Global burden of disease attributable to diabetes mellitus in Brazil.
Type II diabetes mellitus accounts for 90% of all cases of diabetes, and its inclusion in health evaluation has shown that its complications have a considerable impact on the population's quality of life. The current article presents the results of the Global Burden of Disease Study in Brazil for the year 1998, with an emphasis on diabetes mellitus and its complications. The indicator used was disability-adjusted life years (DALY), using a discount rate of 3%. In Brazil, ischemic heart disease, stroke, and diabetes accounted for 14.7% of total lost DALYs. Brazil showed a higher proportion of years lived with disability (YLDs) among total DALYs for diabetes as compared to other countries. Retinopathy and neuropathy were the complications that contributed most to YLDs. According to forecasts, diabetes mellitus will have an increasing impact on years of life lost due to premature death and disability in the world, shifting from the 11th to 7th cause of death by 2030. It is thus urgent to implement effective measures for prevention, early diagnosis, counseling, and adequate follow-up of patients with diabetes mellitus.
Oliveira
Andreia Ferreira de
AF
Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. andreiaf@ensp.fiocruz.br
Valente
Joaquim Gonçalves
JG
Leite
Iuri da Costa
Ida C
Schramm
Joyce Mendes de Andrade
JM
Azevedo
Anne S Renteria de
AS
Gadelha
Angela Maria Jourdan
AM
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil / Q000453:epidemiology; D002423:Cause of Death; D017281:Cost of Illness; D048909:Diabetes Complications / Q000401:mortality*; D003929:Diabetic Neuropathies / Q000401:mortality; D003930:Diabetic Retinopathy / Q000401:mortality; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005260:Female; D005544:Forecasting; D006801:Humans; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D011788:Quality of Life; D019057:Quality-Adjusted Life Years