Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019.
Global estimates of the need for rehabilitation based on the Global Burden of Disease study 2019: a systematic analysis for the Global Burden of Disease Study 2019.
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DOI：
10.1016/s0140-6736(20)32340-0
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发表时间：
2021-12-19
期刊：
影响因子：
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通讯作者：
Vos T
中科院分区：
文献类型：
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作者：
Cieza A;Causey K;Kamenov K;Hanson SW;Chatterji S;Vos T
康复往往被视为只有少数人需要的专门针对残疾的服务。尽管康复对个人和社会都有好处，但各国并未将其列为优先事项，而且资源不足。我们提供了全球、区域和国家的数据，说明在致残性疾病或伤害过程中至少有一次受益于康复的人数。为了估计康复需求，使用2019年全球疾病负担，伤害和风险因素研究的数据来计算25种疾病，损伤或定制的后遗症集合的患病率和残疾生活年数（YLD），这些疾病，损伤或后遗症被选为适合康复。所有分析都在国家一级进行，然后汇总到七个区域：世界银行高收入国家和世卫组织六个区域（即非洲、美洲、东南亚、欧洲、东地中海和西太平洋）。在全球范围内，2019年，24.1亿（95%不确定性区间2.34 - 2.50）人患有可从康复中受益的疾病，贡献了3.1亿[235-392] YLD。从1990年到2019年，这一数字增加了63%。从区域来看，西太平洋地区对康复服务的需求最大（6.1亿人[588-636]和8300万YLD [62-106]）。对患病率贡献最大的疾病领域是肌肉骨骼疾病（17.1亿人[1.68 - 1.80]），腰痛是分析的204个国家中134个国家最常见的疾病。据我们所知，这是第一项对康复服务需求进行全球估计的研究，并表明世界上每三个人中至少有一个人在患病或受伤期间的某个时候需要康复。这个数字与一般人认为只有少数人需要康复服务的看法相反。我们认为，康复需要被带到社区作为初级卫生保健的一个组成部分，以达到更多的人需要。比尔和梅林达·盖茨基金会。
Rehabilitation has often been seen as a disability-specific service needed by only few of the population. Despite its individual and societal benefits, rehabilitation has not been prioritised in countries and is under-resourced. We present global, regional, and country data for the number of people who would benefit from rehabilitation at least once during the course of their disabling illness or injury. To estimate the need for rehabilitation, data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019 were used to calculate the prevalence and years of life lived with disability (YLDs) of 25 diseases, impairments, or bespoke aggregations of sequelae that were selected as amenable to rehabilitation. All analyses were done at the country level and then aggregated to seven regions: World Bank high-income countries and the six WHO regions (ie, Africa, the Americas, Southeast Asia, Europe, Eastern Mediterranean, and Western Pacific). Globally, in 2019, 2·41 billion (95% uncertainty interval 2·34–2·50) individuals had conditions that would benefit from rehabilitation, contributing to 310 million [235–392] YLDs. This number had increased by 63% from 1990 to 2019. Regionally, the Western Pacific had the highest need of rehabilitation services (610 million people [588–636] and 83 million YLDs [62–106]). The disease area that contributed most to prevalence was musculoskeletal disorders (1·71 billion people [1·68–1·80]), with low back pain being the most prevalent condition in 134 of the 204 countries analysed. To our knowledge, this is the first study to produce a global estimate of the need for rehabilitation services and to show that at least one in every three people in the world needs rehabilitation at some point in the course of their illness or injury. This number counters the common view of rehabilitation as a service required by only few people. We argue that rehabilitation needs to be brought close to communities as an integral part of primary health care to reach more people in need. Bill & Melinda Gates Foundation.