BACKGROUND: Knowing which diseases and causes of death account for most of the years of life lost (YLL) can help to better target appropriate prevention and intervention measures. The YLL in Germany for specific causes of death were estimated as part of the BURDEN 2020 project at the Robert Koch Institute. METHODS: Data from cause-of-death statistics were used for the analysis. ICD codes were grouped into causes of death categories at different levels of disaggregation. The YLL were estimated by combining each cause of death with the remaining life expectancy at the age of death. Deaths and YLL were compared by sex, age category, and regional distribution. RESULTS: Approximately 11.6 million years were estimated to be lost in Germany in 2017, of which 42.8% were lost by women and 57.2% by men. The largest number of YLL were due to (malignant) neoplasms (35.2%), followed by cardiovascular diseases (27.6%), gastrointestinal diseases (5.8%), and neurological diseases (5.7%). Deaths at younger ages had a greater impact on population health if expressed in YLL: the death share of persons under age 65 was 14.7%, but the years of life lost in this age group amounted to 38.3% of all YLL. The most common causes of death in this group include accidents, self-injury and violence, malignant neoplasms, and alcohol-related diseases. CONCLUSION: A large proportion of YLL is borne by young and middle-aged persons. These findings emphasize the need to introduce preventive strategies early in life to reduce the YLL at younger ages, as well as to prevent risk factors for diseases in older ages.
BACKGROUND: Knowing which diseases and causes of death account for most of the years of life lost (YLL) can help to better target appropriate prevention and intervention measures. The YLL in Germany for specific causes of death were estimated as part of the BURDEN 2020 project at the Robert Koch Institute. METHODS: Data from cause-of-death statistics were used for the analysis. ICD codes were grouped into causes of death categories at different levels of disaggregation. The YLL were estimated by combining each cause of death with the remaining life expectancy at the age of death. Deaths and YLL were compared by sex, age category, and regional distribution. RESULTS: Approximately 11.6 million years were estimated to be lost in Germany in 2017, of which 42.8% were lost by women and 57.2% by men. The largest number of YLL were due to (malignant) neoplasms (35.2%), followed by cardiovascular diseases (27.6%), gastrointestinal diseases (5.8%), and neurological diseases (5.7%). Deaths at younger ages had a greater impact on population health if expressed in YLL: the death share of persons under age 65 was 14.7%, but the years of life lost in this age group amounted to 38.3% of all YLL. The most common causes of death in this group include accidents, self-injury and violence, malignant neoplasms, and alcohol-related diseases. CONCLUSION: A large proportion of YLL is borne by young and middle-aged persons. These findings emphasize the need to introduce preventive strategies early in life to reduce the YLL at younger ages, as well as to prevent risk factors for diseases in older ages.
Authors: Annette Peters; Annette Peters; Karin Halina Greiser; Susanne Göttlicher; Wolfgang Ahrens; Maren Albrecht; Fabian Bamberg; Till Bärnighausen; Heiko Becher; Klaus Berger; Achim Beule; Heiner Boeing; Barbara Bohn; Kerstin Bohnert; Bettina Braun; Hermann Brenner; Robin Bülow; Stefanie Castell; Antje Damms-Machado; Marcus Dörr; Nina Ebert; Margit Ecker; Carina Emmel; Beate Fischer; Claus-Werner Franzke; Sylvia Gastell; Guido Giani; Matthias Günther; Kathrin Günther; Klaus-Peter Günther; Johannes Haerting; Ulrike Haug; Iris M Heid; Margit Heier; Diana Heinemeyer; Thomas Hendel; Florian Herbolsheimer; Jochen Hirsch; Wolfgang Hoffmann; Bernd Holleczek; Heike Hölling; Andreas Hörlein; Karl-Heinz Jöckel; Rudolf Kaaks; André Karch; Stefan Karrasch; Nadja Kartschmit; Hans-Ulrich Kauczor; Thomas Keil; Yvonne Kemmling; Bianca Klee; Birgit Klüppelholz; Alexander Kluttig; Lisa Kofink; Anna Köttgen; Daniel Kraft; Gérard Krause; Lisa Kretz; Lilian Krist; Jan Kühnisch; Oliver Kuß; Nicole Legath; Anna-Therese Lehnich; Michael Leitzmann; Wolfgang Lieb; Jakob Linseisen; Markus Loeffler; Anke Macdonald; Klaus H Maier-Hein; Nina Mangold; Claudia Meinke-Franze; Christa Meisinger; Juliane Melzer; Björn Mergarten; Karin B Michels; Rafael Mikolajczyk; Susanne Moebus; Ulrich Mueller; Matthias Nauck; Thoralf Niendorf; Konstantin Nikolaou; Nadia Obi; Stefan Ostrzinski; Leo Panreck; Iris Pigeot; Tobias Pischon; Irene Pschibul-Thamm; Wolfgang Rathmann; Achim Reineke; Stefanie Roloff; Dan Rujescu; Stefan Rupf; Oliver Sander; Tamara Schikowski; Sabine Schipf; Peter Schirmacher; Christopher L Schlett; Börge Schmidt; Georg Schmidt; Martin Schmidt; Gina Schöne; Holger Schulz; Matthias B Schulze; Alexandra Schweig; Anja M Sedlmeier; Sonja Selder; Julia Six-Merker; Ramona Sowade; Andreas Stang; Oliver Stegle; Karen Steindorf; Gunthard Stübs; Enno Swart; Henning Teismann; Inke Thiele; Sigrid Thierry; Marius Ueffing; Henry Völzke; Sabina Waniek; Andrea Weber; Nicole Werner; H-Erich Wichmann; Stefan N Willich; Kerstin Wirkner; Kathrin Wolf; Robert Wolff; Hajo Zeeb; Melanie Zinkhan; Johannes Zschocke Journal: Eur J Epidemiol Date: 2022-10-19 Impact factor: 12.434
Authors: Almut Richter; Anja Schienkiewitz; Anne Starker; Susanne Krug; Olga Domanska; Ronny Kuhnert; Julika Loss; Gert B M Mensink Journal: J Health Monit Date: 2021-09-15
Authors: Susanne Breitner; Nadine Steckling-Muschack; Iana Markevych; Tianyu Zhao; Hanna Mertes; Dennis Nowak; Joachim Heinrich Journal: Dtsch Arztebl Int Date: 2021-07-26 Impact factor: 5.594