Peterson-Kaiser Health System Tracker What do we know about the burden of disease in the U.S.?

Peterson-Kaiser Health System Tracker

What do we know about the burden of disease in the U.S.?


Lower rates of premature death have driven reduction in disease burden in the U.S., after adjusting for age

DALYs Years of Life Lost Years Lived with Disability0

5000

10000

15000

20000

25000

30000

25,633

15,130

10,503

21,956

11,447 10,509

1990 2010

Age standardized disability adjusted life year (DALY) rate per 100,000 population, 1990 - 2010

Source: Institute for Health Metrics and Evaluation. Global Burden of Disease Study 2010 (GBD 2010) Data Downloads, available here: http://ghdx.healthdata.org/global-burden-disease-study-2010-gbd-2010-data-downloads

http://ghdx.healthdata.org/global-burden-disease-study-2010-gbd-2010-data-downloads




Disease burden is higher in the U.S. than in comparable countries

Age standardized disability adjusted life year (DALY) rate per 100,000 population, 2010

Japan

Switzerland

Sweden

Australia

Comparable Country Average

Canada

Netherlands

Germany

Austria

France

Belgium

United Kingdom

United States

- 5,000 10,000 15,000 20,000 25,000

15,922

17,877

18,546

18,701

19,071

19,392

19,480

19,527

19,782

19,860

20,314

20,384

21,956




Though disease burden is decreasing in the U.S. and other countries, the gap has widened slightly

1990 1995 2000 2005 20100

5000

10000

15000

20000

25000

30000

25,633 24,753

23,276 22,695 21,956 23,390

22,120 20,936

19,687 19,071

United States Comparable Country Average

Age standardized disability adjusted life year (DALY) rate per 100,000 population, 1990 - 2010






Cancer and circulatory diseases are the leading causes of death in the U.S.

Age standardized death rate per 100,000 population, both sexes, 2010

Neonatal

Mental and behavioral disorders

Cirrhosis of the liver

Common infectious diseases

Nervous System

Chronic respiratory

Endocrine (diabetes)

Injuries

Cancer and Tumors

Circulatory

- 20 40 60 80 100 120 140 160 180

7

9

11

17

32

33

42

49

129

162





Mental health and circulatory disorders are the leading causes of disease burden in the U.S.

Age standardized disability adjusted life years (DALYs) rate per 100,000 population, both sexes, 2010

Skin diseases

Neonatal

Nervous System

Chronic respiratory


Injuries

Musculoskeletal disorders

Cancer and Tumors

Circulatory


- 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000

504

660

954

1,352

1,669

2,508

2,671

2,916

2,987

3,576





Mental health and musculoskeletal disorders are the leading causes of years lost to disability in the U.S.Age standardized years lived with disability (YLD) rate per 100,000 population, both sexes, 2010

Cancer and Tumors


Circulatory

Injuries

Skin and subcutaneous diseases

Nervous System

Chronic respiratory




- 500 1,000 1,500 2,000 2,500 3,000 3,500

177

196

424

432

490

573

834

854

2,598

3,207





Cancer and circulatory diseases are the leading causes of years of life lost in the U.S.

Age standardized years of life lost (YLL) rate per 100,000 population, both sexes, 2010


Cirrhosis of the liver


Nervous System

Chronic Respiratory

Neonatal


Injuries

Circulatory

Cancer and Tumors

- 500 1,000 1,500 2,000 2,500 3,000

296

311

369

381

518

577

815

2,076

2,563

2,739





U.S. disease burden has decreased in past two decades for circulatory, cancer, injuries, and neonatal disorders

Skin diseases

Neonatal*

Nervous System

Chronic respiratory


Injuries*


Cancer and Tumors*

Circulatory*


- 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 4,500 5,000

504

660

954

1,352

1,669

2,508

2,671

2,916

2,987

3,576

500

969

795

1,464

1,435

3,128

2,664

3,626

4,632

3,162

1990 2010

Age standardized disability adjusted life years (DALYs) rate per 100,000 population, both sexes, 1990 and 2010




Other countries have seen improvement in similar areas as U.S., but some at faster rates

Circulatory Cancers Injuries Neonatal

-50%

-45%

-40%

-35%

-30%

-25%

-20%

-15%

-10%

-5%

0%

-36%

-20% -20%

-32%

-44%

-21%

-25%

-39%

United States Comparable Country Average

Percent change in age standardized disability adjusted life year (DALY) rate per 100,000 population, 1990 - 2010






For males, disease burden most caused by circulatory diseases; for females, mental health is leading cause

Infectious diseases

Neonatal

Nervous System

Chronic respiratory


Musculoskeletal

Cancer and Tumors

Injuries

Mental health

Circulatory

- 1,000 2,000 3,000 4,000

535

732

893

1,426

1,780

2,239

3,313

3,581

3,635

3,773

MALESAge standardized disability adjusted life years (DALYs) rate per 100,000 population, males in the U.S., 2010

Skin diseases

Neonatal

Nervous System

Chronic respiratory

Injuries


Circulatory

Cancer and Tumors

Musculoskeletal

Mental health

- 1,000 2,000 3,000 4,000

534

586

1,015

1,296

1,425

1,588

2,284

2,598

3,082

3,507

FEMALESAge standardized disability adjusted life years (DALYs) rate per 100,000 population, females in the U.S., 2010



Peterson-Kaiser Health System Tracker What do we know about the burden of disease in the U.S.?

Documents

Transcript of Peterson-Kaiser Health System Tracker What do we know about the burden of disease in the U.S.?