Potential gains in life expectancy or years of potential life lost: impact of competing risks of death.
نویسندگان
چکیده
BACKGROUND Measuring the impact of competing risks of death on society is important for setting public health policy and allocating resources. However, various indicators may result in inconsistent conclusions. The potential gains in life expectancy (PGLE) by elimination of deaths from HIV/AIDS, diseases of the heart and malignant neoplasms were compared to the years of potential life lost (YPLL) due to these causes in measuring the impact of premature death for the US population of working age (15-64 years). METHODS The PGLE and the YPLL were computed from mortality reports (1987-1992) by race and gender group for deaths from HIV/AIDS, diseases of the heart and malignant neoplasms for the US population of working age. RESULTS The YPLL overestimated the importance of premature deaths from HIV/AIDS compared to the PGLE. For the total US population and total US white population of working age, the YPLL were about 20-30% higher than the PGLE. However, the YPLL were about 20-30% lower than the PGLE for the US black population of working age. Furthermore the relative importance of the impact of death from various diseases may be interchanged by these two indicators. For example, for US black males of working age, the impact of deaths from HIV/AIDS by PGLE in 1992 was higher than that from malignant neoplasms and lower than that from diseases of the heart, but by using YPLL, the impact of premature deaths from HIV/AIDS was higher than that from both diseases of the heart and malignant neoplasms. CONCLUSIONS The PGLE by elimination of deaths from diseases takes into account the competing risks on the population and it can be compared easily across populations. The YPLL is an index that does not take into account competing risks and it is also heavily influenced by the age structure and total population size. Although there are several standardization techniques proposed to improve the comparability of the YPLL across different populations, the YPLL fails to address the central issue of competing risks operating on the population. For this reason, we prefer the PGLE to the YPLL in measuring the impact of premature deaths on a population.
منابع مشابه
Decomposition of potential gains in life expectancy by elimination of unintentional accidents in Iran
Background and aims: Recent studies on mortality in Iran, in recent years clearly emphasize that unintentional injuries are the main cause of reducing Iranian life expectancy in Iran. This article aimed to assess the role of major causes of death for mortality patterns in the country by sex in 2010. Methods: Experimental results of this study are based on...
متن کاملبرآورد افزایش بالقوه امید به زندگی با حذف هر یک از علل مرگ و میر در ایران در سال 1389
Background and purpose: Mortality is a natural and critical event and always has been intentioned as a biological, demographic, social and economic phenomenon. One of the dimensions of mortality reviewing is checking causes of death and determining life expectancy. Some causes of death lead to severe reduction in life expectancy. In this survey, the value of gain in life expectancy of 28 pro...
متن کاملProductivity costs and years of potential life lost associated with five leading causes of death: Evidence from Iran (2006-2010)
Background: Economic burden due to premature mortalities is significant both on health system and on the society as a whole. This study aimed to determine the productivity costs and years of potential life lost associated with five leading causes of death in Iran from 2006 to 2010. Methods: Data on mortality by sex and age-groups due to five main leading causes of death (m...
متن کاملLost Output by Road Traffic Injuries in Iran, an Estimate Based on Disability-Adjusted Life Years Index
The main objective of this study is to estimate a part of road traffic injury costs including costs due to fatality and disability, which are related to lost social products. Lost output consists of costs, which are related to losses of national product or lost-income in death, hospitalization or physical disabilities. In recent years, the Disability-Adjusted Life Years (DALYs) has been used as...
متن کاملAnalysis of Potentials to Increase Iranian life Expectancy with Removing the Leading Causes of Mortality in 2010
Introduction: Recent studies on Iranian mortality clearly underscore the role of cardiovascular diseases, unintentional injuries, and cancers as three leading causes of reduced life expectancy during the last three decades. The purpose of current study is to measure the effect of these causes on 2010 life table for Iran. Materials & Method:The number of registered death by age and sex and ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- International journal of epidemiology
دوره 28 5 شماره
صفحات -
تاریخ انتشار 1999