Changes in disease burden in Poland between 1990-2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017.

BACKGROUND:Systematic collection of mortality/morbidity data over time is crucial for monitoring trends in population health, developing health policies, assessing the impact of health programs. In Poland, a comprehensive analysis describing trends in disease burden for major conditions has never be...

Full description

Bibliographic Details
Main Authors: Maria Gańczak, Tomasz Miazgowski, Marta Kożybska, Artur Kotwas, Marcin Korzeń, Bartosz Rudnicki, Tomasz Nogal, Catalina Liliana Andrei, Marcel Ausloos, Maciej Banach, Alexandra Brazinova, Maria-Magdalena Constantin, Eleonora Dubljanin, Claudiu Herteliu, Mihaela Hostiuc, Sorin Hostiuc, Mihajlo Jakovljevic, Jacek Jerzy Jozwiak, Katarzyna Kissimova-Skarbek, Zbigniew J Król, Tomislav Mestrovic, Bartosz Miazgowski, Neda Milevska Kostova, Mohsen Naghavi, Ionut Negoi, Ruxandra Irina Negoi, Adrian Pana, Salvatore Rubino, Mario Sekerija, Radoslaw Sierpinski, Lucjan Szponar, Roman Topor-Madry, Isidora S Vujcic, Justyna Widecka, Katarzyna Widecka, Bogdan Wojtyniak, Vesna Zadnik, Jacek A Kopec
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0226766
id doaj-b67076d9437545b2afb5269ff903f882
record_format Article
collection DOAJ
language English
format Article
sources DOAJ
author Maria Gańczak
Tomasz Miazgowski
Marta Kożybska
Artur Kotwas
Marcin Korzeń
Bartosz Rudnicki
Tomasz Nogal
Catalina Liliana Andrei
Marcel Ausloos
Maciej Banach
Alexandra Brazinova
Maria-Magdalena Constantin
Eleonora Dubljanin
Claudiu Herteliu
Mihaela Hostiuc
Sorin Hostiuc
Mihajlo Jakovljevic
Jacek Jerzy Jozwiak
Katarzyna Kissimova-Skarbek
Zbigniew J Król
Tomislav Mestrovic
Bartosz Miazgowski
Neda Milevska Kostova
Mohsen Naghavi
Ionut Negoi
Ruxandra Irina Negoi
Adrian Pana
Salvatore Rubino
Mario Sekerija
Radoslaw Sierpinski
Lucjan Szponar
Roman Topor-Madry
Isidora S Vujcic
Justyna Widecka
Katarzyna Widecka
Bogdan Wojtyniak
Vesna Zadnik
Jacek A Kopec
spellingShingle Maria Gańczak
Tomasz Miazgowski
Marta Kożybska
Artur Kotwas
Marcin Korzeń
Bartosz Rudnicki
Tomasz Nogal
Catalina Liliana Andrei
Marcel Ausloos
Maciej Banach
Alexandra Brazinova
Maria-Magdalena Constantin
Eleonora Dubljanin
Claudiu Herteliu
Mihaela Hostiuc
Sorin Hostiuc
Mihajlo Jakovljevic
Jacek Jerzy Jozwiak
Katarzyna Kissimova-Skarbek
Zbigniew J Król
Tomislav Mestrovic
Bartosz Miazgowski
Neda Milevska Kostova
Mohsen Naghavi
Ionut Negoi
Ruxandra Irina Negoi
Adrian Pana
Salvatore Rubino
Mario Sekerija
Radoslaw Sierpinski
Lucjan Szponar
Roman Topor-Madry
Isidora S Vujcic
Justyna Widecka
Katarzyna Widecka
Bogdan Wojtyniak
Vesna Zadnik
Jacek A Kopec
Changes in disease burden in Poland between 1990-2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017.
PLoS ONE
author_facet Maria Gańczak
Tomasz Miazgowski
Marta Kożybska
Artur Kotwas
Marcin Korzeń
Bartosz Rudnicki
Tomasz Nogal
Catalina Liliana Andrei
Marcel Ausloos
Maciej Banach
Alexandra Brazinova
Maria-Magdalena Constantin
Eleonora Dubljanin
Claudiu Herteliu
Mihaela Hostiuc
Sorin Hostiuc
Mihajlo Jakovljevic
Jacek Jerzy Jozwiak
Katarzyna Kissimova-Skarbek
Zbigniew J Król
Tomislav Mestrovic
Bartosz Miazgowski
Neda Milevska Kostova
Mohsen Naghavi
Ionut Negoi
Ruxandra Irina Negoi
Adrian Pana
Salvatore Rubino
Mario Sekerija
Radoslaw Sierpinski
Lucjan Szponar
Roman Topor-Madry
Isidora S Vujcic
Justyna Widecka
Katarzyna Widecka
Bogdan Wojtyniak
Vesna Zadnik
Jacek A Kopec
author_sort Maria Gańczak
title Changes in disease burden in Poland between 1990-2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017.
title_short Changes in disease burden in Poland between 1990-2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017.
title_full Changes in disease burden in Poland between 1990-2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017.
title_fullStr Changes in disease burden in Poland between 1990-2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017.
title_full_unstemmed Changes in disease burden in Poland between 1990-2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017.
title_sort changes in disease burden in poland between 1990-2017 in comparison with other central european countries: a systematic analysis for the global burden of disease study 2017.
publisher Public Library of Science (PLoS)
series PLoS ONE
issn 1932-6203
publishDate 2020-01-01
description BACKGROUND:Systematic collection of mortality/morbidity data over time is crucial for monitoring trends in population health, developing health policies, assessing the impact of health programs. In Poland, a comprehensive analysis describing trends in disease burden for major conditions has never been published. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides data on the burden of over 300 diseases in 195 countries since 1990. We used the GBD database to undertake an assessment of disease burden in Poland, evaluate changes in population health between 1990-2017, and compare Poland with other Central European (CE) countries. METHODS:The results of GBD 2017 for 1990 and 2017 for Poland and CE were used to assess rates and trends in years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life years (DALYs). Data came from cause-of-death registration systems, population health surveys, disease registries, hospitalization databases, and the scientific literature. Analytical approaches have been used to adjust for missing data, errors in cause-of-death certification, and differences in data collection methodology. Main estimation strategies were ensemble modelling for mortality and Bayesian meta-regression for disability. RESULTS:Between 1990-2017, age-standardized YLL rates for all causes declined in Poland by 46.0% (95% UI: 43.7-48.2), YLD rates declined by 4.0% (4.2-4.9), DALY rates by 31.7% (29.2-34.4). For both YLLs and YLDs, greater relative declines were observed for females. There was a large decrease in communicable, maternal, neonatal, and nutritional disease DALYs (48.2%; 46.3-50.4). DALYs due to non-communicable diseases (NCDs) decreased slightly (2.0%; 0.1-4.6). In 2017, Poland performed better than CE as a whole (ranked fourth for YLLs, sixth for YLDs, and fifth for DALYs) and achieved greater reductions in YLLs and DALYs than most CE countries. In 2017 and 1990, the leading cause of YLLs and DALYs in Poland and CE was ischaemic heart disease (IHD), and the leading cause of YLDs was low back pain. In 2017, the top 20 causes of YLLs and YLDs in Poland and CE were the same, although in different order. In Poland, age-standardized DALYs from neonatal causes, other cardiovascular and circulatory diseases, and road injuries declined substantially between 1990-2017, while alcohol use disorders and chronic liver diseases increased. The highest observed-to-expected ratios were seen for alcohol use disorders for YLLs, neonatal sepsis for YLDs, and falls for DALYs (3.21, 2.65, and 2.03, respectively). CONCLUSIONS:There was relatively little geographical variation in premature death and disability in CE in 2017, although some between-country differences existed. Health in Poland has been improving since 1990; in 2017 Poland outperformed CE as a whole for YLLs, YLDs, and DALYs. While the health gap between Poland and Western Europe has diminished, it remains substantial. The shift to NCDs and chronic disability, together with marked between-gender health inequalities, poses a challenge for the Polish health-care system. IHD is still the leading cause of disease burden in Poland, but DALYs from IHD are declining. To further reduce disease burden, an integrated response focused on NCDs and population groups with disproportionally high burden is needed.
url https://doi.org/10.1371/journal.pone.0226766
work_keys_str_mv AT mariaganczak changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT tomaszmiazgowski changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT martakozybska changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT arturkotwas changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT marcinkorzen changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT bartoszrudnicki changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT tomasznogal changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT catalinalilianaandrei changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT marcelausloos changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT maciejbanach changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT alexandrabrazinova changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT mariamagdalenaconstantin changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT eleonoradubljanin changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT claudiuherteliu changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT mihaelahostiuc changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT sorinhostiuc changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT mihajlojakovljevic changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT jacekjerzyjozwiak changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT katarzynakissimovaskarbek changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT zbigniewjkrol changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT tomislavmestrovic changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT bartoszmiazgowski changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT nedamilevskakostova changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT mohsennaghavi changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT ionutnegoi changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT ruxandrairinanegoi changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT adrianpana changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT salvatorerubino changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT mariosekerija changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT radoslawsierpinski changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT lucjanszponar changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT romantopormadry changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT isidorasvujcic changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT justynawidecka changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT katarzynawidecka changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT bogdanwojtyniak changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT vesnazadnik changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
AT jacekakopec changesindiseaseburdeninpolandbetween19902017incomparisonwithothercentraleuropeancountriesasystematicanalysisfortheglobalburdenofdiseasestudy2017
_version_ 1714816294367264768
spelling doaj-b67076d9437545b2afb5269ff903f8822021-03-03T21:33:10ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01153e022676610.1371/journal.pone.0226766Changes in disease burden in Poland between 1990-2017 in comparison with other Central European countries: A systematic analysis for the Global Burden of Disease Study 2017.Maria GańczakTomasz MiazgowskiMarta KożybskaArtur KotwasMarcin KorzeńBartosz RudnickiTomasz NogalCatalina Liliana AndreiMarcel AusloosMaciej BanachAlexandra BrazinovaMaria-Magdalena ConstantinEleonora DubljaninClaudiu HerteliuMihaela HostiucSorin HostiucMihajlo JakovljevicJacek Jerzy JozwiakKatarzyna Kissimova-SkarbekZbigniew J KrólTomislav MestrovicBartosz MiazgowskiNeda Milevska KostovaMohsen NaghaviIonut NegoiRuxandra Irina NegoiAdrian PanaSalvatore RubinoMario SekerijaRadoslaw SierpinskiLucjan SzponarRoman Topor-MadryIsidora S VujcicJustyna WideckaKatarzyna WideckaBogdan WojtyniakVesna ZadnikJacek A KopecBACKGROUND:Systematic collection of mortality/morbidity data over time is crucial for monitoring trends in population health, developing health policies, assessing the impact of health programs. In Poland, a comprehensive analysis describing trends in disease burden for major conditions has never been published. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) provides data on the burden of over 300 diseases in 195 countries since 1990. We used the GBD database to undertake an assessment of disease burden in Poland, evaluate changes in population health between 1990-2017, and compare Poland with other Central European (CE) countries. METHODS:The results of GBD 2017 for 1990 and 2017 for Poland and CE were used to assess rates and trends in years of life lost (YLLs), years lived with disability (YLDs), disability-adjusted life years (DALYs). Data came from cause-of-death registration systems, population health surveys, disease registries, hospitalization databases, and the scientific literature. Analytical approaches have been used to adjust for missing data, errors in cause-of-death certification, and differences in data collection methodology. Main estimation strategies were ensemble modelling for mortality and Bayesian meta-regression for disability. RESULTS:Between 1990-2017, age-standardized YLL rates for all causes declined in Poland by 46.0% (95% UI: 43.7-48.2), YLD rates declined by 4.0% (4.2-4.9), DALY rates by 31.7% (29.2-34.4). For both YLLs and YLDs, greater relative declines were observed for females. There was a large decrease in communicable, maternal, neonatal, and nutritional disease DALYs (48.2%; 46.3-50.4). DALYs due to non-communicable diseases (NCDs) decreased slightly (2.0%; 0.1-4.6). In 2017, Poland performed better than CE as a whole (ranked fourth for YLLs, sixth for YLDs, and fifth for DALYs) and achieved greater reductions in YLLs and DALYs than most CE countries. In 2017 and 1990, the leading cause of YLLs and DALYs in Poland and CE was ischaemic heart disease (IHD), and the leading cause of YLDs was low back pain. In 2017, the top 20 causes of YLLs and YLDs in Poland and CE were the same, although in different order. In Poland, age-standardized DALYs from neonatal causes, other cardiovascular and circulatory diseases, and road injuries declined substantially between 1990-2017, while alcohol use disorders and chronic liver diseases increased. The highest observed-to-expected ratios were seen for alcohol use disorders for YLLs, neonatal sepsis for YLDs, and falls for DALYs (3.21, 2.65, and 2.03, respectively). CONCLUSIONS:There was relatively little geographical variation in premature death and disability in CE in 2017, although some between-country differences existed. Health in Poland has been improving since 1990; in 2017 Poland outperformed CE as a whole for YLLs, YLDs, and DALYs. While the health gap between Poland and Western Europe has diminished, it remains substantial. The shift to NCDs and chronic disability, together with marked between-gender health inequalities, poses a challenge for the Polish health-care system. IHD is still the leading cause of disease burden in Poland, but DALYs from IHD are declining. To further reduce disease burden, an integrated response focused on NCDs and population groups with disproportionally high burden is needed.https://doi.org/10.1371/journal.pone.0226766