Years of Life Lost to Death
Years of Life Lost to Death
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DOI：
10.3238/arztebl.m2021.0148
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发表时间：
2021-03-05
影响因子：
7.7
通讯作者：
von der Lippe, Elena
中科院分区：
文献类型：
--
作者：
Wengler, Annelene;Rommel, Alexander;von der Lippe, Elena
背景：了解哪些疾病和死因占生命损失年 (YLL) 的大部分，有助于更好地制定适当的预防和干预措施。作为罗伯特·科赫研究所 BURDEN 2020 项目的一部分，估算了德国特定死因的 YLL。方法：使用死因统计数据进行分析。 ICD 代码按不同的分类级别分为死因类别。 YLL 是通过将每种死因与死亡时的剩余预期寿命相结合来估算的。按性别、年龄类别和地区分布对死亡人数和 YLL 进行比较。结果：估计 2017 年德国损失了约 1160 万年，其中女性损失了 42.8%，男性损失了 57.2%。因（恶性肿瘤）导致的YLL最多（35.2%），其次是心血管疾病（27.6%）、胃肠道疾病（5.8%）和神经系统疾病（5.7%）。如果用 YLL 来表示，低龄死亡对人口健康的影响更大：65 岁以下人口的死亡比例为 14.7%，但该年龄组损失的生命年数占所有 YLL 的 38.3%。该群体最常见的死亡原因包括事故、自伤和暴力、恶性肿瘤以及酒精相关疾病。结论：YLL 很大一部分由青壮年承担。这些发现强调需要在生命早期引入预防策略，以减少年轻时的 YLL，并预防老年疾病的危险因素。
Background: Knowing which diseases and causes of death account for most of the years of life lost (YLL) can help to better target appropriate prevention and intervention measures. The YLL in Germany for specific causes of death were estimated as part of the BURDEN 2020 project at the Robert Koch Institute.Methods: Data from cause-of-death statistics were used for the analysis. ICD codes were grouped into causes of death categories at different levels of disaggregation. The YLL were estimated by combining each cause of death with the remaining life expectancy at the age of death. Deaths and YLL were compared by sex, age category, and regional distribution.Results: Approximately 11.6 million years were estimated to be lost in Germany in 2017, of which 42.8% were lost by women and 57.2% by men. The largest number of YLL were due to (malignant) neoplasms (35.2%), followed by cardiovascular diseases (27.6%), gastrointestinal diseases (5.8%), and neurological diseases (5.7%). Deaths at younger ages had a greater impact on population health if expressed in YLL: the death share of persons under age 65 was 14.7%, but the years of life lost in this age group amounted to 38.3% of all YLL. The most common causes of death in this group include accidents, self-injury and violence, malignant neoplasms, and alcohol-related diseases.Conclusion: A large proportion of YLL is borne by young and middle-aged persons. These findings emphasize the need to introduce preventive strategies early in life to reduce the YLL at younger ages, as well as to prevent risk factors for diseases in older ages.