Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016
Background Monitoring levels and trends in premature mortality is crucial to understanding how societies can address prominent sources of early death. The Global Burden of Disease 2016 Study (GBD 2016) provides a comprehensive assessment of cause-specific mortality for 264 causes in 195 locations fr...
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Language: | en |
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Elsevier
2017
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Online Access: | http://hdl.handle.net/10150/625867 http://arizona.openrepository.com/arizona/handle/10150/625867 |
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ndltd-arizona.edu-oai-arizona.openrepository.com-10150-625867 |
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Background Monitoring levels and trends in premature mortality is crucial to understanding how societies can address prominent sources of early death. The Global Burden of Disease 2016 Study (GBD 2016) provides a comprehensive assessment of cause-specific mortality for 264 causes in 195 locations from 1980 to 2016. This assessment includes evaluation of the expected epidemiological transition with changes in development and where local patterns deviate from these trends. Methods We estimated cause-specific deaths and years of life lost (YLLs) by age, sex, geography, and year. YLLs were calculated from the sum of each death multiplied by the standard life expectancy at each age. We used the GBD cause of death database composed of: vital registration (VR) data corrected for under-registration and garbage coding; national and subnational verbal autopsy (VA) studies corrected for garbage coding; and other sources including surveys and surveillance systems for specific causes such as maternal mortality. To facilitate assessment of quality, we reported on the fraction of deaths assigned to GBD Level 1 or Level 2 causes that cannot be underlying causes of death (major garbage codes) by location and year. Based on completeness, garbage coding, cause list detail, and time periods covered, we provided an overall data quality rating for each location with scores ranging from 0 stars (worst) to 5 stars (best). We used robust statistical methods including the Cause of Death Ensemble model (CODEm) to generate estimates for each location, year, age, and sex. We assessed observed and expected levels and trends of cause-specific deaths in relation to the Socio-demographic Index (SDI), a summary indicator derived from measures of average income per capita, educational attainment, and total fertility, with locations grouped into quintiles by SDI. Relative to GBD 2015, we expanded the GBD cause hierarchy by 18 causes of death for GBD 2016. Findings The quality of available data varied by location. Data quality in 25 countries rated in the highest category (5 stars), while 48, 30, 21, and 44 countries were rated at each of the succeeding data quality levels. Vital registration or verbal autopsy data were not available in 27 countries, resulting in the assignment of a zero value for data quality. Deaths from non-communicable diseases (NCDs) represented 72.3% (95% uncertainty interval [UI] 71.2-73.2) of deaths in 2016 with 19.3% (18.5-20.4) of deaths in that year occurring from communicable, maternal, neonatal, and nutritional (CMNN) diseases and a further 8.43% (8.00-8.67) from injuries. Although age-standardised rates of death from NCDs decreased globally between 2006 and 2016, total numbers of these deaths increased; both numbers and age-standardised rates of death from CMNN causes decreased in the decade 2006-16-age-standardised rates of deaths from injuries decreased but total numbers varied little. In 2016, the three leading global causes of death in children under-5 were lower respiratory infections, neonatal preterm birth complications, and neonatal encephalopathy due to birth asphyxia and trauma, combined resulting in 1.80 million deaths (95% UI 1.59 million to 1.89 million). Between 1990 and 2016, a profound shift toward deaths at older ages occurred with a 178% (95% UI 176-181) increase in deaths in ages 90-94 years and a 210% (208-212) increase in deaths older than age 95 years. The ten leading causes by rates of age-standardised YLL significantly decreased from 2006 to 2016 (median annualised rate of change was a decrease of 2.89%); the median annualised rate of change for all other causes was lower (a decrease of 1.59%) during the same interval. Globally, the five leading causes of total YLLs in 2016 were cardiovascular diseases; diarrhoea, lower respiratory infections, and other common infectious diseases; neoplasms; neonatal disorders; and HIV/AIDS and tuberculosis. At a finer level of disaggregation within cause groupings, the ten leading causes of total YLLs in 2016 were ischaemic heart disease, cerebrovascular disease, lower respiratory infections, diarrhoeal diseases, road injuries, malaria, neonatal preterm birth complications, HIV/AIDS, chronic obstructive pulmonary disease, and neonatal encephalopathy due to birth asphyxia and trauma. Ischaemic heart disease was the leading cause of total YLLs in 113 countries for men and 97 countries for women. Comparisons of observed levels of YLLs by countries, relative to the level of YLLs expected on the basis of SDI alone, highlighted distinct regional patterns including the greater than expected level of YLLs from malaria and from HIV/AIDS across sub-Saharan Africa; diabetes mellitus, especially in Oceania; interpersonal violence, notably within Latin America and the Caribbean; and cardiomyopathy and myocarditis, particularly in eastern and central Europe. The level of YLLs from ischaemic heart disease was less than expected in 117 of 195 locations. Other leading causes of YLLs for which YLLs were notably lower than expected included neonatal preterm birth complications in many locations in both south Asia and southeast Asia, and cerebrovascular disease in western Europe. Interpretation The past 37 years have featured declining rates of communicable, maternal, neonatal, and nutritional diseases across all quintiles of SDI, with faster than expected gains for many locations relative to their SDI. A global shift towards deaths at older ages suggests success in reducing many causes of early death. YLLs have increased globally for causes such as diabetes mellitus or some neoplasms, and in some locations for causes such as drug use disorders, and conflict and terrorism. Increasing levels of YLLs might reflect outcomes from conditions that required high levels of care but for which effective treatments remain elusive, potentially increasing costs to health systems. Copyright (C) The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. |
author2 |
Univ Arizona, Epidemiol & Biostat Dept |
author_facet |
Univ Arizona, Epidemiol & Biostat Dept Abajobir, Amanuel Alemu Abbafati, Cristiana Abbas, Kaja M Abd-Allah, Foad Abera, Semaw Ferede Aboyans, Victor Adetokunboh, Olatunji Afshin, Ashkan Agrawal, Anurag Ahmadi, Alireza Ahmed, Muktar Beshir Aichour, Amani Nidhal Aichour, Miloud Taki Eddine Aichour, Ibtihel Aiyar, Sneha Alahdab, Fares Al-Aly, Ziyad Alam, Khurshid Alam, Noore Alam, Tahiya Alene, Kefyalew Addis Al-Eyadhy, Ayman Ali, Syed Danish Alizadeh-Navaei, Reza Alkaabi, Juma M Alkerwi, Ala'a Alla, François Allebeck, Peter Allen, Christine Al-Raddadi, Rajaa Alsharif, Ubai Altirkawi, Khalid A Alvis-Guzman, Nelson Amare, Azmeraw T Amini, Erfan Ammar, Walid Amoako, Yaw Ampem Anber, Nahla Andersen, Hjalte H Andrei, Catalina Liliana Androudi, Sofia Ansari, Hossein Antonio, Carl Abelardo T Anwari, Palwasha Ärnlöv, Johan Arora, Megha Artaman, Al Aryal, Krishna Kumar Asayesh, Hamid Asgedom, Solomon W Atey, Tesfay Mehari Avila-Burgos, Leticia Avokpaho, Euripide Frinel G Awasthi, Ashish Babalola, Tesleem Kayode Bacha, Umar Balakrishnan, Kalpana Barac, Aleksandra Barboza, Miguel A Barker-Collo, Suzanne L Barquera, Simon Barregard, Lars Barrero, Lope H Baune, Bernhard T Bedi, Neeraj Beghi, Ettore Béjot, Yannick Bekele, Bayu Begashaw Bell, Michelle L Bennett, James R Bensenor, Isabela M Berhane, Adugnaw Bernabé, Eduardo Betsu, Balem Demtsu Beuran, Mircea Bhatt, Samir Biadgilign, Sibhatu Bienhoff, Kelly Bikbov, Boris Bisanzio, Donal Bourne, Rupert R A Breitborde, Nicholas J K Bulto, Lemma Negesa Bulto Bumgarner, Blair R Butt, Zahid A Cahuana-Hurtado, Lucero Cameron, Ewan Campuzano, Julio Cesar Car, Josip Cárdenas, Rosario Carrero, Juan Jesus Carter, Austin Casey, Daniel C Castañeda-Orjuela, Carlos A Catalá-López, Ferrán Charlson, Fiona J Chibueze, Chioma Ezinne Chimed-Ochir, Odgerel Chisumpa, Vesper Hichilombwe Chitheer, Abdulaal A Christopher, Devasahayam Jesudas Ciobanu, Liliana G Cirillo, Massimo Cohen, Aaron J Colombara, Danny Cooper, Cyrus Cowie, Benjamin C Criqui, Michael H Dandona, Lalit Dandona, Rakhi Dargan, Paul I das Neves, José Davitoiu, Dragos V Davletov, Kairat de Courten, Barbora Defo, Barthelemy Kuate Degenhardt, Louisa Deiparine, Selina Deribe, Kebede Deribew, Amare Dey, Subhojit Dicker, Daniel Ding, Eric L Djalalinia, Shirin Do, Huyen Phuc Doku, David Teye Douwes-Schultz, Dirk Driscoll, Tim R Dubey, Manisha Duncan, Bruce Bartholow Echko, Michelle El-Khatib, Ziad Ziad Ellingsen, Christian Lycke Enayati, Ahmadali Erskine, Holly E Eskandarieh, Sharareh Esteghamati, Alireza Estep, Kara Farinha, Carla Sofia e Sa Faro, André Farzadfar, Farshad Feigin, Valery L Fereshtehnejad, Seyed-Mohammad Fernandes, João C Ferrari, Alize J Feyissa, Tesfaye Regassa Filip, Irina Finegold, Samuel Fischer, Florian Fitzmaurice, Christina Flaxman, Abraham D Foigt, Nataliya Frank, Tahvi Fraser, Maya Fullman, Nancy Fürst, Thomas Furtado, Joao M Gakidou, Emmanuela Garcia-Basteiro, Alberto L Gebre, Teshome Gebregergs, Gebremedhin Berhe Gebrehiwot, Tsegaye Tewelde Gebremichael, Delelegn Yilma Geleijnse, Johanna M Genova-Maleras, Ricard Gesesew, Hailay Abrha Gething, Peter W Gillum, Richard F Giroud, Maurice Giussani, Giorgia Godwin, William W Gold, Audra L Goldberg, Ellen M Gona, Philimon N Gopalani, Sameer Vali Gouda, Hebe N Goulart, Alessandra Carvalho Griswold, Max Gupta, Rajeev Gupta, Tanush Gupta, Vipin Haagsma, Juanita A Hafezi-Nejad, Nima Hailu, Alemayehu Desalegne Hailu, Gessessew Bugssa Hamadeh, Randah Ribhi Hambisa, Mitiku Teshome Hamidi, Samer Hammami, Mouhanad Hancock, Jamie Handal, Alexis J Hankey, Graeme J Hao, Yuantao Harb, Hilda L Hareri, Habtamu Abera Hassanvand, Mohammad Sadegh Havmoeller, Rasmus Hay, Simon I He, Fei Hedayati, Mohammad T Henry, Nathaniel J Heredia-Pi, Ileana Beatriz Herteliu, Claudiu Hoek, Hans W Horino, Masako Horita, Nobuyuki Hosgood, H Dean Hostiuc, Sorin Hotez, Peter J Hoy, Damian G Huynh, Chantal Iburg, Kim Moesgaard Ikeda, Chad Ileanu, Bogdan Vasile Irenso, Asnake Ararsa Irvine, Caleb Mackay Salpeter Islam, Sheikh Mohammed Shariful Jacobsen, Kathryn H Jahanmehr, Nader Jakovljevic, Mihajlo B Javanbakht, Mehdi Jayaraman, Sudha P Jeemon, Panniyammakal Jha, Vivekanand John, Denny Johnson, Catherine O Johnson, Sarah Charlotte Jonas, Jost B Jürisson, Mikk Kabir, Zubair Kadel, Rajendra Kahsay, Amaha Kamal, Ritul Karch, André Karimi, Seyed M Karimkhani, Chante Kasaeian, Amir Kassaw, Nigussie Assefa Kassebaum, Nicholas J Katikireddi, Srinivasa Vittal Kawakami, Norito Keiyoro, Peter Njenga Kemmer, Laura Kesavachandran, Chandrasekharan Nair Khader, Yousef Saleh Khan, Ejaz Ahmad Khang, Young-Ho Khoja, Abdullah Tawfih Abdullah Khosravi, Mohammad Hossein Khosravi, Ardeshir Khubchandani, Jagdish Kiadaliri, Aliasghar Ahmad Kieling, Christian Kievlan, Daniel Kim, Yun Jin Kim, Daniel Kimokoti, Ruth W Kinfu, Yohannes Kissoon, Niranjan Kivimaki, Mika Knudsen, Ann Kristin Kopec, Jacek A Kosen, Soewarta Koul, Parvaiz A Koyanagi, Ai Kulikoff, Xie Rachel Kumar, G Anil Kumar, Pushpendra Kutz, Michael Kyu, Hmwe H Lal, Dharmesh Kumar Lalloo, Ratilal Lambert, Tea Lallukka Nkurunziza Lan, Qing Lansingh, Van C Larsson, Anders Lee, Paul H Leigh, James Leung, Janni Levi, Miriam Li, Yongmei Li Kappe, Darya Liang, Xiaofeng Liben, Misgan Legesse Lim, Stephen S Liu, Patrick Y Liu, Angela Liu, Yang Lodha, Rakesh Logroscino, Giancarlo Lopez, Alan D Lorkowski, Stefan Lotufo, Paulo A Lozano, Rafael Lucas, Timothy C D Ma, Stefan Macarayan, Erlyn Rachelle King Maddison, Emilie R Magdy Abd El Razek, Mohammed Majdan, Marek Majdzadeh, Reza Majeed, Azeem Malekzadeh, Reza Malhotra, Rajesh Malta, Deborah Carvalho Manguerra, Helena Manyazewal, Tsegahun Mapoma, Chabila C Marczak, Laurie B Markos, Desalegn Martinez-Raga, Jose Martins-Melo, Francisco Rogerlândio Martopullo, Ira McAlinden, Colm McGaughey, Madeline McGrath, John J Mehata, Suresh Meier, Toni Meles, Kidanu Gebremariam Memiah, Peter Memish, Ziad A Mengesha, Melkamu Merid Mengistu, Desalegn Tadese Menota, Bereket Gebremichael Mensah, George A Meretoja, 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Gupta, Parkash C |
author |
Abajobir, Amanuel Alemu Abbafati, Cristiana Abbas, Kaja M Abd-Allah, Foad Abera, Semaw Ferede Aboyans, Victor Adetokunboh, Olatunji Afshin, Ashkan Agrawal, Anurag Ahmadi, Alireza Ahmed, Muktar Beshir Aichour, Amani Nidhal Aichour, Miloud Taki Eddine Aichour, Ibtihel Aiyar, Sneha Alahdab, Fares Al-Aly, Ziyad Alam, Khurshid Alam, Noore Alam, Tahiya Alene, Kefyalew Addis Al-Eyadhy, Ayman Ali, Syed Danish Alizadeh-Navaei, Reza Alkaabi, Juma M Alkerwi, Ala'a Alla, François Allebeck, Peter Allen, Christine Al-Raddadi, Rajaa Alsharif, Ubai Altirkawi, Khalid A Alvis-Guzman, Nelson Amare, Azmeraw T Amini, Erfan Ammar, Walid Amoako, Yaw Ampem Anber, Nahla Andersen, Hjalte H Andrei, Catalina Liliana Androudi, Sofia Ansari, Hossein Antonio, Carl Abelardo T Anwari, Palwasha Ärnlöv, Johan Arora, Megha Artaman, Al Aryal, Krishna Kumar Asayesh, Hamid Asgedom, Solomon W Atey, Tesfay Mehari Avila-Burgos, Leticia Avokpaho, Euripide Frinel G Awasthi, Ashish Babalola, Tesleem Kayode Bacha, Umar Balakrishnan, Kalpana Barac, Aleksandra Barboza, Miguel A Barker-Collo, Suzanne L Barquera, Simon Barregard, Lars Barrero, Lope H Baune, Bernhard T Bedi, Neeraj Beghi, Ettore Béjot, Yannick Bekele, Bayu Begashaw Bell, Michelle L Bennett, James R Bensenor, Isabela M Berhane, Adugnaw Bernabé, Eduardo Betsu, Balem Demtsu Beuran, Mircea Bhatt, Samir Biadgilign, Sibhatu Bienhoff, Kelly Bikbov, Boris Bisanzio, Donal Bourne, Rupert R A Breitborde, Nicholas J K Bulto, Lemma Negesa Bulto Bumgarner, Blair R Butt, Zahid A Cahuana-Hurtado, Lucero Cameron, Ewan Campuzano, Julio Cesar Car, Josip Cárdenas, Rosario Carrero, Juan Jesus Carter, Austin Casey, Daniel C Castañeda-Orjuela, Carlos A Catalá-López, Ferrán Charlson, Fiona J Chibueze, Chioma Ezinne Chimed-Ochir, Odgerel Chisumpa, Vesper Hichilombwe Chitheer, Abdulaal A Christopher, Devasahayam Jesudas Ciobanu, Liliana G Cirillo, Massimo Cohen, Aaron J Colombara, Danny Cooper, Cyrus Cowie, Benjamin C Criqui, Michael H Dandona, Lalit Dandona, Rakhi Dargan, Paul I das Neves, José Davitoiu, Dragos V Davletov, Kairat de Courten, Barbora Defo, Barthelemy Kuate Degenhardt, Louisa Deiparine, Selina Deribe, Kebede Deribew, Amare Dey, Subhojit Dicker, Daniel Ding, Eric L Djalalinia, Shirin Do, Huyen Phuc Doku, David Teye Douwes-Schultz, Dirk Driscoll, Tim R Dubey, Manisha Duncan, Bruce Bartholow Echko, Michelle El-Khatib, Ziad Ziad Ellingsen, Christian Lycke Enayati, Ahmadali Erskine, Holly E Eskandarieh, Sharareh Esteghamati, Alireza Estep, Kara Farinha, Carla Sofia e Sa Faro, André Farzadfar, Farshad Feigin, Valery L Fereshtehnejad, Seyed-Mohammad Fernandes, João C Ferrari, Alize J Feyissa, Tesfaye Regassa Filip, Irina Finegold, Samuel Fischer, Florian Fitzmaurice, Christina Flaxman, Abraham D Foigt, Nataliya Frank, Tahvi Fraser, Maya Fullman, Nancy Fürst, Thomas Furtado, Joao M Gakidou, Emmanuela Garcia-Basteiro, Alberto L Gebre, Teshome Gebregergs, Gebremedhin Berhe Gebrehiwot, Tsegaye Tewelde Gebremichael, Delelegn Yilma Geleijnse, Johanna M Genova-Maleras, Ricard Gesesew, Hailay Abrha Gething, Peter W Gillum, Richard F Giroud, Maurice Giussani, Giorgia Godwin, William W Gold, Audra L Goldberg, Ellen M Gona, Philimon N Gopalani, Sameer Vali Gouda, Hebe N Goulart, Alessandra Carvalho Griswold, Max Gupta, Rajeev Gupta, Tanush Gupta, Vipin Haagsma, Juanita A Hafezi-Nejad, Nima Hailu, Alemayehu Desalegne Hailu, Gessessew Bugssa Hamadeh, Randah Ribhi Hambisa, Mitiku Teshome Hamidi, Samer Hammami, Mouhanad Hancock, Jamie Handal, Alexis J Hankey, Graeme J Hao, Yuantao Harb, Hilda L Hareri, Habtamu Abera Hassanvand, Mohammad Sadegh Havmoeller, Rasmus Hay, Simon I He, Fei Hedayati, Mohammad T Henry, Nathaniel J Heredia-Pi, Ileana Beatriz Herteliu, Claudiu Hoek, Hans W Horino, Masako Horita, Nobuyuki Hosgood, H Dean Hostiuc, Sorin Hotez, Peter J Hoy, Damian G Huynh, Chantal Iburg, Kim Moesgaard Ikeda, Chad Ileanu, Bogdan Vasile Irenso, Asnake Ararsa Irvine, Caleb Mackay Salpeter Islam, Sheikh Mohammed Shariful Jacobsen, Kathryn H Jahanmehr, Nader Jakovljevic, Mihajlo B Javanbakht, Mehdi Jayaraman, Sudha P Jeemon, Panniyammakal Jha, Vivekanand John, Denny Johnson, Catherine O Johnson, Sarah Charlotte Jonas, Jost B Jürisson, Mikk Kabir, Zubair Kadel, Rajendra Kahsay, Amaha Kamal, Ritul Karch, André Karimi, Seyed M Karimkhani, Chante Kasaeian, Amir Kassaw, Nigussie Assefa Kassebaum, Nicholas J Katikireddi, Srinivasa Vittal Kawakami, Norito Keiyoro, Peter Njenga Kemmer, Laura Kesavachandran, Chandrasekharan Nair Khader, Yousef Saleh Khan, Ejaz Ahmad Khang, Young-Ho Khoja, Abdullah Tawfih Abdullah Khosravi, Mohammad Hossein Khosravi, Ardeshir Khubchandani, Jagdish Kiadaliri, Aliasghar Ahmad Kieling, Christian Kievlan, Daniel Kim, Yun Jin Kim, Daniel Kimokoti, Ruth W Kinfu, Yohannes Kissoon, Niranjan Kivimaki, Mika Knudsen, Ann Kristin Kopec, Jacek A Kosen, Soewarta Koul, Parvaiz A Koyanagi, Ai Kulikoff, Xie Rachel Kumar, G Anil Kumar, Pushpendra Kutz, Michael Kyu, Hmwe H Lal, Dharmesh Kumar Lalloo, Ratilal Lambert, Tea Lallukka Nkurunziza Lan, Qing Lansingh, Van C Larsson, Anders Lee, Paul H Leigh, James Leung, Janni Levi, Miriam Li, Yongmei Li Kappe, Darya Liang, Xiaofeng Liben, Misgan Legesse Lim, Stephen S Liu, Patrick Y Liu, Angela Liu, Yang Lodha, Rakesh Logroscino, Giancarlo Lopez, Alan D Lorkowski, Stefan Lotufo, Paulo A Lozano, Rafael Lucas, Timothy C D Ma, Stefan Macarayan, Erlyn Rachelle King Maddison, Emilie R Magdy Abd El Razek, Mohammed Majdan, Marek Majdzadeh, Reza Majeed, Azeem Malekzadeh, Reza Malhotra, Rajesh Malta, Deborah Carvalho Manguerra, Helena Manyazewal, Tsegahun Mapoma, Chabila C Marczak, Laurie B Markos, Desalegn Martinez-Raga, Jose Martins-Melo, Francisco Rogerlândio Martopullo, Ira McAlinden, Colm McGaughey, Madeline McGrath, John J Mehata, Suresh Meier, Toni Meles, Kidanu Gebremariam Memiah, Peter Memish, Ziad A Mengesha, Melkamu Merid Mengistu, Desalegn Tadese Menota, Bereket Gebremichael Mensah, George A Meretoja, Tuomo J Meretoja, Atte Millear, Anoushka Miller, Ted R Minnig, Shawn Mirarefin, Mojde Mirrakhimov, Erkin M Misganaw, Awoke Mishra, Shiva Raj Mohamed, Ibrahim Abdelmageem Mohammad, Karzan Abdulmuhsin Mohammadi, Alireza Mohammed, Shafiu Mokdad, Ali H Mola, Glen Liddell D Mollenkopf, Sarah K Molokhia, Mariam Monasta, Lorenzo Montañez, Julio C Montico, Marcella Mooney, Meghan D Moradi-Lakeh, Maziar Moraga, Paula Morawska, Lidia Morozoff, Chloe Morrison, Shane D Mountjoy-Venning, Cliff Mruts, Kalayu Birhane Muller, Kate Murray, Christopher J L Murthy, Gudlavalleti Venkata Satyanarayana Musa, Kamarul Imran Nachega, Jean B Naghavi, Mohsen Naheed, Aliya Naldi, Luigi Nangia, Vinay Nascimento, Bruno Ramos Nasher, Jamal T Natarajan, Gopalakrishnan Negoi, Ionut Ngunjiri, Josephine Wanjiku Nguyen, Cuong Tat Nguyen, Quyen Le Nguyen, Trang Huyen Nguyen, Grant Nguyen, Minh Nichols, Emma Ningrum, Dina Nur Anggraini Nong, Vuong Minh Noubiap, Jean Jacques N Ogbo, Felix Akpojene Oh, In-Hwan Okoro, Anselm Olagunju, Andrew Toyin Olsen, Helen E Olusanya, Bolajoko Olubukunola Olusanya, Jacob Olusegun Ong, Kanyin Opio, John Nelson Oren, Eyal Ortiz, Alberto Osman, Majdi Ota, Erika PA, Mahesh Pacella, Rosana E Pakhale, Smita Pana, Adrian Panda, Basant Kumar Panda-Jonas, Songhomitra Papachristou, Christina Park, Eun-Kee Patten, Scott B Patton, George C Paudel, Deepak Paulson, Katherine Pereira, David M Perez-Ruiz, Fernando Perico, Norberto Pervaiz, Aslam Petzold, Max Phillips, Michael Robert Pigott, David M Pinho, Christine Plass, Dietrich Pletcher, Martin A Polinder, Suzanne Postma, Maarten J Pourmalek, Farshad Purcell, Caroline Qorbani, Mostafa Quintanilla, Beatriz Paulina Ayala Radfar, Amir Rahimi-Movaghar, Vafa Rahman, Mohammad Hifz Ur Rahman, Mahfuzar Rai, Rajesh Kumar Ranabhat, Chhabi Lal Rankin, Zane Rao, Puja C Rath, Goura Kishor Rawaf, Salman Ray, Sarah E Rehm, Jürgen Reiner, Robert C Reitsma, Marissa B Remuzzi, Giuseppe Rezaei, Satar Rezai, Mohammad Sadegh Rokni, Mohammad Bagher Ronfani, Luca Roshandel, Gholamreza Roth, Gregory A Rothenbacher, Dietrich Ruhago, George Mugambage SA, Rizwan Saadat, Soheil Sachdev, Perminder S Sadat, Nafis Safdarian, Mahdi Safi, Sare Safiri, Saeid Sagar, Rajesh Sahathevan, Ramesh Salama, Joseph Salamati, Payman Salomon, Joshua A Samy, Abdallah M Sanabria, Juan Ramon Sanchez-Niño, Maria Dolores Santomauro, Damian Santos, Itamar S Santric Milicevic, Milena M Sartorius, Benn Satpathy, Maheswar Schmidt, Maria Inês Schneider, Ione J C Schulhofer-Wohl, Sam Schutte, Aletta E Schwebel, David C Schwendicke, Falk Sepanlou, Sadaf G Servan-Mori, Edson E Shackelford, Katya Anne Shahraz, Saeid Shaikh, Masood Ali Shamsipour, Mansour Shamsizadeh, Morteza Sharma, Jayendra Sharma, Rajesh She, Jun Sheikhbahaei, Sara Shey, Muki Shields, Chloe Shigematsu, Mika Shiri, Rahman Shirude, Shreya Shiue, Ivy Shoman, Haitham Shrime, Mark G Sigfusdottir, Inga Dora Silpakit, Naris Silva, João Pedro Singh, Jasvinder A Singh, Abhishek Skiadaresi, Eirini Sligar, Amber Smith, David L Smith, Alison Smith, Mari Sobaih, Badr H A Soneji, Samir Sorensen, Reed J D Soriano, Joan B Sreeramareddy, Chandrashekhar T Srinivasan, Vinay Stanaway, Jeffrey D Stathopoulou, Vasiliki Steel, Nicholas Stein, Dan J Steiner, Caitlyn Steinke, Sabine Stokes, Mark Andrew Strong, Mark Strub, Bryan Subart, Michelle Sufiyan, Muawiyyah Babale Sunguya, Bruno F Sur, Patrick J Swaminathan, Soumya Sykes, Bryan L Tabarés-Seisdedos, Rafael Tadakamadla, Santosh Kumar Takahashi, Ken Takala, Jukka S Talongwa, Roberto Tchio Tarawneh, Mohammed Rasoul Tavakkoli, Mohammad Taveira, Nuno Tegegne, Teketo Kassaw Tehrani-Banihashemi, Arash Temsah, Mohamad-Hani Terkawi, Abdullah Sulieman Thakur, J S Thamsuwan, Ornwipa Thankappan, Kavumpurathu Raman Thomas, Katie E Thompson, Alex H Thomson, Alan J Thrift, Amanda G Tobe-Gai, Ruoyan Topor-Madry, Roman Torre, Anna Tortajada, Miguel Towbin, Jeffrey Allen Tran, Bach Xuan Troeger, Christopher Truelsen, Thomas Tsoi, Derrick Tyrovolas, Stefanos Ukwaja, Kingsley N Undurraga, Eduardo A Updike, Rachel Uthman, Olalekan A Uzochukwu, Benjamin S Chudi van Boven, Job F M Vasankari, Tommi Venketasubramanian, Narayanaswamy Violante, Francesco S Vlassov, Vasiliy Victorovich Vollset, Stein Emil Vos, Theo Wakayo, Tolassa Wallin, Mitchell T Wang, Yuan-Pang Weiderpass, Elisabete Weintraub, Robert G Weiss, Daniel J Werdecker, Andrea Westerman, Ronny Whetter, Brian Whiteford, Harvey A Wijeratne, Tissa Wiysonge, Charles Shey Woldeyes, Belete Getahun Wolfe, Charles D A Woodbrook, Rachel Workicho, Abdulhalik Xavier, Denis Xiao, Qingyang Xu, Gelin Yaghoubi, Mohsen Yakob, Bereket Yano, Yuichiro Yaseri, Mehdi Yimam, Hassen Hamid Yonemoto, Naohiro Yoon, Seok-Jun Yotebieng, Marcel Younis, Mustafa Z Zaidi, Zoubida Zaki, Maysaa El Sayed Zegeye, Elias Asfaw Zenebe, Zerihun Menlkalew Zerfu, Taddese Alemu Zhang, Anthony Lin Zhang, Xueying Zipkin, Ben Zodpey, Sanjay Giref, Ababi Zergaw Rafay, Anwar Tuzcu, Emin Murat Ermakov, Sergey Petrovich Shi, Peilin Gupta, Parkash C |
spellingShingle |
Abajobir, Amanuel Alemu Abbafati, Cristiana Abbas, Kaja M Abd-Allah, Foad Abera, Semaw Ferede Aboyans, Victor Adetokunboh, Olatunji Afshin, Ashkan Agrawal, Anurag Ahmadi, Alireza Ahmed, Muktar Beshir Aichour, Amani Nidhal Aichour, Miloud Taki Eddine Aichour, Ibtihel Aiyar, Sneha Alahdab, Fares Al-Aly, Ziyad Alam, Khurshid Alam, Noore Alam, Tahiya Alene, Kefyalew Addis Al-Eyadhy, Ayman Ali, Syed Danish Alizadeh-Navaei, Reza Alkaabi, Juma M Alkerwi, Ala'a Alla, François Allebeck, Peter Allen, Christine Al-Raddadi, Rajaa Alsharif, Ubai Altirkawi, Khalid A Alvis-Guzman, Nelson Amare, Azmeraw T Amini, Erfan Ammar, Walid Amoako, Yaw Ampem Anber, Nahla Andersen, Hjalte H Andrei, Catalina Liliana Androudi, Sofia Ansari, Hossein Antonio, Carl Abelardo T Anwari, Palwasha Ärnlöv, Johan Arora, Megha Artaman, Al Aryal, Krishna Kumar Asayesh, Hamid Asgedom, Solomon W Atey, Tesfay Mehari Avila-Burgos, Leticia Avokpaho, Euripide Frinel G Awasthi, Ashish Babalola, Tesleem Kayode Bacha, Umar Balakrishnan, Kalpana Barac, Aleksandra Barboza, Miguel A Barker-Collo, Suzanne L Barquera, Simon Barregard, Lars Barrero, Lope H Baune, Bernhard T Bedi, Neeraj Beghi, Ettore Béjot, Yannick Bekele, Bayu Begashaw Bell, Michelle L Bennett, James R Bensenor, Isabela M Berhane, Adugnaw Bernabé, Eduardo Betsu, Balem Demtsu Beuran, Mircea Bhatt, Samir Biadgilign, Sibhatu Bienhoff, Kelly Bikbov, Boris Bisanzio, Donal Bourne, Rupert R A Breitborde, Nicholas J K Bulto, Lemma Negesa Bulto Bumgarner, Blair R Butt, Zahid A Cahuana-Hurtado, Lucero Cameron, Ewan Campuzano, Julio Cesar Car, Josip Cárdenas, Rosario Carrero, Juan Jesus Carter, Austin Casey, Daniel C Castañeda-Orjuela, Carlos A Catalá-López, Ferrán Charlson, Fiona J Chibueze, Chioma Ezinne Chimed-Ochir, Odgerel Chisumpa, Vesper Hichilombwe Chitheer, Abdulaal A Christopher, Devasahayam Jesudas Ciobanu, Liliana G Cirillo, Massimo Cohen, Aaron J Colombara, Danny Cooper, Cyrus Cowie, Benjamin C Criqui, Michael H Dandona, Lalit Dandona, Rakhi Dargan, Paul I das Neves, José Davitoiu, Dragos V Davletov, Kairat de Courten, Barbora Defo, Barthelemy Kuate Degenhardt, Louisa Deiparine, Selina Deribe, Kebede Deribew, Amare Dey, Subhojit Dicker, Daniel Ding, Eric L Djalalinia, Shirin Do, Huyen Phuc Doku, David Teye Douwes-Schultz, Dirk Driscoll, Tim R Dubey, Manisha Duncan, Bruce Bartholow Echko, Michelle El-Khatib, Ziad Ziad Ellingsen, Christian Lycke Enayati, Ahmadali Erskine, Holly E Eskandarieh, Sharareh Esteghamati, Alireza Estep, Kara Farinha, Carla Sofia e Sa Faro, André Farzadfar, Farshad Feigin, Valery L Fereshtehnejad, Seyed-Mohammad Fernandes, João C Ferrari, Alize J Feyissa, Tesfaye Regassa Filip, Irina Finegold, Samuel Fischer, Florian Fitzmaurice, Christina Flaxman, Abraham D Foigt, Nataliya Frank, Tahvi Fraser, Maya Fullman, Nancy Fürst, Thomas Furtado, Joao M Gakidou, Emmanuela Garcia-Basteiro, Alberto L Gebre, Teshome Gebregergs, Gebremedhin Berhe Gebrehiwot, Tsegaye Tewelde Gebremichael, Delelegn Yilma Geleijnse, Johanna M Genova-Maleras, Ricard Gesesew, Hailay Abrha Gething, Peter W Gillum, Richard F Giroud, Maurice Giussani, Giorgia Godwin, William W Gold, Audra L Goldberg, Ellen M Gona, Philimon N Gopalani, Sameer Vali Gouda, Hebe N Goulart, Alessandra Carvalho Griswold, Max Gupta, Rajeev Gupta, Tanush Gupta, Vipin Haagsma, Juanita A Hafezi-Nejad, Nima Hailu, Alemayehu Desalegne Hailu, Gessessew Bugssa Hamadeh, Randah Ribhi Hambisa, Mitiku Teshome Hamidi, Samer Hammami, Mouhanad Hancock, Jamie Handal, Alexis J Hankey, Graeme J Hao, Yuantao Harb, Hilda L Hareri, Habtamu Abera Hassanvand, Mohammad Sadegh Havmoeller, Rasmus Hay, Simon I He, Fei Hedayati, Mohammad T Henry, Nathaniel J Heredia-Pi, Ileana Beatriz Herteliu, Claudiu Hoek, Hans W Horino, Masako Horita, Nobuyuki Hosgood, H Dean Hostiuc, Sorin Hotez, Peter J Hoy, Damian G Huynh, Chantal Iburg, Kim Moesgaard Ikeda, Chad Ileanu, Bogdan Vasile Irenso, Asnake Ararsa Irvine, Caleb Mackay Salpeter Islam, Sheikh Mohammed Shariful Jacobsen, Kathryn H Jahanmehr, Nader Jakovljevic, Mihajlo B Javanbakht, Mehdi Jayaraman, Sudha P Jeemon, Panniyammakal Jha, Vivekanand John, Denny Johnson, Catherine O Johnson, Sarah Charlotte Jonas, Jost B Jürisson, Mikk Kabir, Zubair Kadel, Rajendra Kahsay, Amaha Kamal, Ritul Karch, André Karimi, Seyed M Karimkhani, Chante Kasaeian, Amir Kassaw, Nigussie Assefa Kassebaum, Nicholas J Katikireddi, Srinivasa Vittal Kawakami, Norito Keiyoro, Peter Njenga Kemmer, Laura Kesavachandran, Chandrasekharan Nair Khader, Yousef Saleh Khan, Ejaz Ahmad Khang, Young-Ho Khoja, Abdullah Tawfih Abdullah Khosravi, Mohammad Hossein Khosravi, Ardeshir Khubchandani, Jagdish Kiadaliri, Aliasghar Ahmad Kieling, Christian Kievlan, Daniel Kim, Yun Jin Kim, Daniel Kimokoti, Ruth W Kinfu, Yohannes Kissoon, Niranjan Kivimaki, Mika Knudsen, Ann Kristin Kopec, Jacek A Kosen, Soewarta Koul, Parvaiz A Koyanagi, Ai Kulikoff, Xie Rachel Kumar, G Anil Kumar, Pushpendra Kutz, Michael Kyu, Hmwe H Lal, Dharmesh Kumar Lalloo, Ratilal Lambert, Tea Lallukka Nkurunziza Lan, Qing Lansingh, Van C Larsson, Anders Lee, Paul H Leigh, James Leung, Janni Levi, Miriam Li, Yongmei Li Kappe, Darya Liang, Xiaofeng Liben, Misgan Legesse Lim, Stephen S Liu, Patrick Y Liu, Angela Liu, Yang Lodha, Rakesh Logroscino, Giancarlo Lopez, Alan D Lorkowski, Stefan Lotufo, Paulo A Lozano, Rafael Lucas, Timothy C D Ma, Stefan Macarayan, Erlyn Rachelle King Maddison, Emilie R Magdy Abd El Razek, Mohammed Majdan, Marek Majdzadeh, Reza Majeed, Azeem Malekzadeh, Reza Malhotra, Rajesh Malta, Deborah Carvalho Manguerra, Helena Manyazewal, Tsegahun Mapoma, Chabila C Marczak, Laurie B Markos, Desalegn Martinez-Raga, Jose Martins-Melo, Francisco Rogerlândio Martopullo, Ira McAlinden, Colm McGaughey, Madeline McGrath, John J Mehata, Suresh Meier, Toni Meles, Kidanu Gebremariam Memiah, Peter Memish, Ziad A Mengesha, Melkamu Merid Mengistu, Desalegn Tadese Menota, Bereket Gebremichael Mensah, George A Meretoja, Tuomo J Meretoja, Atte Millear, Anoushka Miller, Ted R Minnig, Shawn Mirarefin, Mojde Mirrakhimov, Erkin M Misganaw, Awoke Mishra, Shiva Raj Mohamed, Ibrahim Abdelmageem Mohammad, Karzan Abdulmuhsin Mohammadi, Alireza Mohammed, Shafiu Mokdad, Ali H Mola, Glen Liddell D Mollenkopf, Sarah K Molokhia, Mariam Monasta, Lorenzo Montañez, Julio C Montico, Marcella Mooney, Meghan D Moradi-Lakeh, Maziar Moraga, Paula Morawska, Lidia Morozoff, Chloe Morrison, Shane D Mountjoy-Venning, Cliff Mruts, Kalayu Birhane Muller, Kate Murray, Christopher J L Murthy, Gudlavalleti Venkata Satyanarayana Musa, Kamarul Imran Nachega, Jean B Naghavi, Mohsen Naheed, Aliya Naldi, Luigi Nangia, Vinay Nascimento, Bruno Ramos Nasher, Jamal T Natarajan, Gopalakrishnan Negoi, Ionut Ngunjiri, Josephine Wanjiku Nguyen, Cuong Tat Nguyen, Quyen Le Nguyen, Trang Huyen Nguyen, Grant Nguyen, Minh Nichols, Emma Ningrum, Dina Nur Anggraini Nong, Vuong Minh Noubiap, Jean Jacques N Ogbo, Felix Akpojene Oh, In-Hwan Okoro, Anselm Olagunju, Andrew Toyin Olsen, Helen E Olusanya, Bolajoko Olubukunola Olusanya, Jacob Olusegun Ong, Kanyin Opio, John Nelson Oren, Eyal Ortiz, Alberto Osman, Majdi Ota, Erika PA, Mahesh Pacella, Rosana E Pakhale, Smita Pana, Adrian Panda, Basant Kumar Panda-Jonas, Songhomitra Papachristou, Christina Park, Eun-Kee Patten, Scott B Patton, George C Paudel, Deepak Paulson, Katherine Pereira, David M Perez-Ruiz, Fernando Perico, Norberto Pervaiz, Aslam Petzold, Max Phillips, Michael Robert Pigott, David M Pinho, Christine Plass, Dietrich Pletcher, Martin A Polinder, Suzanne Postma, Maarten J Pourmalek, Farshad Purcell, Caroline Qorbani, Mostafa Quintanilla, Beatriz Paulina Ayala Radfar, Amir Rahimi-Movaghar, Vafa Rahman, Mohammad Hifz Ur Rahman, Mahfuzar Rai, Rajesh Kumar Ranabhat, Chhabi Lal Rankin, Zane Rao, Puja C Rath, Goura Kishor Rawaf, Salman Ray, Sarah E Rehm, Jürgen Reiner, Robert C Reitsma, Marissa B Remuzzi, Giuseppe Rezaei, Satar Rezai, Mohammad Sadegh Rokni, Mohammad Bagher Ronfani, Luca Roshandel, Gholamreza Roth, Gregory A Rothenbacher, Dietrich Ruhago, George Mugambage SA, Rizwan Saadat, Soheil Sachdev, Perminder S Sadat, Nafis Safdarian, Mahdi Safi, Sare Safiri, Saeid Sagar, Rajesh Sahathevan, Ramesh Salama, Joseph Salamati, Payman Salomon, Joshua A Samy, Abdallah M Sanabria, Juan Ramon Sanchez-Niño, Maria Dolores Santomauro, Damian Santos, Itamar S Santric Milicevic, Milena M Sartorius, Benn Satpathy, Maheswar Schmidt, Maria Inês Schneider, Ione J C Schulhofer-Wohl, Sam Schutte, Aletta E Schwebel, David C Schwendicke, Falk Sepanlou, Sadaf G Servan-Mori, Edson E Shackelford, Katya Anne Shahraz, Saeid Shaikh, Masood Ali Shamsipour, Mansour Shamsizadeh, Morteza Sharma, Jayendra Sharma, Rajesh She, Jun Sheikhbahaei, Sara Shey, Muki Shields, Chloe Shigematsu, Mika Shiri, Rahman Shirude, Shreya Shiue, Ivy Shoman, Haitham Shrime, Mark G Sigfusdottir, Inga Dora Silpakit, Naris Silva, João Pedro Singh, Jasvinder A Singh, Abhishek Skiadaresi, Eirini Sligar, Amber Smith, David L Smith, Alison Smith, Mari Sobaih, Badr H A Soneji, Samir Sorensen, Reed J D Soriano, Joan B Sreeramareddy, Chandrashekhar T Srinivasan, Vinay Stanaway, Jeffrey D Stathopoulou, Vasiliki Steel, Nicholas Stein, Dan J Steiner, Caitlyn Steinke, Sabine Stokes, Mark Andrew Strong, Mark Strub, Bryan Subart, Michelle Sufiyan, Muawiyyah Babale Sunguya, Bruno F Sur, Patrick J Swaminathan, Soumya Sykes, Bryan L Tabarés-Seisdedos, Rafael Tadakamadla, Santosh Kumar Takahashi, Ken Takala, Jukka S Talongwa, Roberto Tchio Tarawneh, Mohammed Rasoul Tavakkoli, Mohammad Taveira, Nuno Tegegne, Teketo Kassaw Tehrani-Banihashemi, Arash Temsah, Mohamad-Hani Terkawi, Abdullah Sulieman Thakur, J S Thamsuwan, Ornwipa Thankappan, Kavumpurathu Raman Thomas, Katie E Thompson, Alex H Thomson, Alan J Thrift, Amanda G Tobe-Gai, Ruoyan Topor-Madry, Roman Torre, Anna Tortajada, Miguel Towbin, Jeffrey Allen Tran, Bach Xuan Troeger, Christopher Truelsen, Thomas Tsoi, Derrick Tyrovolas, Stefanos Ukwaja, Kingsley N Undurraga, Eduardo A Updike, Rachel Uthman, Olalekan A Uzochukwu, Benjamin S Chudi van Boven, Job F M Vasankari, Tommi Venketasubramanian, Narayanaswamy Violante, Francesco S Vlassov, Vasiliy Victorovich Vollset, Stein Emil Vos, Theo Wakayo, Tolassa Wallin, Mitchell T Wang, Yuan-Pang Weiderpass, Elisabete Weintraub, Robert G Weiss, Daniel J Werdecker, Andrea Westerman, Ronny Whetter, Brian Whiteford, Harvey A Wijeratne, Tissa Wiysonge, Charles Shey Woldeyes, Belete Getahun Wolfe, Charles D A Woodbrook, Rachel Workicho, Abdulhalik Xavier, Denis Xiao, Qingyang Xu, Gelin Yaghoubi, Mohsen Yakob, Bereket Yano, Yuichiro Yaseri, Mehdi Yimam, Hassen Hamid Yonemoto, Naohiro Yoon, Seok-Jun Yotebieng, Marcel Younis, Mustafa Z Zaidi, Zoubida Zaki, Maysaa El Sayed Zegeye, Elias Asfaw Zenebe, Zerihun Menlkalew Zerfu, Taddese Alemu Zhang, Anthony Lin Zhang, Xueying Zipkin, Ben Zodpey, Sanjay Giref, Ababi Zergaw Rafay, Anwar Tuzcu, Emin Murat Ermakov, Sergey Petrovich Shi, Peilin Gupta, Parkash C Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016 |
author_sort |
Abajobir, Amanuel Alemu |
title |
Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016 |
title_short |
Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016 |
title_full |
Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016 |
title_fullStr |
Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016 |
title_full_unstemmed |
Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016 |
title_sort |
global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the global burden of disease study 2016 |
publisher |
Elsevier |
publishDate |
2017 |
url |
http://hdl.handle.net/10150/625867 http://arizona.openrepository.com/arizona/handle/10150/625867 |
work_keys_str_mv |
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ndltd-arizona.edu-oai-arizona.openrepository.com-10150-6258672017-10-15T03:00:28Z Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016 Abajobir, Amanuel Alemu Abbafati, Cristiana Abbas, Kaja M Abd-Allah, Foad Abera, Semaw Ferede Aboyans, Victor Adetokunboh, Olatunji Afshin, Ashkan Agrawal, Anurag Ahmadi, Alireza Ahmed, Muktar Beshir Aichour, Amani Nidhal Aichour, Miloud Taki Eddine Aichour, Ibtihel Aiyar, Sneha Alahdab, Fares Al-Aly, Ziyad Alam, Khurshid Alam, Noore Alam, Tahiya Alene, Kefyalew Addis Al-Eyadhy, Ayman Ali, Syed Danish Alizadeh-Navaei, Reza Alkaabi, Juma M Alkerwi, Ala'a Alla, François Allebeck, Peter Allen, Christine Al-Raddadi, Rajaa Alsharif, Ubai Altirkawi, Khalid A Alvis-Guzman, Nelson Amare, Azmeraw T Amini, Erfan Ammar, Walid Amoako, Yaw Ampem Anber, Nahla Andersen, Hjalte H Andrei, Catalina Liliana Androudi, Sofia Ansari, Hossein Antonio, Carl Abelardo T Anwari, Palwasha Ärnlöv, Johan Arora, Megha Artaman, Al Aryal, Krishna Kumar Asayesh, Hamid Asgedom, Solomon W Atey, Tesfay Mehari Avila-Burgos, Leticia Avokpaho, Euripide Frinel G Awasthi, Ashish Babalola, Tesleem Kayode Bacha, Umar Balakrishnan, Kalpana Barac, Aleksandra Barboza, Miguel A Barker-Collo, Suzanne L Barquera, Simon Barregard, Lars Barrero, Lope H Baune, Bernhard T Bedi, Neeraj Beghi, Ettore Béjot, Yannick Bekele, Bayu Begashaw Bell, Michelle L Bennett, James R Bensenor, Isabela M Berhane, Adugnaw Bernabé, Eduardo Betsu, Balem Demtsu Beuran, Mircea Bhatt, Samir Biadgilign, Sibhatu Bienhoff, Kelly Bikbov, Boris Bisanzio, Donal Bourne, Rupert R A Breitborde, Nicholas J K Bulto, Lemma Negesa Bulto Bumgarner, Blair R Butt, Zahid A Cahuana-Hurtado, Lucero Cameron, Ewan Campuzano, Julio Cesar Car, Josip Cárdenas, Rosario Carrero, Juan Jesus Carter, Austin Casey, Daniel C Castañeda-Orjuela, Carlos A Catalá-López, Ferrán Charlson, Fiona J Chibueze, Chioma Ezinne Chimed-Ochir, Odgerel Chisumpa, Vesper Hichilombwe Chitheer, Abdulaal A Christopher, Devasahayam Jesudas Ciobanu, Liliana G Cirillo, Massimo Cohen, Aaron J Colombara, Danny Cooper, Cyrus Cowie, Benjamin C Criqui, Michael H Dandona, Lalit Dandona, Rakhi Dargan, Paul I das Neves, José Davitoiu, Dragos V Davletov, Kairat de Courten, Barbora Defo, Barthelemy Kuate Degenhardt, Louisa Deiparine, Selina Deribe, Kebede Deribew, Amare Dey, Subhojit Dicker, Daniel Ding, Eric L Djalalinia, Shirin Do, Huyen Phuc Doku, David Teye Douwes-Schultz, Dirk Driscoll, Tim R Dubey, Manisha Duncan, Bruce Bartholow Echko, Michelle El-Khatib, Ziad Ziad Ellingsen, Christian Lycke Enayati, Ahmadali Erskine, Holly E Eskandarieh, Sharareh Esteghamati, Alireza Estep, Kara Farinha, Carla Sofia e Sa Faro, André Farzadfar, Farshad Feigin, Valery L Fereshtehnejad, Seyed-Mohammad Fernandes, João C Ferrari, Alize J Feyissa, Tesfaye Regassa Filip, Irina Finegold, Samuel Fischer, Florian Fitzmaurice, Christina Flaxman, Abraham D Foigt, Nataliya Frank, Tahvi Fraser, Maya Fullman, Nancy Fürst, Thomas Furtado, Joao M Gakidou, Emmanuela Garcia-Basteiro, Alberto L Gebre, Teshome Gebregergs, Gebremedhin Berhe Gebrehiwot, Tsegaye Tewelde Gebremichael, Delelegn Yilma Geleijnse, Johanna M Genova-Maleras, Ricard Gesesew, Hailay Abrha Gething, Peter W Gillum, Richard F Giroud, Maurice Giussani, Giorgia Godwin, William W Gold, Audra L Goldberg, Ellen M Gona, Philimon N Gopalani, Sameer Vali Gouda, Hebe N Goulart, Alessandra Carvalho Griswold, Max Gupta, Rajeev Gupta, Tanush Gupta, Vipin Haagsma, Juanita A Hafezi-Nejad, Nima Hailu, Alemayehu Desalegne Hailu, Gessessew Bugssa Hamadeh, Randah Ribhi Hambisa, Mitiku Teshome Hamidi, Samer Hammami, Mouhanad Hancock, Jamie Handal, Alexis J Hankey, Graeme J Hao, Yuantao Harb, Hilda L Hareri, Habtamu Abera Hassanvand, Mohammad Sadegh Havmoeller, Rasmus Hay, Simon I He, Fei Hedayati, Mohammad T Henry, Nathaniel J Heredia-Pi, Ileana Beatriz Herteliu, Claudiu Hoek, Hans W Horino, Masako Horita, Nobuyuki Hosgood, H Dean Hostiuc, Sorin Hotez, Peter J Hoy, Damian G Huynh, Chantal Iburg, Kim Moesgaard Ikeda, Chad Ileanu, Bogdan Vasile Irenso, Asnake Ararsa Irvine, Caleb Mackay Salpeter Islam, Sheikh Mohammed Shariful Jacobsen, Kathryn H Jahanmehr, Nader Jakovljevic, Mihajlo B Javanbakht, Mehdi Jayaraman, Sudha P Jeemon, Panniyammakal Jha, Vivekanand John, Denny Johnson, Catherine O Johnson, Sarah Charlotte Jonas, Jost B Jürisson, Mikk Kabir, Zubair Kadel, Rajendra Kahsay, Amaha Kamal, Ritul Karch, André Karimi, Seyed M Karimkhani, Chante Kasaeian, Amir Kassaw, Nigussie Assefa Kassebaum, Nicholas J Katikireddi, Srinivasa Vittal Kawakami, Norito Keiyoro, Peter Njenga Kemmer, Laura Kesavachandran, Chandrasekharan Nair Khader, Yousef Saleh Khan, Ejaz Ahmad Khang, Young-Ho Khoja, Abdullah Tawfih Abdullah Khosravi, Mohammad Hossein Khosravi, Ardeshir Khubchandani, Jagdish Kiadaliri, Aliasghar Ahmad Kieling, Christian Kievlan, Daniel Kim, Yun Jin Kim, Daniel Kimokoti, Ruth W Kinfu, Yohannes Kissoon, Niranjan Kivimaki, Mika Knudsen, Ann Kristin Kopec, Jacek A Kosen, Soewarta Koul, Parvaiz A Koyanagi, Ai Kulikoff, Xie Rachel Kumar, G Anil Kumar, Pushpendra Kutz, Michael Kyu, Hmwe H Lal, Dharmesh Kumar Lalloo, Ratilal Lambert, Tea Lallukka Nkurunziza Lan, Qing Lansingh, Van C Larsson, Anders Lee, Paul H Leigh, James Leung, Janni Levi, Miriam Li, Yongmei Li Kappe, Darya Liang, Xiaofeng Liben, Misgan Legesse Lim, Stephen S Liu, Patrick Y Liu, Angela Liu, Yang Lodha, Rakesh Logroscino, Giancarlo Lopez, Alan D Lorkowski, Stefan Lotufo, Paulo A Lozano, Rafael Lucas, Timothy C D Ma, Stefan Macarayan, Erlyn Rachelle King Maddison, Emilie R Magdy Abd El Razek, Mohammed Majdan, Marek Majdzadeh, Reza Majeed, Azeem Malekzadeh, Reza Malhotra, Rajesh Malta, Deborah Carvalho Manguerra, Helena Manyazewal, Tsegahun Mapoma, Chabila C Marczak, Laurie B Markos, Desalegn Martinez-Raga, Jose Martins-Melo, Francisco Rogerlândio Martopullo, Ira McAlinden, Colm McGaughey, Madeline McGrath, John J Mehata, Suresh Meier, Toni Meles, Kidanu Gebremariam Memiah, Peter Memish, Ziad A Mengesha, Melkamu Merid Mengistu, Desalegn Tadese Menota, Bereket Gebremichael Mensah, George A Meretoja, Tuomo J Meretoja, Atte Millear, Anoushka Miller, Ted R Minnig, Shawn Mirarefin, Mojde Mirrakhimov, Erkin M Misganaw, Awoke Mishra, Shiva Raj Mohamed, Ibrahim Abdelmageem Mohammad, Karzan Abdulmuhsin Mohammadi, Alireza Mohammed, Shafiu Mokdad, Ali H Mola, Glen Liddell D Mollenkopf, Sarah K Molokhia, Mariam Monasta, Lorenzo Montañez, Julio C Montico, Marcella Mooney, Meghan D Moradi-Lakeh, Maziar Moraga, Paula Morawska, Lidia Morozoff, Chloe Morrison, Shane D Mountjoy-Venning, Cliff Mruts, Kalayu Birhane Muller, Kate Murray, Christopher J L Murthy, Gudlavalleti Venkata Satyanarayana Musa, Kamarul Imran Nachega, Jean B Naghavi, Mohsen Naheed, Aliya Naldi, Luigi Nangia, Vinay Nascimento, Bruno Ramos Nasher, Jamal T Natarajan, Gopalakrishnan Negoi, Ionut Ngunjiri, Josephine Wanjiku Nguyen, Cuong Tat Nguyen, Quyen Le Nguyen, Trang Huyen Nguyen, Grant Nguyen, Minh Nichols, Emma Ningrum, Dina Nur Anggraini Nong, Vuong Minh Noubiap, Jean Jacques N Ogbo, Felix Akpojene Oh, In-Hwan Okoro, Anselm Olagunju, Andrew Toyin Olsen, Helen E Olusanya, Bolajoko Olubukunola Olusanya, Jacob Olusegun Ong, Kanyin Opio, John Nelson Oren, Eyal Ortiz, Alberto Osman, Majdi Ota, Erika PA, Mahesh Pacella, Rosana E Pakhale, Smita Pana, Adrian Panda, Basant Kumar Panda-Jonas, Songhomitra Papachristou, Christina Park, Eun-Kee Patten, Scott B Patton, George C Paudel, Deepak Paulson, Katherine Pereira, David M Perez-Ruiz, Fernando Perico, Norberto Pervaiz, Aslam Petzold, Max Phillips, Michael Robert Pigott, David M Pinho, Christine Plass, Dietrich Pletcher, Martin A Polinder, Suzanne Postma, Maarten J Pourmalek, Farshad Purcell, Caroline Qorbani, Mostafa Quintanilla, Beatriz Paulina Ayala Radfar, Amir Rahimi-Movaghar, Vafa Rahman, Mohammad Hifz Ur Rahman, Mahfuzar Rai, Rajesh Kumar Ranabhat, Chhabi Lal Rankin, Zane Rao, Puja C Rath, Goura Kishor Rawaf, Salman Ray, Sarah E Rehm, Jürgen Reiner, Robert C Reitsma, Marissa B Remuzzi, Giuseppe Rezaei, Satar Rezai, Mohammad Sadegh Rokni, Mohammad Bagher Ronfani, Luca Roshandel, Gholamreza Roth, Gregory A Rothenbacher, Dietrich Ruhago, George Mugambage SA, Rizwan Saadat, Soheil Sachdev, Perminder S Sadat, Nafis Safdarian, Mahdi Safi, Sare Safiri, Saeid Sagar, Rajesh Sahathevan, Ramesh Salama, Joseph Salamati, Payman Salomon, Joshua A Samy, Abdallah M Sanabria, Juan Ramon Sanchez-Niño, Maria Dolores Santomauro, Damian Santos, Itamar S Santric Milicevic, Milena M Sartorius, Benn Satpathy, Maheswar Schmidt, Maria Inês Schneider, Ione J C Schulhofer-Wohl, Sam Schutte, Aletta E Schwebel, David C Schwendicke, Falk Sepanlou, Sadaf G Servan-Mori, Edson E Shackelford, Katya Anne Shahraz, Saeid Shaikh, Masood Ali Shamsipour, Mansour Shamsizadeh, Morteza Sharma, Jayendra Sharma, Rajesh She, Jun Sheikhbahaei, Sara Shey, Muki Shields, Chloe Shigematsu, Mika Shiri, Rahman Shirude, Shreya Shiue, Ivy Shoman, Haitham Shrime, Mark G Sigfusdottir, Inga Dora Silpakit, Naris Silva, João Pedro Singh, Jasvinder A Singh, Abhishek Skiadaresi, Eirini Sligar, Amber Smith, David L Smith, Alison Smith, Mari Sobaih, Badr H A Soneji, Samir Sorensen, Reed J D Soriano, Joan B Sreeramareddy, Chandrashekhar T Srinivasan, Vinay Stanaway, Jeffrey D Stathopoulou, Vasiliki Steel, Nicholas Stein, Dan J Steiner, Caitlyn Steinke, Sabine Stokes, Mark Andrew Strong, Mark Strub, Bryan Subart, Michelle Sufiyan, Muawiyyah Babale Sunguya, Bruno F Sur, Patrick J Swaminathan, Soumya Sykes, Bryan L Tabarés-Seisdedos, Rafael Tadakamadla, Santosh Kumar Takahashi, Ken Takala, Jukka S Talongwa, Roberto Tchio Tarawneh, Mohammed Rasoul Tavakkoli, Mohammad Taveira, Nuno Tegegne, Teketo Kassaw Tehrani-Banihashemi, Arash Temsah, Mohamad-Hani Terkawi, Abdullah Sulieman Thakur, J S Thamsuwan, Ornwipa Thankappan, Kavumpurathu Raman Thomas, Katie E Thompson, Alex H Thomson, Alan J Thrift, Amanda G Tobe-Gai, Ruoyan Topor-Madry, Roman Torre, Anna Tortajada, Miguel Towbin, Jeffrey Allen Tran, Bach Xuan Troeger, Christopher Truelsen, Thomas Tsoi, Derrick Tyrovolas, Stefanos Ukwaja, Kingsley N Undurraga, Eduardo A Updike, Rachel Uthman, Olalekan A Uzochukwu, Benjamin S Chudi van Boven, Job F M Vasankari, Tommi Venketasubramanian, Narayanaswamy Violante, Francesco S Vlassov, Vasiliy Victorovich Vollset, Stein Emil Vos, Theo Wakayo, Tolassa Wallin, Mitchell T Wang, Yuan-Pang Weiderpass, Elisabete Weintraub, Robert G Weiss, Daniel J Werdecker, Andrea Westerman, Ronny Whetter, Brian Whiteford, Harvey A Wijeratne, Tissa Wiysonge, Charles Shey Woldeyes, Belete Getahun Wolfe, Charles D A Woodbrook, Rachel Workicho, Abdulhalik Xavier, Denis Xiao, Qingyang Xu, Gelin Yaghoubi, Mohsen Yakob, Bereket Yano, Yuichiro Yaseri, Mehdi Yimam, Hassen Hamid Yonemoto, Naohiro Yoon, Seok-Jun Yotebieng, Marcel Younis, Mustafa Z Zaidi, Zoubida Zaki, Maysaa El Sayed Zegeye, Elias Asfaw Zenebe, Zerihun Menlkalew Zerfu, Taddese Alemu Zhang, Anthony Lin Zhang, Xueying Zipkin, Ben Zodpey, Sanjay Giref, Ababi Zergaw Rafay, Anwar Tuzcu, Emin Murat Ermakov, Sergey Petrovich Shi, Peilin Gupta, Parkash C Univ Arizona, Epidemiol & Biostat Dept Background Monitoring levels and trends in premature mortality is crucial to understanding how societies can address prominent sources of early death. The Global Burden of Disease 2016 Study (GBD 2016) provides a comprehensive assessment of cause-specific mortality for 264 causes in 195 locations from 1980 to 2016. This assessment includes evaluation of the expected epidemiological transition with changes in development and where local patterns deviate from these trends. Methods We estimated cause-specific deaths and years of life lost (YLLs) by age, sex, geography, and year. YLLs were calculated from the sum of each death multiplied by the standard life expectancy at each age. We used the GBD cause of death database composed of: vital registration (VR) data corrected for under-registration and garbage coding; national and subnational verbal autopsy (VA) studies corrected for garbage coding; and other sources including surveys and surveillance systems for specific causes such as maternal mortality. To facilitate assessment of quality, we reported on the fraction of deaths assigned to GBD Level 1 or Level 2 causes that cannot be underlying causes of death (major garbage codes) by location and year. Based on completeness, garbage coding, cause list detail, and time periods covered, we provided an overall data quality rating for each location with scores ranging from 0 stars (worst) to 5 stars (best). We used robust statistical methods including the Cause of Death Ensemble model (CODEm) to generate estimates for each location, year, age, and sex. We assessed observed and expected levels and trends of cause-specific deaths in relation to the Socio-demographic Index (SDI), a summary indicator derived from measures of average income per capita, educational attainment, and total fertility, with locations grouped into quintiles by SDI. Relative to GBD 2015, we expanded the GBD cause hierarchy by 18 causes of death for GBD 2016. Findings The quality of available data varied by location. Data quality in 25 countries rated in the highest category (5 stars), while 48, 30, 21, and 44 countries were rated at each of the succeeding data quality levels. Vital registration or verbal autopsy data were not available in 27 countries, resulting in the assignment of a zero value for data quality. Deaths from non-communicable diseases (NCDs) represented 72.3% (95% uncertainty interval [UI] 71.2-73.2) of deaths in 2016 with 19.3% (18.5-20.4) of deaths in that year occurring from communicable, maternal, neonatal, and nutritional (CMNN) diseases and a further 8.43% (8.00-8.67) from injuries. Although age-standardised rates of death from NCDs decreased globally between 2006 and 2016, total numbers of these deaths increased; both numbers and age-standardised rates of death from CMNN causes decreased in the decade 2006-16-age-standardised rates of deaths from injuries decreased but total numbers varied little. In 2016, the three leading global causes of death in children under-5 were lower respiratory infections, neonatal preterm birth complications, and neonatal encephalopathy due to birth asphyxia and trauma, combined resulting in 1.80 million deaths (95% UI 1.59 million to 1.89 million). Between 1990 and 2016, a profound shift toward deaths at older ages occurred with a 178% (95% UI 176-181) increase in deaths in ages 90-94 years and a 210% (208-212) increase in deaths older than age 95 years. The ten leading causes by rates of age-standardised YLL significantly decreased from 2006 to 2016 (median annualised rate of change was a decrease of 2.89%); the median annualised rate of change for all other causes was lower (a decrease of 1.59%) during the same interval. Globally, the five leading causes of total YLLs in 2016 were cardiovascular diseases; diarrhoea, lower respiratory infections, and other common infectious diseases; neoplasms; neonatal disorders; and HIV/AIDS and tuberculosis. At a finer level of disaggregation within cause groupings, the ten leading causes of total YLLs in 2016 were ischaemic heart disease, cerebrovascular disease, lower respiratory infections, diarrhoeal diseases, road injuries, malaria, neonatal preterm birth complications, HIV/AIDS, chronic obstructive pulmonary disease, and neonatal encephalopathy due to birth asphyxia and trauma. Ischaemic heart disease was the leading cause of total YLLs in 113 countries for men and 97 countries for women. Comparisons of observed levels of YLLs by countries, relative to the level of YLLs expected on the basis of SDI alone, highlighted distinct regional patterns including the greater than expected level of YLLs from malaria and from HIV/AIDS across sub-Saharan Africa; diabetes mellitus, especially in Oceania; interpersonal violence, notably within Latin America and the Caribbean; and cardiomyopathy and myocarditis, particularly in eastern and central Europe. The level of YLLs from ischaemic heart disease was less than expected in 117 of 195 locations. Other leading causes of YLLs for which YLLs were notably lower than expected included neonatal preterm birth complications in many locations in both south Asia and southeast Asia, and cerebrovascular disease in western Europe. Interpretation The past 37 years have featured declining rates of communicable, maternal, neonatal, and nutritional diseases across all quintiles of SDI, with faster than expected gains for many locations relative to their SDI. A global shift towards deaths at older ages suggests success in reducing many causes of early death. YLLs have increased globally for causes such as diabetes mellitus or some neoplasms, and in some locations for causes such as drug use disorders, and conflict and terrorism. Increasing levels of YLLs might reflect outcomes from conditions that required high levels of care but for which effective treatments remain elusive, potentially increasing costs to health systems. Copyright (C) The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. 2017-09 Article Global, regional, and national age-sex specific mortality for 264 causes of death, 1980–2016: a systematic analysis for the Global Burden of Disease Study 2016 2017, 390 (10100):1151 The Lancet 01406736 10.1016/S0140-6736(17)32152-9 http://hdl.handle.net/10150/625867 http://arizona.openrepository.com/arizona/handle/10150/625867 The Lancet en http://linkinghub.elsevier.com/retrieve/pii/S0140673617321529 http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)32152-9/fulltext © 2017 The Author(s). Published by Elsevier Ltd. Elsevier |