Burden of disease attributable to risk factors in European countries: a scoping literature review

• Autor(es): Gorasso, Vanessa ; Morgado, Joana Nazaré ; Charalampous, Periklis ; Pires, Sara M. ; Haagsma, Juanita A. ; Santos, João Vasco ; Idavain, Jane ; Ngwa, Che Henry ; Noguer, Isabel ; Padron-Monedero, Alicia ; Sarmiento, Rodrigo ; Pinheiro, Vera ; Von der Lippe, Elena ; Jakobsen, Lea Sletting ; Devleesschauwer, Brecht ; Plass, Dietrich ; Aasvang, Gunn Marit ; Ádám, Balázs ; Alkerwi, Ala’a ; Arabloo, Jalal ; Baltazar, Ana Lúcia ; Uysal, Hilal Bektas ; Bikbov, Boris ; Bolling, Anette Kocbach ; Borrell-Pages, Maria ; Carreras, Giulia ; Castelpietra, Giulio ; Chen-Xu, José ; Lagarija, Šeila Cilović ; Corso, Barbara ; Cuschieri, Sarah ; De Pauw, Robby ; Dhaouadi, Sonia ; Dokova, Klara ; Dopelt, Keren ; Economou, Mary ; Emeto, Theophilus I. ; Fantke, Peter ; Fischer, Florian ; Freitas, Alberto ; Galluzzo, Lucia ; García-González, Juan Manuel ; Gazzelloni, Federica ; Gissler, Mika ; Gkitakou, Artemis ; Gubes, Sezgin ; Canu, Irina Guseva ; Hincapié, Cesar A. ; Hynds, Paul ; Ilic, Irena ; Ilic, Milena ; Isola, Gaetano ; Kabir, Zubair ; Kolkhir, Pavel ; Konar, Naime Meriç ; Kretzschmar, Mirjam ; Kulimbet, Mukhtar ; La Vecchia, Carlo ; Ladeira, Carina ; Lassen, Brian ; Lauriola, Paolo ; Lehtomäki, Heli ; Levi, Miriam ; Majer, Marjeta ; McDonald, Scott A. ; Mechili, Enkeleint A. ; Misins, Janis ; Monasta, Lorenzo ; Laguna, Javier Muñoz ; Namorado, Sónia ; Nena, Evangelia ; Ng, Edmond S. W. ; Nguewa, Paul ; Niranjan, Vikram ; Nola, Iskra Alexandra ; Obradović, Marija ; O’Caoimh, Rónán ; Öztürk, Nazife ; Pastorinho, M. Ramiro ; Petrou, Panagiotis ; Peyroteo, Mariana ; Ortiz, Miguel Reina ; Riva, Silvia ; Rocha-Gomes, João ; Santoso, Cornelia Melinda Adi ; Schmitt, Tugce ; Shigdel, Rajesh ; Sigurvinsdottir, Rannveig ; Soriano, Joan B. ; Sousa, Ana Catarina ; Sprügel, Maximilian ; Steiropoulos, Paschalis ; Tozija, Fimka ; Unim, Brigid ; Vandeninden, Bram ; Varga, Orsolya ; Vasic, Milena ; Viegas, Susana ; Vieira, Rafael ; Violante, Francesco S. ; Wyper, Grant M. A. ; Yigit, Vahit ; Zaletel, Jelka
• Data: 2023
• Identificador Persistente: http://hdl.handle.net/10400.21/16291
• Origem: Repositório Científico do Instituto Politécnico de Lisboa
• Assunto(s): Burden of disease; Comparative risk assessment; Risk factors
• Tipo de Documento: Artigo científico
• Idioma: Inglês
• Contribuidor(es): RCIPL

Descrição

Objectives: Within the framework of the burden of disease (BoD) approach, disease, and injury burden estimates attributable to risk factors are a useful guide for policy formulation and priority setting in disease prevention. Considering the important differences in methods, and their impact on burden estimates, we conducted a scoping literature review to: (1) map the BoD assessments including risk factors performed across Europe, and (2) identify the methodological choices in comparative risk assessment (CRA) and risk assessment methods. Methods: We searched multiple literature databases, including grey literature websites, and targeted public health agencies' websites. Results: A total of 113 studies were included in the synthesis and further divided into independent BoD assessments (54 studies) and studies linked to the Global Burden of Disease (59 papers). Our results showed that the methods used to perform CRA varied substantially across independent European BoD studies. While there were some methodological choices that were more common than others, we did not observe patterns in terms of country, year, or risk factor. Each methodological choice can affect the comparability of estimates between and within countries and/or risk factors since they might significantly influence the quantification of the attributable burden. From our analysis, we observed that the use of CRA was less common for some types of risk factors and outcomes. These included environmental and occupational risk factors, which are more likely to use bottom-up approaches for health outcomes where disease envelopes may not be available. Conclusions: Our review also highlighted misreporting, the lack of uncertainty analysis, and the under-investigation of causal relationships in BoD studies. Development and use of guidelines for performing and reporting BoD studies will help understand differences, and avoid misinterpretations thus improving comparability among estimates.