbakht, M, Jeemon, P, Jonas, J, Kalkonde, Y, Kandel, A, Karch, A, Kasaeian, A, Kastor, A, Keiyoro, P, Khader, Y, Khalil, I, Khan, E, Khang, Y, Tawfih, A, Khoja, A, Khubchandani, J, Kim, D, Kim, Y, Kivimaki, M, Kokubo, Y, Kosen, S, Kravchenko, M, Krishnamurthi, R, Defo, B, Kumar, G, Kumar, R, Kyu, H, Larsson, A, Lavados, P, Li, Y, Liang, X, Liben, M, Lo, W, Logroscino, G, Lotufo, P, Loy, C, Mackay, M, El Razek, H, El Razek, M, Majeed, A, Malekzadeh, R, Manhertz, T, Mantovani, L, Massano, J, Mazidi, M, Mcalinden, C, Mehata, S, Mehndiratta, M, Memish, Z, Mendoza, W, Mengistie, M, Mensah, G, Meretoja, A, Mezgebe, H, Miller, T, Mishra, S, Ibrahim, N, Mohammadi, A, Mohammed, K, Mohammed, S, Mokdad, A, Moradi-Lakeh, M, Velasquez, I, Musa, K, Naghavi, M, Ngunjiri, J, Nguyen, C, Nguyen, G, Le Nguyen, Q, Nguyen, T, Nichols, E, Ningrum, D, Nong, V, Norrving, B, Noubiap, J, Ogbo, F, Owolabi, M, Pandian, J, Petzold, M, Phillips, M, Piradov, M, Poulton, R, Pourmalek, F, Qorbani, M, Rafay, A, Rahman, M, Rai, R, Rajsic, S, Ranta, A, Rawaf, S, Renzaho, A, Rezai, M, Roshandel, G, Rubagotti, E, Sachdev, P, Safiri, S, Sahathevan, R, Sahraian, M, Samy, A, Santalucia, P, Santos, I, Sartorius, B, Satpathy, M, Sawhney, M, Saylan, M, Sepanlou, S, Shaikh, M, Shakir, R, Shamsizadeh, M, Sheth, K, Shigematsu, M, Shoman, H, Silva, D, Smith, M, Sobngwi, E, Sposato, L, Stein, D, Steiner, T, Stovner, L, Abdulkader, R, EI Szoeke, C, Tabarés-Seisdedos, R, Tanne, D, Theadom, A, Thrift, A, Tirschwell, D, Topor-Madry, R, Tran, B, Truelsen, T, Tuem, K, Ukwaja, K, Uthman, O, Varakin, Y, Vasankari, T, Venketasubramanian, N, Vlassov, V, Wadilo, F, Wakayo, T, Wallin, M, Weiderpass, E, Westerman, R, Wijeratne, T, Wiysonge, C, Woldu, M, Wolfe, C, Xavier, D, Xu, G, Yano, Y, Yimam, H, Yonemoto, N, Yu, C, Zaidi, Z, El Sayed Zaki, M, Zunt, J, Murray, C, Vos, T, Feigin, VL, Abajobir, AA, Abate, KH, Abdulle, AM, Abera, SF, Abyu, GY, Ahmed, MB, Aichour, AN, Aichour, MTE, Akinyemi, RO, Amare, AT, Asgedom, SW, Atey, TM, Avokpaho, GA, Barker-Collo, SL, Bennett, DA, Bensenor, IM, Betsu, BD, Birlik, SM, Boneya, DJ, Bulto, LNB, Castañeda-Orjuela, CA, Chitheer, AA, Veber, GA, Dharmaratne, SD, Do, HP, Dorsey, ER, Ellenbogen, RG, Farvid, MS, Fereshtehnejad, SM, Foreman, KJ, Geleijnse, JM, Gillum, RF, Gona, PN, Goulart, AC, Gugnani, HC, Hamadeh, RR, Hankey, GJ, Hareri, HA, Hay, SI, Hotez, PJ, Jakovljevic, MMB, Jonas, JB, Keiyoro, PN, Khader, YS, Khalil, IA, Khan, EA, Khang, YH, Kim, YJ, Krishnamurthi, RV, Defo, BK, Kumar, GA, Kyu, HH, Lavados, PM, Liben, ML, Lo, WD, Lotufo, PA, Loy, CT, Mackay, MT, El Razek, HMA, El Razek, MMA, Mantovani, LG, McAlinden, C, Mehndiratta, MM, Memish, ZA, Mengistie, MA, Mensah, GA, Mezgebe, HB, Miller, TR, Mishra, SR, Ibrahim, NM, Mohammed, KE, Mokdad, AH, Velasquez, IM, Musa, KI, Ngunjiri, JW, Nguyen, CT, Nguyen, TH, Ningrum, DNA, Nong, VM, Noubiap, JJN, Ogbo, FA, Owolabi, MO, Pandian, JD, Phillips, MR, Piradov, MA, Poulton, RG, Rahman, MH, Rai, RK, Renzaho, AMN, Rezai, MS, Sahraian, MA, Samy, AM, Santos, IS, Saylan, MI, Sepanlou, SG, Shaikh, MA, Sheth, KN, Silva, DAS, Sposato, LA, Stein, DJ, Steiner, TJ, Stovner, LJ, Abdulkader, RS, Theadom, AM, Thrift, AG, Tirschwell, DL, Tran, BX, Tuem, KB, Ukwaja, KN, Uthman, OA, Varakin, YY, Vlassov, VV, Wallin, MT, Wiysonge, CS, Woldu, MA, Wolfe, CDA, Yimam, HH, Zunt, JR, and Murray, CJL

Abstract

Background Comparable data on the global and country-specific burden of neurological disorders and their trends are crucial for health-care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study provides such information but does not routinely aggregate results that are of interest to clinicians specialising in neurological conditions. In this systematic analysis, we quantified the global disease burden due to neurological disorders in 2015 and its relationship with country development level. Methods We estimated global and country-specific prevalence, mortality, disability-adjusted life-years (DALYs), years of life lost (YLLs), and years lived with disability (YLDs) for various neurological disorders that in the GBD classification have been previously spread across multiple disease groupings. The more inclusive grouping of neurological disorders included stroke, meningitis, encephalitis, tetanus, Alzheimer's disease and other dementias, Parkinson's disease, epilepsy, multiple sclerosis, motor neuron disease, migraine, tension-type headache, medication overuse headache, brain and nervous system cancers, and a residual category of other neurological disorders. We also analysed results based on the Socio-demographic Index (SDI), a compound measure of income per capita, education, and fertility, to identify patterns associated with development and how countries fare against expected outcomes relative to their level of development. Findings Neurological disorders ranked as the leading cause group of DALYs in 2015 (250·7 [95% uncertainty interval (UI) 229·1 to 274·7] million, comprising 10·2% of global DALYs) and the second-leading cause group of deaths (9·4 [9·1 to 9·7] million], comprising 16·8% of global deaths). The most prevalent neurological disorders were tension-type headache (1505·9 [UI 1337·3 to 1681·6 million cases]), migraine (958·8 [872·1 to 1055·6] million), medication overuse headache (58·5 [50·8 to 67·4 mil

Published
2017

6. Global, regional, and national burden of neurological disorders during 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015

Author

Feigin, VL, Abajobir, AA, Abate, KH, Abd-Allah, F, Abdulle, AM, Abera, SF, Abyu, GY, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akinyemi, RO, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, AT, Ansari, H, Anwari, P, Arnlov, J, Asayesh, H, Asgedom, SW, Atey, TM, Avila-Burgos, L, Avokpaho, EFGA, Azarpazhooh, MR, Barac, A, Barboza, M, Barker-Collo, SL, Baernighausen, T, Bedi, N, Beghi, E, Bennett, DA, Bensenor, IM, Berhane, A, Betsu, BD, Bhaumik, S, Birlik, SM, Biryukov, S, Boneya, DJ, Bulto, LN, Carabin, H, Casey, D, Castaneda-Orjuela, CA, Catala-Lopez, F, Chen, H, Chitheer, AA, Chowdhury, R, Christensen, H, Dandona, L, Dandona, R, deVeber, GA, Dharmaratne, SD, Huyen, PD, Dokova, K, Dorsey, ER, Ellenbogen, RG, Eskandarieh, S, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Foreman, KJ, Geleijnse, JM, Gillum, RF, Giussani, G, Goldberg, EM, Gona, PN, Goulart, AC, Gugnani, HC, Gupta, R, Hachinski, V, Hamadeh, RR, Hambisa, M, Hankey, GJ, Hareri, HA, Havmoeller, R, Hay, SI, Heydarpour, P, Hotez, PJ, Jakovljevic, MMB, Javanbakht, M, Jeemon, P, Jonas, JB, Kalkonde, Y, Kandel, A, Karch, A, Kasaeian, A, Kastor, A, Keiyoro, PN, Khader, YS, Khalil, IA, Khan, EA, Khang, Y-H, Khoja, AT, Khubchandani, J, Kulkarni, C, Kim, D, Kim, YJ, Kivimaki, M, Kokubo, Y, Kosen, S, Kravchenko, M, Krishnamurthi, RV, Defo, BK, Kumar, GA, Kumar, R, Kyu, HH, Larsson, A, Lavados, PM, Li, Y, Liang, X, Liben, ML, Lo, WD, Logroscino, G, Lotufo, PA, Loy, CT, Mackay, MT, Abd El Razek, HM, Abd El Razek, MM, Majeed, A, Malekzadeh, R, Manhertz, T, Mantovani, LG, Massano, J, Mazidi, M, McAlinden, C, Mehata, S, Mehndiratta, MM, Memish, ZA, Mendoza, W, Mengistie, MA, Mensah, GA, Meretoja, A, Mezgebe, HB, Miller, TR, Mishra, SR, Ibrahim, NM, Mohammadi, A, Mohammed, KE, Mohammed, S, Mokdad, AH, Moradi-Lakeh, M, Velasquez, IM, Musa, KI, Naghavi, M, Ngunjiri, JW, Cuong, TN, Nguyen, G, Quyen, LN, Trang, HN, Nichols, E, Ningrum, DN, Vuong, MN, Norrving, B, Noubiap, JJN, Ogbo, FA, Owolabi, MO, Pandian, JD, Parmar, PG, Pereira, DM, Petzold, M, Phillips, MR, Piradov, MA, Poulton, RG, Pourmalek, F, Qorbani, M, Rafay, A, Rahman, M, Rahman, MH, Rai, RK, Rajsic, S, Ranta, A, Rawaf, S, Renzaho, AMN, Rezai, MS, Roth, GA, Roshandel, G, Rubagotti, E, Sachdev, P, Safiri, S, Sahathevan, R, Sahraian, MA, Samy, AM, Santalucia, P, Santos, IS, Sartorius, B, Satpathy, M, Sawhney, M, Saylan, MI, Sepanlou, SG, Shaikh, MA, Shakir, R, Shamsizadeh, M, Sheth, KN, Shigematsu, M, Shoman, H, Silva, DA, Smith, M, Sobngwi, E, Sposato, LA, Stanaway, JD, Stein, DJ, Steiner, TJ, Stovner, LJ, Abdulkader, RS, Szoeke, CEI, Tabares-Seisdedos, R, Tanne, D, Theadom, AM, Thrift, AG, Tirschwell, DL, Topor-Madry, R, Bach, XT, Truelsen, T, Tuem, KB, Ukwaja, KN, Uthman, OA, Varakin, YY, Vasankari, T, Venketasubramanian, N, Vlassov, VV, Wadilo, F, Wakayo, T, Wallin, MT, Weiderpass, E, Westerman, R, Wijeratne, T, Wiysonge, CS, Woldu, MA, Wolfe, CDA, Xavier, D, Xu, G, Yano, Y, Yimam, HH, Yonemoto, N, Yu, C, Zaidi, Z, Zaki, MES, Zunt, JR, Murray, CJL, Vos, T, Feigin, VL, Abajobir, AA, Abate, KH, Abd-Allah, F, Abdulle, AM, Abera, SF, Abyu, GY, Ahmed, MB, Aichour, AN, Aichour, I, Aichour, MTE, Akinyemi, RO, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, AT, Ansari, H, Anwari, P, Arnlov, J, Asayesh, H, Asgedom, SW, Atey, TM, Avila-Burgos, L, Avokpaho, EFGA, Azarpazhooh, MR, Barac, A, Barboza, M, Barker-Collo, SL, Baernighausen, T, Bedi, N, Beghi, E, Bennett, DA, Bensenor, IM, Berhane, A, Betsu, BD, Bhaumik, S, Birlik, SM, Biryukov, S, Boneya, DJ, Bulto, LN, Carabin, H, Casey, D, Castaneda-Orjuela, CA, Catala-Lopez, F, Chen, H, Chitheer, AA, Chowdhury, R, Christensen, H, Dandona, L, Dandona, R, deVeber, GA, Dharmaratne, SD, Huyen, PD, Dokova, K, Dorsey, ER, Ellenbogen, RG, Eskandarieh, S, Farvid, MS, Fereshtehnejad, S-M, Fischer, F, Foreman, KJ, Geleijnse, JM, Gillum, RF, Giussani, G, Goldberg, EM, Gona, PN, Goulart, AC, Gugnani, HC, Gupta, R, Hachinski, V, Hamadeh, RR, Hambisa, M, Hankey, GJ, Hareri, HA, Havmoeller, R, Hay, SI, Heydarpour, P, Hotez, PJ, Jakovljevic, MMB, Javanbakht, M, Jeemon, P, Jonas, JB, Kalkonde, Y, Kandel, A, Karch, A, Kasaeian, A, Kastor, A, Keiyoro, PN, Khader, YS, Khalil, IA, Khan, EA, Khang, Y-H, Khoja, AT, Khubchandani, J, Kulkarni, C, Kim, D, Kim, YJ, Kivimaki, M, Kokubo, Y, Kosen, S, Kravchenko, M, Krishnamurthi, RV, Defo, BK, Kumar, GA, Kumar, R, Kyu, HH, Larsson, A, Lavados, PM, Li, Y, Liang, X, Liben, ML, Lo, WD, Logroscino, G, Lotufo, PA, Loy, CT, Mackay, MT, Abd El Razek, HM, Abd El Razek, MM, Majeed, A, Malekzadeh, R, Manhertz, T, Mantovani, LG, Massano, J, Mazidi, M, McAlinden, C, Mehata, S, Mehndiratta, MM, Memish, ZA, Mendoza, W, Mengistie, MA, Mensah, GA, Meretoja, A, Mezgebe, HB, Miller, TR, Mishra, SR, Ibrahim, NM, Mohammadi, A, Mohammed, KE, Mohammed, S, Mokdad, AH, Moradi-Lakeh, M, Velasquez, IM, Musa, KI, Naghavi, M, Ngunjiri, JW, Cuong, TN, Nguyen, G, Quyen, LN, Trang, HN, Nichols, E, Ningrum, DN, Vuong, MN, Norrving, B, Noubiap, JJN, Ogbo, FA, Owolabi, MO, Pandian, JD, Parmar, PG, Pereira, DM, Petzold, M, Phillips, MR, Piradov, MA, Poulton, RG, Pourmalek, F, Qorbani, M, Rafay, A, Rahman, M, Rahman, MH, Rai, RK, Rajsic, S, Ranta, A, Rawaf, S, Renzaho, AMN, Rezai, MS, Roth, GA, Roshandel, G, Rubagotti, E, Sachdev, P, Safiri, S, Sahathevan, R, Sahraian, MA, Samy, AM, Santalucia, P, Santos, IS, Sartorius, B, Satpathy, M, Sawhney, M, Saylan, MI, Sepanlou, SG, Shaikh, MA, Shakir, R, Shamsizadeh, M, Sheth, KN, Shigematsu, M, Shoman, H, Silva, DA, Smith, M, Sobngwi, E, Sposato, LA, Stanaway, JD, Stein, DJ, Steiner, TJ, Stovner, LJ, Abdulkader, RS, Szoeke, CEI, Tabares-Seisdedos, R, Tanne, D, Theadom, AM, Thrift, AG, Tirschwell, DL, Topor-Madry, R, Bach, XT, Truelsen, T, Tuem, KB, Ukwaja, KN, Uthman, OA, Varakin, YY, Vasankari, T, Venketasubramanian, N, Vlassov, VV, Wadilo, F, Wakayo, T, Wallin, MT, Weiderpass, E, Westerman, R, Wijeratne, T, Wiysonge, CS, Woldu, MA, Wolfe, CDA, Xavier, D, Xu, G, Yano, Y, Yimam, HH, Yonemoto, N, Yu, C, Zaidi, Z, Zaki, MES, Zunt, JR, Murray, CJL, and Vos, T

Abstract

BACKGROUND: Comparable data on the global and country-specific burden of neurological disorders and their trends are crucial for health-care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study provides such information but does not routinely aggregate results that are of interest to clinicians specialising in neurological conditions. In this systematic analysis, we quantified the global disease burden due to neurological disorders in 2015 and its relationship with country development level. METHODS: We estimated global and country-specific prevalence, mortality, disability-adjusted life-years (DALYs), years of life lost (YLLs), and years lived with disability (YLDs) for various neurological disorders that in the GBD classification have been previously spread across multiple disease groupings. The more inclusive grouping of neurological disorders included stroke, meningitis, encephalitis, tetanus, Alzheimer's disease and other dementias, Parkinson's disease, epilepsy, multiple sclerosis, motor neuron disease, migraine, tension-type headache, medication overuse headache, brain and nervous system cancers, and a residual category of other neurological disorders. We also analysed results based on the Socio-demographic Index (SDI), a compound measure of income per capita, education, and fertility, to identify patterns associated with development and how countries fare against expected outcomes relative to their level of development. FINDINGS: Neurological disorders ranked as the leading cause group of DALYs in 2015 (250·7 [95% uncertainty interval (UI) 229·1 to 274·7] million, comprising 10·2% of global DALYs) and the second-leading cause group of deaths (9·4 [9·1 to 9·7] million], comprising 16·8% of global deaths). The most prevalent neurological disorders were tension-type headache (1505·9 [UI 1337·3 to 1681·6 million cases]), migraine (958·8 [872·1 to 1055·6] million), medication overuse headache (58·5 [50·8 to 67·4

Published
2017

7. Global, regional, and national burden of neurological disorders during 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015

Author

Feigin, V, Abajobir, A, Abate, K, Abd-Allah, F, Abdulle, A, Abera, S, Abyu, G, Ahmed, M, Aichour, A, Aichour, I, Aichour, M, Akinyemi, R, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, A, Ansari, H, Anwari, P, Ärnlöv, J, Asayesh, H, Asgedom, S, Atey, T, Avila-Burgos, L, Frinel, E, Avokpaho, G, Barac, A, Barboza, M, Barker-Collo, S, Bärnighausen, T, Bedi, N, Beghi, E, Bennett, D, Bensenor, I, Berhane, A, Betsu, B, Bhaumik, S, Birlik, S, Biryukov, S, Boneya, D, Bulto, L, Carabin, H, Casey, D, Castañeda-Orjuela, C, Catalá-López, F, Chen, H, Chitheer, A, Chowdhury, R, Christensen, H, Dandona, L, Dandona, R, Veber, G, Dharmaratne, S, Do, H, Dokova, K, Dorsey, E, Ellenbogen, R, Eskandarieh, S, Farvid, M, Fereshtehnejad, S, Fischer, F, Foreman, K, Geleijnse, J, Gillum, R, Giussani, G, Gona, P, Goulart, A, Gugnani, H, Gupta, R, Hamadeh, R, Hambisa, M, Hankey, G, Hareri, H, Havmoeller, R, Hay, S, Heydarpour, P, Hotez, P, Jakovljevic, M, Javanbakht, M, Jeemon, P, Jonas, J, Kalkonde, Y, Kandel, A, Karch, A, Kasaeian, A, Kastor, A, Keiyoro, P, Khader, Y, Khalil, I, Khan, E, Khang, Y, Tawfih, A, Khoja, A, Khubchandani, J, Kim, D, Kim, Y, Kivimaki, M, Kokubo, Y, Kosen, S, Kravchenko, M, Krishnamurthi, R, Defo, B, Kumar, G, Kumar, R, Kyu, H, Larsson, A, Lavados, P, Li, Y, Liang, X, Liben, M, Lo, W, Logroscino, G, Lotufo, P, Loy, C, Mackay, M, El Razek, H, El Razek, M, Majeed, A, Malekzadeh, R, Manhertz, T, Mantovani, L, Massano, J, Mazidi, M, Mcalinden, C, Mehata, S, Mehndiratta, M, Memish, Z, Mendoza, W, Mengistie, M, Mensah, G, Meretoja, A, Mezgebe, H, Miller, T, Mishra, S, Ibrahim, N, Mohammadi, A, Mohammed, K, Mohammed, S, Mokdad, A, Moradi-Lakeh, M, Velasquez, I, Musa, K, Naghavi, M, Ngunjiri, J, Nguyen, C, Nguyen, G, Le Nguyen, Q, Nguyen, T, Nichols, E, Ningrum, D, Nong, V, Norrving, B, Noubiap, J, Ogbo, F, Owolabi, M, Pandian, J, Petzold, M, Phillips, M, Piradov, M, Poulton, R, Pourmalek, F, Qorbani, M, Rafay, A, Rahman, M, Rai, R, Rajsic, S, Ranta, A, Rawaf, S, Renzaho, A, Rezai, M, Roshandel, G, Rubagotti, E, Sachdev, P, Safiri, S, Sahathevan, R, Sahraian, M, Samy, A, Santalucia, P, Santos, I, Sartorius, B, Satpathy, M, Sawhney, M, Saylan, M, Sepanlou, S, Shaikh, M, Shakir, R, Shamsizadeh, M, Sheth, K, Shigematsu, M, Shoman, H, Silva, D, Smith, M, Sobngwi, E, Sposato, L, Stein, D, Steiner, T, Stovner, L, Abdulkader, R, EI Szoeke, C, Tabarés-Seisdedos, R, Tanne, D, Theadom, A, Thrift, A, Tirschwell, D, Topor-Madry, R, Tran, B, Truelsen, T, Tuem, K, Ukwaja, K, Uthman, O, Varakin, Y, Vasankari, T, Venketasubramanian, N, Vlassov, V, Wadilo, F, Wakayo, T, Wallin, M, Weiderpass, E, Westerman, R, Wijeratne, T, Wiysonge, C, Woldu, M, Wolfe, C, Xavier, D, Xu, G, Yano, Y, Yimam, H, Yonemoto, N, Yu, C, Zaidi, Z, El Sayed Zaki, M, Zunt, J, Murray, C, Vos, T, Feigin, VL, Abajobir, AA, Abate, KH, Abdulle, AM, Abera, SF, Abyu, GY, Ahmed, MB, Aichour, AN, Aichour, MTE, Akinyemi, RO, Amare, AT, Asgedom, SW, Atey, TM, Avokpaho, GA, Barker-Collo, SL, Bennett, DA, Bensenor, IM, Betsu, BD, Birlik, SM, Boneya, DJ, Bulto, LNB, Castañeda-Orjuela, CA, Chitheer, AA, Veber, GA, Dharmaratne, SD, Do, HP, Dorsey, ER, Ellenbogen, RG, Farvid, MS, Fereshtehnejad, SM, Foreman, KJ, Geleijnse, JM, Gillum, RF, Gona, PN, Goulart, AC, Gugnani, HC, Hamadeh, RR, Hankey, GJ, Hareri, HA, Hay, SI, Hotez, PJ, Jakovljevic, MMB, Jonas, JB, Keiyoro, PN, Khader, YS, Khalil, IA, Khan, EA, Khang, YH, Kim, YJ, Krishnamurthi, RV, Defo, BK, Kumar, GA, Kyu, HH, Lavados, PM, Liben, ML, Lo, WD, Lotufo, PA, Loy, CT, Mackay, MT, El Razek, HMA, El Razek, MMA, Mantovani, LG, McAlinden, C, Mehndiratta, MM, Memish, ZA, Mengistie, MA, Mensah, GA, Mezgebe, HB, Miller, TR, Mishra, SR, Ibrahim, NM, Mohammed, KE, Mokdad, AH, Velasquez, IM, Musa, KI, Ngunjiri, JW, Nguyen, CT, Nguyen, TH, Ningrum, DNA, Nong, VM, Noubiap, JJN, Ogbo, FA, Owolabi, MO, Pandian, JD, Phillips, MR, Piradov, MA, Poulton, RG, Rahman, MH, Rai, RK, Renzaho, AMN, Rezai, MS, Sahraian, MA, Samy, AM, Santos, IS, Saylan, MI, Sepanlou, SG, Shaikh, MA, Sheth, KN, Silva, DAS, Sposato, LA, Stein, DJ, Steiner, TJ, Stovner, LJ, Abdulkader, RS, Theadom, AM, Thrift, AG, Tirschwell, DL, Tran, BX, Tuem, KB, Ukwaja, KN, Uthman, OA, Varakin, YY, Vlassov, VV, Wallin, MT, Wiysonge, CS, Woldu, MA, Wolfe, CDA, Yimam, HH, Zunt, JR, Murray, CJL, Feigin, V, Abajobir, A, Abate, K, Abd-Allah, F, Abdulle, A, Abera, S, Abyu, G, Ahmed, M, Aichour, A, Aichour, I, Aichour, M, Akinyemi, R, Alabed, S, Al-Raddadi, R, Alvis-Guzman, N, Amare, A, Ansari, H, Anwari, P, Ärnlöv, J, Asayesh, H, Asgedom, S, Atey, T, Avila-Burgos, L, Frinel, E, Avokpaho, G, Barac, A, Barboza, M, Barker-Collo, S, Bärnighausen, T, Bedi, N, Beghi, E, Bennett, D, Bensenor, I, Berhane, A, Betsu, B, Bhaumik, S, Birlik, S, Biryukov, S, Boneya, D, Bulto, L, Carabin, H, Casey, D, Castañeda-Orjuela, C, Catalá-López, F, Chen, H, Chitheer, A, Chowdhury, R, Christensen, H, Dandona, L, Dandona, R, Veber, G, Dharmaratne, S, Do, H, Dokova, K, Dorsey, E, Ellenbogen, R, Eskandarieh, S, Farvid, M, Fereshtehnejad, S, Fischer, F, Foreman, K, Geleijnse, J, Gillum, R, Giussani, G, Gona, P, Goulart, A, Gugnani, H, Gupta, R, Hamadeh, R, Hambisa, M, Hankey, G, Hareri, H, Havmoeller, R, Hay, S, Heydarpour, P, Hotez, P, Jakovljevic, M, Javanbakht, M, Jeemon, P, Jonas, J, Kalkonde, Y, Kandel, A, Karch, A, Kasaeian, A, Kastor, A, Keiyoro, P, Khader, Y, Khalil, I, Khan, E, Khang, Y, Tawfih, A, Khoja, A, Khubchandani, J, Kim, D, Kim, Y, Kivimaki, M, Kokubo, Y, Kosen, S, Kravchenko, M, Krishnamurthi, R, Defo, B, Kumar, G, Kumar, R, Kyu, H, Larsson, A, Lavados, P, Li, Y, Liang, X, Liben, M, Lo, W, Logroscino, G, Lotufo, P, Loy, C, Mackay, M, El Razek, H, El Razek, M, Majeed, A, Malekzadeh, R, Manhertz, T, Mantovani, L, Massano, J, Mazidi, M, Mcalinden, C, Mehata, S, Mehndiratta, M, Memish, Z, Mendoza, W, Mengistie, M, Mensah, G, Meretoja, A, Mezgebe, H, Miller, T, Mishra, S, Ibrahim, N, Mohammadi, A, Mohammed, K, Mohammed, S, Mokdad, A, Moradi-Lakeh, M, Velasquez, I, Musa, K, Naghavi, M, Ngunjiri, J, Nguyen, C, Nguyen, G, Le Nguyen, Q, Nguyen, T, Nichols, E, Ningrum, D, Nong, V, Norrving, B, Noubiap, J, Ogbo, F, Owolabi, M, Pandian, J, Petzold, M, Phillips, M, Piradov, M, Poulton, R, Pourmalek, F, Qorbani, M, Rafay, A, Rahman, M, Rai, R, Rajsic, S, Ranta, A, Rawaf, S, Renzaho, A, Rezai, M, Roshandel, G, Rubagotti, E, Sachdev, P, Safiri, S, Sahathevan, R, Sahraian, M, Samy, A, Santalucia, P, Santos, I, Sartorius, B, Satpathy, M, Sawhney, M, Saylan, M, Sepanlou, S, Shaikh, M, Shakir, R, Shamsizadeh, M, Sheth, K, Shigematsu, M, Shoman, H, Silva, D, Smith, M, Sobngwi, E, Sposato, L, Stein, D, Steiner, T, Stovner, L, Abdulkader, R, EI Szoeke, C, Tabarés-Seisdedos, R, Tanne, D, Theadom, A, Thrift, A, Tirschwell, D, Topor-Madry, R, Tran, B, Truelsen, T, Tuem, K, Ukwaja, K, Uthman, O, Varakin, Y, Vasankari, T, Venketasubramanian, N, Vlassov, V, Wadilo, F, Wakayo, T, Wallin, M, Weiderpass, E, Westerman, R, Wijeratne, T, Wiysonge, C, Woldu, M, Wolfe, C, Xavier, D, Xu, G, Yano, Y, Yimam, H, Yonemoto, N, Yu, C, Zaidi, Z, El Sayed Zaki, M, Zunt, J, Murray, C, Vos, T, Feigin, VL, Abajobir, AA, Abate, KH, Abdulle, AM, Abera, SF, Abyu, GY, Ahmed, MB, Aichour, AN, Aichour, MTE, Akinyemi, RO, Amare, AT, Asgedom, SW, Atey, TM, Avokpaho, GA, Barker-Collo, SL, Bennett, DA, Bensenor, IM, Betsu, BD, Birlik, SM, Boneya, DJ, Bulto, LNB, Castañeda-Orjuela, CA, Chitheer, AA, Veber, GA, Dharmaratne, SD, Do, HP, Dorsey, ER, Ellenbogen, RG, Farvid, MS, Fereshtehnejad, SM, Foreman, KJ, Geleijnse, JM, Gillum, RF, Gona, PN, Goulart, AC, Gugnani, HC, Hamadeh, RR, Hankey, GJ, Hareri, HA, Hay, SI, Hotez, PJ, Jakovljevic, MMB, Jonas, JB, Keiyoro, PN, Khader, YS, Khalil, IA, Khan, EA, Khang, YH, Kim, YJ, Krishnamurthi, RV, Defo, BK, Kumar, GA, Kyu, HH, Lavados, PM, Liben, ML, Lo, WD, Lotufo, PA, Loy, CT, Mackay, MT, El Razek, HMA, El Razek, MMA, Mantovani, LG, McAlinden, C, Mehndiratta, MM, Memish, ZA, Mengistie, MA, Mensah, GA, Mezgebe, HB, Miller, TR, Mishra, SR, Ibrahim, NM, Mohammed, KE, Mokdad, AH, Velasquez, IM, Musa, KI, Ngunjiri, JW, Nguyen, CT, Nguyen, TH, Ningrum, DNA, Nong, VM, Noubiap, JJN, Ogbo, FA, Owolabi, MO, Pandian, JD, Phillips, MR, Piradov, MA, Poulton, RG, Rahman, MH, Rai, RK, Renzaho, AMN, Rezai, MS, Sahraian, MA, Samy, AM, Santos, IS, Saylan, MI, Sepanlou, SG, Shaikh, MA, Sheth, KN, Silva, DAS, Sposato, LA, Stein, DJ, Steiner, TJ, Stovner, LJ, Abdulkader, RS, Theadom, AM, Thrift, AG, Tirschwell, DL, Tran, BX, Tuem, KB, Ukwaja, KN, Uthman, OA, Varakin, YY, Vlassov, VV, Wallin, MT, Wiysonge, CS, Woldu, MA, Wolfe, CDA, Yimam, HH, Zunt, JR, and Murray, CJL

Abstract

Background Comparable data on the global and country-specific burden of neurological disorders and their trends are crucial for health-care planning and resource allocation. The Global Burden of Diseases, Injuries, and Risk Factors (GBD) Study provides such information but does not routinely aggregate results that are of interest to clinicians specialising in neurological conditions. In this systematic analysis, we quantified the global disease burden due to neurological disorders in 2015 and its relationship with country development level. Methods We estimated global and country-specific prevalence, mortality, disability-adjusted life-years (DALYs), years of life lost (YLLs), and years lived with disability (YLDs) for various neurological disorders that in the GBD classification have been previously spread across multiple disease groupings. The more inclusive grouping of neurological disorders included stroke, meningitis, encephalitis, tetanus, Alzheimer's disease and other dementias, Parkinson's disease, epilepsy, multiple sclerosis, motor neuron disease, migraine, tension-type headache, medication overuse headache, brain and nervous system cancers, and a residual category of other neurological disorders. We also analysed results based on the Socio-demographic Index (SDI), a compound measure of income per capita, education, and fertility, to identify patterns associated with development and how countries fare against expected outcomes relative to their level of development. Findings Neurological disorders ranked as the leading cause group of DALYs in 2015 (250·7 [95% uncertainty interval (UI) 229·1 to 274·7] million, comprising 10·2% of global DALYs) and the second-leading cause group of deaths (9·4 [9·1 to 9·7] million], comprising 16·8% of global deaths). The most prevalent neurological disorders were tension-type headache (1505·9 [UI 1337·3 to 1681·6 million cases]), migraine (958·8 [872·1 to 1055·6] million), medication overuse headache (58·5 [50·8 to 67·4 mil

Published
2017

8. Neurocysticercosis: Neglected but Not Forgotten

Author

Engels, D, Coyle, CM, Mahanty, S, Zunt, JR, Wallin, MT, Cantey, PT, White, AC, O'Neal, SE, Serpa, JA, Southern, PM, Wilkins, P, McCarthy, AE, Higgs, ES, Nash, TE, Engels, D, Coyle, CM, Mahanty, S, Zunt, JR, Wallin, MT, Cantey, PT, White, AC, O'Neal, SE, Serpa, JA, Southern, PM, Wilkins, P, McCarthy, AE, Higgs, ES, and Nash, TE

Published
2012

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