Cross-national compartability of burden of disease estimates:the European disability weights project

Essink-Bot, Marie-Louise, Pereira, Joaquin, Packer, Claire, Schwarzinger, Michael, Burstrom, Kristina, Christensen, U., Moesgaard Iburg, K., Raftery, J., Gold, Lisa, Robinson, S., Durand-Zaleski, I., Gunning-Schepers, L., Bonsel, G., Moerman, C., Stouthard, M., van der Maas, P., Kamper-Jorgensen, F., Baylin, A., Fernandez, E., Diderichsen, F. and Ljung, R. 2002, Cross-national compartability of burden of disease estimates:the European disability weights project, Bulletin of the world health organization, vol. 80, no. 8, pp. 644-652.

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Title Cross-national compartability of burden of disease estimates:the European disability weights project
Author(s) Essink-Bot, Marie-Louise
Pereira, Joaquin
Packer, Claire
Schwarzinger, Michael
Burstrom, Kristina
Christensen, U.
Moesgaard Iburg, K.
Raftery, J.
Gold, Lisa
Robinson, S.
Durand-Zaleski, I.
Gunning-Schepers, L.
Bonsel, G.
Moerman, C.
Stouthard, M.
van der Maas, P.
Kamper-Jorgensen, F.
Baylin, A.
Fernandez, E.
Diderichsen, F.
Ljung, R.
Journal name Bulletin of the world health organization
Volume number 80
Issue number 8
Start page 644
End page 652
Publisher World Health Organisation
Place of publication Geneva, Switzerland
Publication date 2002
ISSN 0042-9686
1564-0604
Keyword(s) disability evaluation
cost of illness
dementia/epidemiology
women
data collection/methods
analysis of variance
comparative study
Europe
Denmark
United Kingdom
France
Netherlands
Spain
Sweden (source: MeSH, NLM)
Summary Objective: To investigate the sources of cross-national variation in disability-adjusted life-years (DALYs) in the European Disability
Weights Project.

Methods
: Disability weights for 15 disease stages were derived empirically in five countries by means of a standardized procedure and the cross-national differences in visual analogue scale (VAS) scores were analysed. For each country the burden of dementia in women, used as an illustrative example, was estimated in DALYs. An analysis was performed of the relative effects of cross-national variations in demography, epidemiology and disability weights on DALY estimates.

Findings
: Cross-national comparison of VAS scores showed almost identical ranking orders. After standardization for population size and age structure of the populations, the DALY rates per 100 000 women ranged from 1050 in France to 1404 in the Netherlands. Because of uncertainties in the epidemiological data, the extent to which these differences reflected true variation between countries was difficult to estimate. The use of European rather than country-specific disability weights did not lead to a significant change in the burden of disease estimates for dementia.

Conclusions
: Sound epidemiological data are the first requirement for burden of disease estimation and relevant between-countries comparisons. DALY estimates for dementia were relatively insensitive to differences in disability weights between European countries.
Language eng
Field of Research 140208 Health Economics
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2002, World Health Organisation
Persistent URL http://hdl.handle.net/10536/DRO/DU:30009446

Document type: Journal Article
Collection: School of Health and Social Development
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