title: Global burden of disease attributable to diabetes mellitus in Brazil.
abstract: 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.
authors.affiliation: 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
authors.forename: Andreia Ferreira de
authors.initials: AF
authors.lastname: Oliveira
authors.forename: Joaquim Gonçalves
authors.initials: JG
authors.lastname: Valente
authors.forename: Iuri da Costa
authors.initials: Ida C
authors.lastname: Leite
authors.forename: Joyce Mendes de Andrade
authors.initials: JM
authors.lastname: Schramm
authors.forename: Anne S Renteria de
authors.initials: AS
authors.lastname: Azevedo
authors.forename: Angela Maria Jourdan
authors.initials: AM
authors.lastname: Gadelha
mesh_terms: 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