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COVID-19 Pandemic and Burden of Non-Communicable Diseases: An Ecological Study on Data of 185 Countries.

Identifieur interne : 000605 ( Main/Corpus ); précédent : 000604; suivant : 000606

COVID-19 Pandemic and Burden of Non-Communicable Diseases: An Ecological Study on Data of 185 Countries.

Auteurs : M Reza Azarpazhooh ; Negar Morovatdar ; Abolfazl Avan ; Thanh G. Phan ; Afshin A. Divani ; Nawaf Yassi ; Saverio Stranges ; Brian Silver ; José Biller ; Masoud Tokazebani Belasi ; Sepideh Kazemi Neya ; Bita Khorram ; Asher Frydman ; Yongchai Nilanont ; Elisa Onorati ; Mario Di Napoli

Source :

RBID : pubmed:32807484

English descriptors

Abstract

BACKGROUND

The interaction between coronavirus disease 2019 (COVID-19) and non-communicable diseases may increase the global burden of disease. We assessed the association of COVID-19 with ageing and non-communicable diseases.

METHODS

We extracted data regarding non-communicable disease, particularly cardiovascular disease, deaths, disability-adjusted life years (DALYs), and healthy life expectancy (HALE) from the Global Burden of Disease Study (GBD) 2017. We obtained data of confirmed COVID-19 cases, deaths, and tests from the Our World in Data database as of May 28, 2020. Potential confounders of pandemic outcomes analyzed include institutional lockdown delay, hemispheric geographical location, and number of tourists. We compared all countries according to GBD classification and World Bank income level. We assessed the correlation between independent variables associated with COVID-19 caseload and mortality using Spearman's rank correlation and adjusted mixed model analysis.

FINDINGS

High-income had the highest, and the Southeast Asia, East Asia, and Oceania region had the least cases per million population (3050.60 vs. 63.86). Sub-saharan region has reported the lowest number of COVID-19 mortality (1.9). Median delay to lockdown initiation varied from one day following the first case in Latin America and Caribbean region, to 34 days in Southeast Asia, East Asia, and Oceania. Globally, non-communicable disease DALYs were correlated with COVID-19 cases (r = 0.32, p<0.001) and deaths (r = 0.37, p<0.001). HALE correlated with COVID-19 cases (r = 0.63, p<0.001) and deaths (r = 0.61, p<0.001). HALE was independently associated with COVID-19 case rate and the number of tourists was associated with COVID-19 mortality in the adjusted model.

INTERPRETATION

Preventive measures against COVID-19 should protect the public from the dual burden of communicable and non-communicable diseases, particularly in the elderly. In addition to active COVID-19 surveillance, policymakers should utilize this evidence as a guide for prevention and coordination of health services. This model is timely, as many countries have begun to reduce social isolation.


DOI: 10.1016/j.jstrokecerebrovasdis.2020.105089
PubMed: 32807484
PubMed Central: PMC7315949

Links to Exploration step

pubmed:32807484

Le document en format XML

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<nlm:affiliation>Dalla Lana School of Public Health, University of Toronto; Toronto, ON, Canada.</nlm:affiliation>
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<name sortKey="Nilanont, Yongchai" sort="Nilanont, Yongchai" uniqKey="Nilanont Y" first="Yongchai" last="Nilanont">Yongchai Nilanont</name>
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<name sortKey="Silver, Brian" sort="Silver, Brian" uniqKey="Silver B" first="Brian" last="Silver">Brian Silver</name>
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<name sortKey="Biller, Jose" sort="Biller, Jose" uniqKey="Biller J" first="José" last="Biller">José Biller</name>
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<nlm:affiliation>Department of Neurology, Loyola University Chicago Stritch School of Medicine, Maywood, IL, USA.</nlm:affiliation>
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<name sortKey="Tokazebani Belasi, Masoud" sort="Tokazebani Belasi, Masoud" uniqKey="Tokazebani Belasi M" first="Masoud" last="Tokazebani Belasi">Masoud Tokazebani Belasi</name>
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<nlm:affiliation>Research centre for Prevention of cardiovascular disease, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<name sortKey="Kazemi Neya, Sepideh" sort="Kazemi Neya, Sepideh" uniqKey="Kazemi Neya S" first="Sepideh" last="Kazemi Neya">Sepideh Kazemi Neya</name>
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<nlm:affiliation>Research centre for Prevention of cardiovascular disease, Institute of Endocrinology and Metabolism, Iran University of Medical Sciences, Tehran, Iran.</nlm:affiliation>
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<nlm:affiliation>Dalla Lana School of Public Health, University of Toronto; Toronto, ON, Canada.</nlm:affiliation>
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<name sortKey="Frydman, Asher" sort="Frydman, Asher" uniqKey="Frydman A" first="Asher" last="Frydman">Asher Frydman</name>
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<nlm:affiliation>Stroke Prevention and Atherosclerosis Research Centre, Robarts Research Institute, Western University, London, Ontario, Canada.</nlm:affiliation>
</affiliation>
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<name sortKey="Nilanont, Yongchai" sort="Nilanont, Yongchai" uniqKey="Nilanont Y" first="Yongchai" last="Nilanont">Yongchai Nilanont</name>
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<nlm:affiliation>Siriraj Stroke Center, Department of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.</nlm:affiliation>
</affiliation>
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<name sortKey="Onorati, Elisa" sort="Onorati, Elisa" uniqKey="Onorati E" first="Elisa" last="Onorati">Elisa Onorati</name>
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<nlm:affiliation>Department of Neurology and Stroke Unit, San Camillo de' Lellis General District Hospital, Rieti, Italy.</nlm:affiliation>
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<name sortKey="Di Napoli, Mario" sort="Di Napoli, Mario" uniqKey="Di Napoli M" first="Mario" last="Di Napoli">Mario Di Napoli</name>
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<term>Betacoronavirus (pathogenicity)</term>
<term>Cause of Death (MeSH)</term>
<term>Coronavirus Infections (epidemiology)</term>
<term>Coronavirus Infections (mortality)</term>
<term>Coronavirus Infections (prevention & control)</term>
<term>Coronavirus Infections (virology)</term>
<term>Cost of Illness (MeSH)</term>
<term>Databases, Factual (MeSH)</term>
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<term>Health Services Needs and Demand (MeSH)</term>
<term>Health Status Disparities (MeSH)</term>
<term>Healthcare Disparities (MeSH)</term>
<term>Host-Pathogen Interactions (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Incidence (MeSH)</term>
<term>Infection Control (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Needs Assessment (MeSH)</term>
<term>Noncommunicable Diseases (epidemiology)</term>
<term>Noncommunicable Diseases (mortality)</term>
<term>Noncommunicable Diseases (prevention & control)</term>
<term>Pandemics (prevention & control)</term>
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<term>Pandemics</term>
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<term>Aged</term>
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<term>Global Health</term>
<term>Health Services Needs and Demand</term>
<term>Health Status Disparities</term>
<term>Healthcare Disparities</term>
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<front>
<div type="abstract" xml:lang="en">
<p>
<b>BACKGROUND</b>
</p>
<p>The interaction between coronavirus disease 2019 (COVID-19) and non-communicable diseases may increase the global burden of disease. We assessed the association of COVID-19 with ageing and non-communicable diseases.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>METHODS</b>
</p>
<p>We extracted data regarding non-communicable disease, particularly cardiovascular disease, deaths, disability-adjusted life years (DALYs), and healthy life expectancy (HALE) from the Global Burden of Disease Study (GBD) 2017. We obtained data of confirmed COVID-19 cases, deaths, and tests from the Our World in Data database as of May 28, 2020. Potential confounders of pandemic outcomes analyzed include institutional lockdown delay, hemispheric geographical location, and number of tourists. We compared all countries according to GBD classification and World Bank income level. We assessed the correlation between independent variables associated with COVID-19 caseload and mortality using Spearman's rank correlation and adjusted mixed model analysis.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>FINDINGS</b>
</p>
<p>High-income had the highest, and the Southeast Asia, East Asia, and Oceania region had the least cases per million population (3050.60 vs. 63.86). Sub-saharan region has reported the lowest number of COVID-19 mortality (1.9). Median delay to lockdown initiation varied from one day following the first case in Latin America and Caribbean region, to 34 days in Southeast Asia, East Asia, and Oceania. Globally, non-communicable disease DALYs were correlated with COVID-19 cases (r = 0.32, p<0.001) and deaths (r = 0.37, p<0.001). HALE correlated with COVID-19 cases (r = 0.63, p<0.001) and deaths (r = 0.61, p<0.001). HALE was independently associated with COVID-19 case rate and the number of tourists was associated with COVID-19 mortality in the adjusted model.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>INTERPRETATION</b>
</p>
<p>Preventive measures against COVID-19 should protect the public from the dual burden of communicable and non-communicable diseases, particularly in the elderly. In addition to active COVID-19 surveillance, policymakers should utilize this evidence as a guide for prevention and coordination of health services. This model is timely, as many countries have begun to reduce social isolation.</p>
</div>
</front>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The interaction between coronavirus disease 2019 (COVID-19) and non-communicable diseases may increase the global burden of disease. We assessed the association of COVID-19 with ageing and non-communicable diseases.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We extracted data regarding non-communicable disease, particularly cardiovascular disease, deaths, disability-adjusted life years (DALYs), and healthy life expectancy (HALE) from the Global Burden of Disease Study (GBD) 2017. We obtained data of confirmed COVID-19 cases, deaths, and tests from the Our World in Data database as of May 28, 2020. Potential confounders of pandemic outcomes analyzed include institutional lockdown delay, hemispheric geographical location, and number of tourists. We compared all countries according to GBD classification and World Bank income level. We assessed the correlation between independent variables associated with COVID-19 caseload and mortality using Spearman's rank correlation and adjusted mixed model analysis.</AbstractText>
<AbstractText Label="FINDINGS" NlmCategory="RESULTS">High-income had the highest, and the Southeast Asia, East Asia, and Oceania region had the least cases per million population (3050.60 vs. 63.86). Sub-saharan region has reported the lowest number of COVID-19 mortality (1.9). Median delay to lockdown initiation varied from one day following the first case in Latin America and Caribbean region, to 34 days in Southeast Asia, East Asia, and Oceania. Globally, non-communicable disease DALYs were correlated with COVID-19 cases (r = 0.32, p<0.001) and deaths (r = 0.37, p<0.001). HALE correlated with COVID-19 cases (r = 0.63, p<0.001) and deaths (r = 0.61, p<0.001). HALE was independently associated with COVID-19 case rate and the number of tourists was associated with COVID-19 mortality in the adjusted model.</AbstractText>
<AbstractText Label="INTERPRETATION" NlmCategory="CONCLUSIONS">Preventive measures against COVID-19 should protect the public from the dual burden of communicable and non-communicable diseases, particularly in the elderly. In addition to active COVID-19 surveillance, policymakers should utilize this evidence as a guide for prevention and coordination of health services. This model is timely, as many countries have begun to reduce social isolation.</AbstractText>
<CopyrightInformation>Copyright © 2020 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
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<ForeName>M Reza</ForeName>
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<RefSource>J Stroke Cerebrovasc Dis. 2020 Sep;29(9):105104</RefSource>
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