The state of health in the European Union (EU-27) in 2019: a systematic analysis for the Global Burden of Disease study 2019
Por:
Santos J, Padron-Monedero A, Bikbov B, Grad D, Plass D, Mechili E, Gazzelloni F, Fischer F, Sulo G, Ngwa C, Noguer-Zambrano I, Peñalvo J, Haagsma J, Kissimova-Skarbek K, Monasta L, Ghith N, Sarmiento-Suárez R, Hrzic R, Haneef R, O'Caoimh R, Cuschieri S, Mondello S, Kabir Z, Abbafati C, Abolhassani H, Adekanmbi V, Ahmadi K, Ahmadi S, Al-Jumaily A, Alla F, Alonso J, Ancuceanu R, Andrei C, Andrei T, Androudi S, Antó J, Appiah S, Aremu O, Armocida B, Ärnlöv J, Arumugam A, Attia S, Aujayeb A, Ausloos M, Ayuso-Mateos J, Banach M, Bärnighausen T, Barone-Adesi F, Barteit S, Basu S, Baune B, Beghi M, Belo L, Bennett D, Biondi A, Bohluli M, do Nascimento I, Bragazzi N, Braithwaite T, Brenner H, Buonsenso D, Busse R, Calina D, Carreras G, Carvalho M, Castelpietra G, Catapano A, Cattaruzza M, Chandan J, Charalampous P, Chattu V, Chen S, Chowdhury R, Christensen H, Chung S, Conde J, Corso B, Cruz-Martins N, Damiani G, de la Torre-luque A, Demetriades A, Dervenis N, Dianatinasab M, da Silva D, Douiri A, Edvardsson D, Bain L, Esposito F, Fagbamigbe A, Farinha C, Fereshtehnejad S, Fernandes J, Ferrara P, Gaal P, Gallus S, Galluzzo L, Fonseca M, Gazzard G, Gialluisi A, Giampaoli S, Gill P, Glasbey J, Gorini G, Grivna M, Hafiz A, Haro J, Hartvigsen J, Hay S, Heibati B, Hillus D, Hosseinzadeh M, Hostiuc M, Hostiuc S, Hussain S, Isola G, Johnson O, Jonas J, Joo T, Jozwiak J, Jürisson M, Karanikolos M, Kauppila J, Khan M, Khatab K, Klugar M, Koyanagi A, Kurmi O, Kusuma D, La Vecchia C, Lacey B, Lamnisos D, Larson H, Larsson A, Lasrado S, Lauriola P, Lazarus J, Ledda C, Lee P, Leinsalu M, Leonardi M, Levi M, Li A, Linehan C, Logroscino G, Lorkowski S, Loureiro J, Lyons R, Madureira-Carvalho A, Majeed A, Mathioudakis A, McAlinden C, McGrath J, Menezes R, Mentis A, Meretoja A, Meretoja T, Mestrovic T, Jonasson J, Miazgowski B, Miazgowski T, Mirica A, Mohammed S, Mokdad A, Mons U, Morgado-da-Costa J, Mulita F, Murray C, Negoi I, Negoi R, Negru S, Nena E, Noor N, Ntaios G, Oancea B, Osei F, Otoiu A, Palladino R, Panda-Jonas S, Pardhan S, Patel J, Paun M, Pedersini P, Pensato U, Pereira R, Pérez-Gómez J, Perico N, Petcu I, Peterson C, Pinheiro M, Postma M, Raggi A, Rahmani A, Rao C, Rawaf S, Rawassizadeh R, Remuzzi G, Riad A, Sacco S, Saeb M, Sathian B, Sattin D, Scarmeas N, Schwendicke F, Shiri R, Shivarov V, Sibhatu K, Simonetti B, Skou S, Soriano J, Soyiri I, Steel N, Stefan S, Steinbeis F, Steiropoulos P, Stockfelt L, Stranges S, Sundström J, Tabarés-Seisdedos R, Thiyagarajan A, Topor-Madry R, Tovani-Palone M, Tsilimparis N, Unim B, Vacante M, van den Eynde J, Vasankari T, Veroux M, Villafañe J, Violante F, Wang Y, Westerman R, Wolfe C, Wyper G, Yaya S, Zadnik V, Zeitoun J, Zumla A, Freitas A, Devleesschauwer B
Publicada:
22 may 2024
Resumen:
Background The European Union (EU) faces many health-related challenges. Burden of diseases information and the resulting trends over time are essential for health planning. This paper reports estimates of disease burden in the EU and individual 27 EU countries in 2019, and compares them with those in 2010.Methods We used the Global Burden of Disease 2019 study estimates and 95% uncertainty intervals for the whole EU and each country to evaluate age-standardised death, years of life lost (YLLs), years lived with disability (YLDs) and disability-adjusted life years (DALYs) rates for Level 2 causes, as well as life expectancy and healthy life expectancy (HALE).Results In 2019, the age-standardised death and DALY rates in the EU were 465.8 deaths and 20,251.0 DALYs per 100,000 inhabitants, respectively. Between 2010 and 2019, there were significant decreases in age-standardised death and YLL rates across EU countries. However, YLD rates remained mainly unchanged. The largest decreases in age-standardised DALY rates were observed for "HIV/AIDS and sexually transmitted diseases" and "transport injuries" (each -19%). "Diabetes and kidney diseases" showed a significant increase for age-standardised DALY rates across the EU (3.5%). In addition, "mental disorders" showed an increasing age-standardised YLL rate (14.5%).Conclusions There was a clear trend towards improvement in the overall health status of the EU but with differences between countries. EU health policymakers need to address the burden of diseases, paying specific attention to causes such as mental disorders. There are many opportunities for mutual learning among otherwise similar countries with different patterns of disease.
center dot This article, systematically analysing GBD 2019 study estimates, presents an overview of the state of health in the European Union in 2019, compared to 2010.center dot There was an improvement in the overall health status of the EU, despite substantial differences between Member States.center dot Cardiovascular diseases and neoplasms are the major contributors to the overall burden of diseases in the EU in 2019.center dot The age-standardised rate of years lived with disability due to mental disorders has been increasing and is expected to increase even more because of the COVID-19 pandemic.center dot This report provides a framework upon which to base further region- and country-specific health policies and interventions, to support health planning and priority setting.
Filiaciones:
Santos J:
Univ Porto, CINTESIS RISE, MEDCIDS, Fac Med, Porto, Portugal
ULS Santo Antonio, Publ Hlth Unit, Porto, Portugal
Padron-Monedero A:
Inst Hlth Carlos III, Natl Sch Publ Hlth, Madrid, Spain
Bikbov B:
Sci Tools Org, Bergamo, Italy
Grad D:
RoNeuro Inst Neurol Res & Diagnost, Res Dept, Cluj Napoca, Romania
Univ Babes Bolyai, Dept Publ Hlth, Cluj Napoca, Romania
Plass D:
German Environm Agcy, Dept Exposure Assessment & Environm Hlth Indicato, Dessau Rosslau, Germany
Mechili E:
Univ Vlora, Dept Healthcare, Vlora, Albania
Univ Crete, Clin Social & Family Med, Iraklion, Greece
Fischer F:
Ravensburg Weingarten Univ Appl Sci, Inst Gerontol Hlth Serv & Nursing Res, Weingarten, Germany
Sulo G:
Norwegian Inst Publ Hlth, Dept Dis Burden, Bergen, Norway
Ngwa C:
Amer Univ Beirut, Dept Epidemiol & Populat Hlth, Fac Hlth Sci, Beirut, Lebanon
Noguer-Zambrano I:
Inst Hlth Carlos III, Natl Sch Publ Hlth, Madrid, Spain
Peñalvo J:
Inst Salud Carlos III, Natl Ctr Epidemiol, Madrid, Spain
Tufts Univ, Gerald J & Dorothy R Friedman Sch Nutr Sci & Poli, Boston, MA USA
Haagsma J:
Erasmus MC, Dept Publ Hlth, Rotterdam, Netherlands
Kissimova-Skarbek K:
Jagiellonian Univ Med Coll, Dept Hlth Econ & Social Secur, Krakow, Poland
Monasta L:
Burlo Garofolo Inst Maternal & Child Hlth, Clin Epidemiol & Publ Hlth Res Unit, Trieste, Italy
Ghith N:
Danish Canc Inst, Res Grp Childhood Canc, Danish Canc Soc, Copenhagen, Denmark
Sarmiento-Suárez R:
Inst Hlth Carlos III, Natl Sch Publ Hlth, Madrid, Spain
Univ Appl & Environm Sci, Dept Hlth & Soc, Fac Med, Bogota, Colombia
Hrzic R:
Maastricht Univ, Dept Int Hlth, Maastricht, Netherlands
Haneef R:
Sante Publ France Publ Hlth France, Dept Noncommunicable Dis & Injuries, St Maurice, France
O'Caoimh R:
Univ Coll Cork, Dept Med, Cork, Ireland
Mercy Univ Hosp, Dept Geriatr Med, Cork, Ireland
Cuschieri S:
Univ Malta, Dept Anat, Msida, Malta
Mondello S:
Univ Messina, Dept Biomed & Dent Sci & Morphofunct Imaging, Messina, Italy
Kabir Z:
Univ Coll Cork, Sch Publ Hlth, Cork, Ireland
Abbafati C:
Sapienza Univ, Dept Jurid & Econ Studies, Rome, Italy
Abolhassani H:
Univ Tehran Med Sci, Res Ctr Immunodeficiencies, Tehran, Iran
Karolinska Univ Hosp, Dept Biosci & Nutr, Huddinge, Sweden
Adekanmbi V:
Univ Texas, Dept Obstet & Gynecol, Galveston, TX USA
Ahmadi K:
Imperial Coll London, Sch Publ Hlth, London, England
Ahmadi S:
Shahid Beheshti Univ Med Sci, Sch Adv Technol Med, Tehran, Iran
Al-Jumaily A:
Charles Sturt Univ, Sch Comp Math & Engn, Wagga Wagga, NSW, Australia
ENSTA Bretagne, Informat & Commun Sci & Technol Pole, Math Algorithms & Decis Team, Brest, France
Alla F:
Univ Bordeaux, Bordeaux Sch Publ Hlth, Bordeaux, France
Alonso J:
Univ Pompeu Fabra, Res Program Epidemiol & Publ Hlth, Barcelona, Spain
Biomed Res Networking Ctr Epidemiol & Publ Hlth C, Dept Expt & Hlth Sci, Madrid, Spain
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Carol Davila Univ Med & Pharm, Fac Pharm, Bucharest, Romania
Andrei C:
Carol Davila Univ Med & Pharm, Dept Cardiol, Bucharest, Romania
Andrei T:
Bucharest Univ Econ Studies, Dept Stat & Econometr, Bucharest, Romania
Androudi S:
Univ Thessaly, Dept Med, Volos, Greece
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Barcelona Inst Global Hlth, NonCommunicable Dis & Environm Programme, Barcelona, Spain
Univ Pompeu Fabra, Dept Expt & Hlth Sci, Barcelona, Spain
Appiah S:
Kwame Nkrumah Univ Sci & Technol, Dept Sociol & Social Work, Kumasi, Ghana
Ludwig Maximilians Univ Munchen, Ctr Int Hlth, Munich, Germany
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Birmingham City Univ, Dept Publ Hlth, Birmingham, W Midlands, England
Armocida B:
Natl Inst Hlth, Dept Cardiovasc Endocrine Metab Dis & Aging, Rome, Italy
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Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Dalarna Univ, Sch Hlth & Social Studies, Falun, Sweden
Arumugam A:
Univ Sharjah, Dept Physiotherapy, Sharjah, U Arab Emirates
Umea Univ, Dept Community Med & Rehabil, Umea, Sweden
Attia S:
Justus Liebig Univ Giessen, Oral & Maxillofacial Surg, Giessen, Germany
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Northumbria HealthCare NHS Fdn Trust, Natl Hlth Serv NHS Scotland, Newcastle Upon Tyne, Tyne & Wear, England
Ausloos M:
Bucharest Univ Econ Studies, Dept Stat & Econometr, Bucharest, Romania
Univ Leicester, Sch Business, Leicester, Leics, England
Ayuso-Mateos J:
Autonomous Univ Madrid, Dept Psychiat, Madrid, Spain
Inst Hlth Carlos III, CIBERSAM, Madrid, Spain
Banach M:
Med Univ Lodz, Dept Hypertens, Lodz, Poland
Polish Mothers Mem Hosp Res Inst, Lodz, Poland
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Heidelberg Univ, Heidelberg Inst Global Hlth HIGH, Heidelberg, Germany
Harvard Univ, TH Chan Sch Publ Hlth, Boston, MA USA
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Univ Piemonte Orientale, Dept Translat Med, Novara, Italy
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Univ Heidelberg Hosp, Heidelberg Inst Global Hlth HIGH, Heidelberg, Germany
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Imperial Coll London, Sch Publ Hlth, London, England
Harvard Univ, Ctr Primary Care, Boston, MA USA
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Univ Munster, Dept Psychiat, Munster, Germany
Melbourne Med Sch, Dept Psychiat, Melbourne, Vic, Australia
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AUSL Romagna, Dept Mental Hlth, Ravenna, Italy
Belo L:
Univ Porto, Dept Biol Sci, Porto, Portugal
Univ Porto, Res Unit Appl Mol Biosci UCIBIO, Porto, Portugal
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Univ Oxford, Nuffield Dept Populat Hlth, Oxford, England
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Univ Catania, Dept Gen Surg & Med Surg Specialties, Catania, Italy
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Inst Adv Studies Basic Sci, Dept Comp Sci & Informat Technol, Zanjan, Iran
Petanux Res GmBH, Dept Res & Innovat, Bonn, Germany
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Univ Fed Minas Gerais, Sch Med & Univ Hosp, Belo Horizonte, MG, Brazil
World Hlth Org WHO, Div Country Hlth Policies & Syst, Copenhagen, Denmark
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Univ Genoa, Genoa, Italy
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Moorfields Eye Hosp NHS Fdn Trust, Dept Ophthalmol, London, England
London Sch Hyg & Trop Med, Int Ctr Eye Hlth, London, England
Brenner H:
German Canc Res Ctr, Div Clin Epidemiol & Aging Res, Heidelberg, Germany
Buonsenso D:
Agostino Gemelli Univ Polyclin IRCCS Fdn Policlin, Dept Woman & Child Hlth & Publ Hlth, Rome, Italy
Univ Cattol Sacro Cuore, Global Hlth Res Inst, Rome, Italy
Busse R:
Tech Univ Berlin, Dept Hlth Care Management, Berlin, Germany
Calina D:
Univ Med & Pharm Craiova, Clin Pharm, Craiova, Romania
Carreras G:
Inst Canc Res Prevent & Clin Network, Florence, Italy
Carvalho M:
Univ Porto, Res Unit Appl Mol Biosci UCIBIO, Porto, Portugal
Univ Fernando Pessoa, Fac Hlth Sci, Porto, Portugal
Castelpietra G:
Univ Udine, Dept Med, Udine, Italy
Healthcare Agcy Friuli Occidentale, Dept Mental Hlth, Pordenone, Italy
Catapano A:
Univ Milan, Dept Pharmacol & Biomol Sci, Milan, Italy
IRCCS, MultiMedica, Sesto San Giovanni, Italy
Cattaruzza M:
Univ Roma La Sapienza, Dept Publ Hlth & Infect Dis, Rome, Italy
Chandan J:
Univ Birmingham, Inst Appl Hlth Res, Birmingham, W Midlands, England
Charalampous P:
Erasmus MC, Dept Publ Hlth, Rotterdam, Netherlands
Chattu V:
Univ W Indies, Fac Med Sci, St Augustine, Trinidad Tobago
Independent Consultant, Athens, Greece
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Heidelberg Univ, Heidelberg Inst Global Hlth HIGH, Heidelberg, Germany
Chowdhury R:
Florida Int Univ, Miami, FL USA
Univ Bern, Dept Epidemiol, Bern, Switzerland
Christensen H:
Univ Copenhagen, Bispebjerg Hosp, Copenhagen, Denmark
Chung S:
UCL, Dept Hlth Informat, London, England
Hlth Data Res UK, London, England
Conde J:
Nova Univ Lisbon, Nova Med Sch, Lisbon, Portugal
Corso B:
CNR, Inst Neurosci, Pisa, Italy
Cruz-Martins N:
Polytech & Univ Higher Educ Cooperat, Therapeut & Diagnost Technol, Gandra, Portugal
Univ Porto, Inst Res & Innovat Hlth, Porto, Portugal
Damiani G:
Univ Milan, IRCCS Ist Ortoped Galeazzi, Milan, Italy
Case Western Reserve Univ, Dept Dermatol, Cleveland, OH USA
de la Torre-luque A:
Univ Complutense Madrid, Dept Legal Med Psychiat & Pathol, Madrid, Spain
Demetriades A:
Univ Edinburgh, Dept Neurosurg, Edinburgh, Midlothian, Scotland
Natl Hlth Serv NHS Scotland, Dept Neurosurg, Edinburgh, Midlothian, Scotland
Dervenis N:
Royal Liverpool Univ Hosp, St Pauls Eye Unit, Liverpool, Merseyside, England
Aristotle Univ Thessaloniki, Dept Ophthalmol, Thessaloniki, Greece
Dianatinasab M:
Maastricht Univ, Dept Epidemiol, Maastricht, Netherlands
Shiraz Univ Med Sci, Dept Epidemiol, Shiraz, Iran
da Silva D:
Univ Porto, Res Unit Appl Mol Biosci UCIBIO, Porto, Portugal
Univ Polytech Higher Educ Cooperat, Toxicol Res Unit TOXRUN, Gandra, Portugal
Douiri A:
Kings Coll London, Sch Populat Hlth & Environm Sci, London, England
Edvardsson D:
La Trobe Univ, Sch Nursing & Midwifery, Melbourne, Vic, Australia
Umea Univ, Dept Nursing, Umea, Sweden
Bain L:
Univ Lincoln, Lincoln Int Inst Rural Hlth, Lincoln, England
Esposito F:
Univ Bologna, Dept Biomed & Neuromotor Sci, Bologna, Italy
Fagbamigbe A:
Univ Ibadan, Dept Epidemiol & Med Stat, Ibadan, Nigeria
Univ Aberdeen, Inst Appl Hlth Sci, Aberdeen, Scotland
Farinha C:
Natl Inst Stat, Disseminat Div, Lisbon, Portugal
Directorate Gen Hlth DGS, Act Planning & Control Unit, Lisbon, Portugal
Fereshtehnejad S:
Karolinska Inst, Dept Neurobiol Care Sci & Soc, Stockholm, Sweden
Univ Ottawa, Div Neurol, Ottawa, ON, Canada
Fernandes J:
Catholic Univ Portugal, Ctr Biotechnol & Fine Chem, Porto, Portugal
Ferrara P:
Univ Milano Bicocca, Res Ctr Publ Hlth, Monza, Italy
Gaal P:
Semmelweis Univ, Hlth Serv Management Training Ctr, Budapest, Hungary
Sapientia Hungarian Univ Transylvania, Dept Appl Social Sci, Targu Mures, Romania
Gallus S:
Mario Negri Inst Pharmacol Res, Dept Environm Hlth Sci, Milan, Italy
Galluzzo L:
Natl Inst Hlth, Dept Cardiovasc Endocrine Metab Dis & Aging, Rome, Italy
Fonseca M:
Natl Hlth Serv, London, England
Gazzard G:
UCL, Inst Ophthalmol, London, England
Moorfields Eye Hosp NHS Fdn Trust, London, England
Gialluisi A:
IRCCS Neuromed, Dept Epidemiol & Prevent, Pozzilli, Italy
Giampaoli S:
Ist Super Sanita, Dept Cardiovasc Endocrine Metabol Dis & Aging, Rome, Italy
Gill P:
Univ Warwick, Warwick Med Sch, Coventry, W Midlands, England
Glasbey J:
Univ Birmingham, NIHR Global Hlth Res Unit Global Surg, Birmingham, W Midlands, England
Gorini G:
Inst Canc Res, Prevent & Res Inst, Prevent & Clin Network, Oncol Network, Florence, Italy
Grivna M:
United Arab Emirates Univ, Coll Med & Hlth Sci, Al Ain, U Arab Emirates
Charles Univ Prague, Dept Publ Hlth & Prevent Med, Prague, Czech Republic
Hafiz A:
Umm Al Qura Univ, Coll Med, Mecca, Saudi Arabia
London Sch Hyg & Trop Med, MSc Epidemiol Programme, London, England
Haro J:
Univ Barcelona, Res Unit, Barcelona, Spain
Biomed Res Networking Ctr Mental Hlth Network CIB, Barcelona, Spain
Hartvigsen J:
Univ Southern Denmark, Dept Sports Sci & Clin Biomech, Odense, Denmark
Nord Inst Chiropract & Clin Biomech, Res Dept, Odense, Denmark
Hay S:
Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA USA
Univ Washington, Sch Med, Dept Hlth Metr Sci, Seattle, WA USA
Heibati B:
Univ Oulu, Res Unit Populat Hlth, Oulu, Finland
Hillus D:
Charite Med Univ Berlin, Dept Infect Dis & Resp Med, Berlin, Germany
Hosseinzadeh M:
Duy Tan Univ, Inst Res & Dev, Da Nang, Vietnam
Univ Human Dev, Dept Comp Sci, Sulaymaniyah, Iraq
Hostiuc M:
Carol Davila Univ Med & Pharm, Dept Internal Med, Bucharest, Romania
Hostiuc S:
Carol Davila Univ Med & Pharm, Dept Legal Med & Bioeth, Bucharest, Romania
Natl Inst Legal Med Mina Minovici, Clin Legal Med Dept, Bucharest, Romania
Hussain S:
Masaryk Univ, Czech Natl Ctr Evidence Based Healthcare & Knowle, Brno, Czech Republic
Masaryk Univ, Inst Biostat & Analyses, Brno, Czech Republic
Isola G:
Univ Catania, Dept Gen Surg & Surg Med Specialties, Catania, Italy
Johnson O:
Univ Manchester, Dept Math, Manchester, Lancs, England
Jonas J:
Inst Mol & Clin Ophthalmol Basel, Basel, Switzerland
Heidelberg Univ, Dept Ophthalmol, Mannheim, Germany
Joo T:
Semmelweis Univ, Hlth Serv Management Training Ctr, Budapest, Hungary
Hungarian Hlth Management Assoc, Budapest, Hungary
Jozwiak J:
Univ Opole, Dept Family Med & Publ Hlth, Opole, Poland
Jürisson M:
Univ Tartu, Inst Family Med & Publ Hlth, Tartu, Estonia
Karanikolos M:
London Sch Hyg & Trop Med, European Observ Hlth Syst & Policies, London, England
London Sch Hyg & Trop Med, Dept Hlth Serv Res & Policy, London, England
Kauppila J:
Univ Oulu, Surg Res Unit, Oulu, Finland
Karolinska Inst, Dept Mol Med & Surg, Stockholm, Sweden
Khan M:
United Arab Emirates Univ, Dept Family Med, Al Ain, U Arab Emirates
NHS North West London, Primary Care Dept, London, England
Khatab K:
Sheffield Hallam Univ, Fac Hlth & Wellbeing, Sheffield, S Yorkshire, England
Ohio Univ, Coll Arts & Sci, Zanesville, OH USA
Klugar M:
Masaryk Univ, Czech Natl Ctr Evidence Based Healthcare & Knowle, Brno, Czech Republic
Inst Hlth Informat & Stat Czech Republ, Prague, Czech Republic
Koyanagi A:
Biomed Res Networking Ctr Mental Hlth Network CIB, San Juan de Dios Sanit Pk, St Boi De Llobregat, Spain
Catalan Inst Res & Adv Studies ICREA, Barcelona, Spain
Kurmi O:
Coventry Univ, Fac Hlth & Life Sci, Coventry, W Midlands, England
McMaster Univ, Dept Med, Hamilton, ON, Canada
Kusuma D:
City Univ London, Dept Hlth Serv Res & Management, London, England
Univ Indonesia, Fac Publ Hlth, Depok, Indonesia
La Vecchia C:
Univ Milan, Dept Clin Sci & Community Hlth, Milan, Italy
Lacey B:
Univ Oxford, Nuffield Dept Populat Hlth, Oxford, England
Natl Inst Hlth Res NIHR Oxford Biomed Res Ctr, Oxford, England
Lamnisos D:
European Univ Cyprus, Dept Hlth Sci, Nicosia, Cyprus
Larson H:
Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA USA
London Sch Hyg & Trop Med, Dept Infect Dis Epidemiol, London, England
Larsson A:
Uppsala Univ, Dept Med Sci, Uppsala, Sweden
Univ Uppsala Hosp, Dept Clin Chem & Pharmacol, Uppsala, Sweden
Lasrado S:
Father Muller Med Coll, Dept Otorhinolaryngol, Mangalore, India
Lauriola P:
Int Soc Dr Environm, Arezzo, Italy
Lazarus J:
Barcelona Inst Global Hlth, Barcelona, Spain
Ledda C:
Univ Catania, Clin & Expt Med, Catania, Italy
Lee P:
Univ Leicester, Dept Hlth Sci, Leicester, Leics, England
Leinsalu M:
Sodertorn Univ, Sch Social Sci, Huddinge, Sweden
Natl Inst Hlth Dev, Dept Epidemiol & Biostat, Tallinn, Estonia
Leonardi M:
Ist Nazl Neurol Carlo Besta, UO Neurol Salute Pubbl & Disabil, Fdn IRCCS Ist Neurol Carlo Besta, Neurol Publ Hlth & Disabil Unit, Milan, Italy
Levi M:
USL Tuscany Ctr, Dept Prevent, Florence, Italy
Univ Florence, Dept Hlth Sci, Florence, Italy
Li A:
Univ Groningen, Ctr Dent & Oral Hyg, Groningen, Netherlands
Southern Med Univ, Stomatol Hosp, Guangzhou, Peoples R China
Linehan C:
Univ Coll Dublin, UCD Ctr Disabil Studies, Dublin, Ireland
Logroscino G:
Univ Bari Aldo Moro, Dept Basic Med Sci Neurosci & Sense Organs, Bari, Italy
Fdn Cardinale Giovanni Panico Hosp, Dept Clin Res Neurol, Tricase, Italy
Lorkowski S:
Friedrich Schiller Univ Jena, Inst Nutr Sci, Jena, Germany
Competence Cluster Nutr & Cardiovasc Hlth nutriCA, Jena, Germany
Loureiro J:
Univ Porto, Lab Proc Engn Environm Biotechnol & Energy LEPABE, Porto, Portugal
Polytech Inst Porto, Sch Hlth, Porto, Portugal
Lyons R:
Swansea Univ, Sch Med, Swansea, W Glam, Wales
Madureira-Carvalho A:
Univ Polytech Higher Educ Cooperat, Toxicol Res Unit TOXRUN, Gandra, Portugal
Univ Porto, Lab Farmacognosia LAQV Associated Lab Green Chem, Porto, Portugal
Majeed A:
Imperial Coll London, Dept Primary Care & Publ Hlth, London, England
Mathioudakis A:
Univ Manchester, Div Infect Immun & Resp Med, Manchester, Lancs, England
Manchester Univ NHS Fdn Trust, North West Lung Ctr, Manchester, Lancs, England
McAlinden C:
Singleton Hosp, Dept Ophthalmol, Swansea, W Glam, Wales
McGrath J:
Univ Queensland, Queensland Brain Inst, Brisbane, Qld, Australia
Aarhus Univ, Natl Ctr Register Based Res, Aarhus, Denmark
Menezes R:
Imam Abdulrahman Bin Faisal Univ, Forens Med Div, Dammam, Saudi Arabia
Mentis A:
BGI Genom, Int Dx Dept, Copenhagen, Denmark
Meretoja A:
Helsinki Univ Hosp, Neurol Unit, Helsinki, Finland
Univ Melbourne, Sch Hlth Sci, Melbourne, Vic, Australia
Meretoja T:
Helsinki Univ Hosp, Breast Surg Unit, Helsinki, Finland
Univ Helsinki, Helsinki, Finland
Mestrovic T:
Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA USA
Univ Ctr Varazdin, Univ North, Varazhdin, Croatia
Jonasson J:
Univ Gothenburg, Sch Publ Hlth & Community Med, Gothenburg, Sweden
Miazgowski B:
Pomeranian Med Univ, Ctr Innovat Med Educ, Szczecin, Poland
Pomeranian Med Univ, Szczecin, Poland
Miazgowski T:
Pomeranian Med Univ, Dept Propedeut Internal Dis & Arterial Hypertens, Szczecin, Poland
Mirica A:
Bucharest Univ Econ Studies, Dept Stat & Econometr, Bucharest, Romania
Mohammed S:
Tech Univ Berlin, Dept Hlth Care Management, Berlin, Germany
Ahmadu Bello Univ, Hlth Syst & Policy Res Unit, Zaria, Nigeria
Mokdad A:
Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA USA
Univ Washington, Sch Med, Dept Hlth Metr Sci, Seattle, WA USA
Mons U:
Univ Cologne, Fac Med, Cologne, Germany
Univ Cologne, Univ Hosp Cologne, Cologne, Germany
Morgado-da-Costa J:
Univ Porto, Ctr Hosp Univ Porto, Porto, Portugal
Mulita F:
Gen Univ Hosp Patras, Dept Surg, Patras, Greece
Univ Thessaly, Sch Med, Larisa, Greece
Murray C:
Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA USA
Univ Washington, Sch Med, Dept Hlth Metr Sci, Seattle, WA USA
Negoi I:
Carol Davila Univ Med & Pharm, Dept Gen Surg, Bucharest, Romania
Emergency Hosp Bucharest, Dept Gen Surg, Bucharest, Romania
Negoi R:
Carol Davila Univ Med & Pharm, Dept Anat & Embryol, Bucharest, Romania
Cardio Aid, Dept Cardiol, Bucharest, Romania
Negru S:
Victor Babes Univ Med & Pharm, Dept Oncol, Timisoara, Romania
Nena E:
Democritus Univ Thrace, Dept Med, Alexandroupolis, Greece
Noor N:
UCL, Med Res Council Clin Trials Unit, London, England
Cambridge Univ Hosp, Dept Gastroenterol, Cambridge, England
Ntaios G:
Univ Thessaly, Dept Internal Med, Larisa, Greece
Oancea B:
Univ Bucharest, Dept Appl Econ & Quantitat Anal, Bucharest, Romania
Osei F:
Univ Twente, Fac Geoinformat Sci & Earth Observat, Enschede, Netherlands
Univ Energy & Nat Resources, Dept Math & Stat, Sunyani, Ghana
Otoiu A:
Carol Davila Univ Med & Pharm, Dept Cardiol, Bucharest, Romania
Palladino R:
Imperial Coll London, Dept Primary Care & Publ Hlth, London, England
Univ Naples Federico II, Dept Publ Hlth, Naples, Italy
Pardhan S:
Anglia Ruskin Univ, Vis & Eye Res Inst, Cambridge, England
Patel J:
Univ Edinburgh, Global Hlth Governance Programme, Edinburgh, Midlothian, Scotland
Univ Leeds, Sch Dent, Leeds, W Yorkshire, England
Paun M:
Natl Inst Res & Dev Biol Sci, Dept Bioinformat & Biostat, Bucharest, Romania
Univ Bucharest, Dept Stat & Cybernet, Bucharest, Romania
Pedersini P:
IRCCS Fdn Don Carlo Gnocchi, Clin Res Dept, Milan, Italy
Pensato U:
IRCCS Humanitas Res Hosp, Dept Neurol, Milan, Italy
Pereira R:
Univ Porto, Dept Chem, Porto, Portugal
Pérez-Gómez J:
Univ Extremadura, Dept Didact Expres Mus Plast & Corportal, Caceres, Spain
Perico N:
Mario Negri Inst Pharmacol Res, Bergamo, Italy
Petcu I:
Bucharest Univ Econ Studies, Dept Stat & Econometr, Bucharest, Romania
Pinheiro M:
Univ Porto, Dept Chem, Porto, Portugal
Postma M:
Univ Groningen, Univ Med Ctr Groningen, Groningen, Netherlands
Padjadjaran State Univ, Ctr Excellence Higher Educ Pharmaceut Care Innova, Bandung, Indonesia
Raggi A:
Ist Nazl Neurol Carlo Besta, UO Neurol Salute Pubbl & Disabil, Fdn IRCCS Ist Neurol Carlo Besta, Neurol Publ Hlth & Disabil Unit, Milan, Italy
Rahmani A:
Natl Yunlin Univ Sci & Technol, Future Technol Res Ctr, Yunlin, Taiwan
Rao C:
Manipal Acad Higher Educ, Dept Community Med, Manipal, India
Rawaf S:
Imperial Coll London, Dept Primary Care & Publ Hlth, London, England
Publ Hlth England, Acad Publ Hlth England, London, England
Rawassizadeh R:
Boston Univ, Dept Comp Sci, Boston, MA USA
Remuzzi G:
Mario Negri Inst Pharmacol Res, Bergamo, Italy
Riad A:
Masaryk Univ, Czech Natl Ctr Evidence Based Healthcare & Knowle, Brno, Czech Republic
Masaryk Univ, Dept Publ Hlth, Brno, Czech Republic
Sacco S:
Univ Aquila, Dept Neurol, Laquila, Italy
Saeb M:
Dept Polymer Technol, Gdansk, Poland
Sathian B:
Hamad Med Corp, Geriatr & Long Term Care Dept, Doha, Qatar
Bournemouth Univ, Fac Hlth & Social Sci, Bournemouth, Dorset, England
Sattin D:
IRCCS Ist Clin Sci Maugeri, Milan, Italy
Scarmeas N:
Natl & Kapodistrian Univ Athens, Dept Neurol, Athens, Greece
Columbia Univ, Dept Neurol, New York, NY USA
Schwendicke F:
Charite Univ Med Ctr Berlin, Oral Diag Digital Hlth & Hlth Serv Res, Berlin, Germany
Shiri R:
Finnish Inst Occupat Hlth, Helsinki, Finland
Shivarov V:
Sofiamed Univ Hosp, Clin Immunol & Hematol, Sofia, Bulgaria
Sofia Univ St Kliment Ohridiski, Dept Genet, Sofia, Bulgaria
Sibhatu K:
Univ Gottingen, Dept Agr Econ & Rural Dev, Gottingen, Germany
Simonetti B:
Univ Sannio, Dept Law Econ Management & Quantitat Methods, Benevento, Italy
WSB Univ Gdansk, Gdansk, Poland
Skou S:
Univ Southern Denmark, Dept Sports Sci & Clin Biomech, Odense, Denmark
Naestved Slagelse Ringsted Hosp, Dept Physiotherapy & Occupat Therapy, Slagelse, Denmark
Soriano J:
Autonomous Univ Madrid, Princess Univ Hosp, Madrid, Spain
Ctr Invest Biomed Red Enfermedades Resp CIBERES, Ctr Biomed Res Resp Dis Network, Madrid, Spain
Soyiri I:
Univ Hull, Hull York Med Sch, Kingston Upon Hull, N Humberside, England
Steel N:
Univ East Anglia, Dept Primary Care & Publ Hlth, Norwich, Norfolk, England
Publ Hlth England, London, England
Stefan S:
Bucharest Univ Econ Studies, Dept Management, Bucharest, Romania
Steinbeis F:
Charite Med Univ Berlin, Dept Infect Dis & Resp Med, Berlin, Germany
Steiropoulos P:
Democritus Univ Thrace, Dept Med, Alexandroupolis, Greece
Stockfelt L:
Univ Gothenburg, Occupat & Environm Med Dept, Gothenburg, Sweden
Stranges S:
Univ Western Ontario, Dept Epidemiol & Biostat, London, ON, Canada
Luxembourg Inst Hlth, Dept Populat Hlth, Strassen, Luxembourg
Sundström J:
Uppsala Univ, Dept Med Sci, Uppsala, Sweden
George Inst Global Hlth, Sydney, NSW, Australia
Tabarés-Seisdedos R:
Univ Valencia, Dept Med, Valencia, Spain
Inst Hlth Carlos III, Biomed Res Networking Ctr Mental Hlth Network CIB, Madrid, Spain
Thiyagarajan A:
Leibniz Inst Prevent Res & Epidemiol, Clin Epidemiol, Bremen, Germany
Topor-Madry R:
Jagiellonian Univ Med Coll, Inst Publ Hlth, Krakow, Poland
Agcy Hlth Technol Assessment & Tariff Syst, Warsaw, Poland
Tovani-Palone M:
Saveetha Inst Med & Tech Sci SIMATS, Saveetha Dent Coll & Hosp, Chennai, Tamil Nadu, India
Modestum LTD, Eastbourne, England
Tsilimparis N:
Ludwig Maximilians Univ Munchen, Dept Vasc Surg, Munich, Germany
Unim B:
Natl Inst Hlth, Dept Cardiovasc Endocrine Metab Dis & Aging, Rome, Italy
Vacante M:
Univ Catania, Dept Gen Surg & Med Surg Specialties, Catania, Italy
van den Eynde J:
Katholieke Univ Leuven, Dept Cardiovasc Sci, Leuven, Belgium
Vasankari T:
UKK Inst, Tampere, Finland
Tampere Univ, Fac Med & Hlth Technol, Tampere, Finland
Veroux M:
Univ Catania, Dept Med & Surg Sci & Adv Technol, Catania, Italy
Villafañe J:
IRCCS Fdn Don Carlo Gnocchi, Clin Res Dept, Milan, Italy
Violante F:
Univ Bologna, Dept Med & Surg Sci, Bologna, Italy
St Orsola Malpighi Hosp, Occupat Hlth Unit, Bologna, Italy
Wang Y:
Kings Coll London, Sch Populat Hlth & Environm Sci, London, England
Westerman R:
Fed Inst Populat Res, Competence Ctr Mortal Follow Up German Natl Cohor, Wiesbaden, Germany
Wolfe C:
Kings Coll London, Sch Populat Hlth & Environm Sci, London, England
Guys & St Thomas Hosp, NIHR Biomed Res Ctr NIHR BRC, London, England
Kings Coll London, London, England
Wyper G:
Univ Glasgow, Sch Hlth & Wellbeing, Glasgow, Lanark, Scotland
Yaya S:
Univ Ottawa, Sch Int Dev & Global Studies, Ottawa, ON, Canada
Imperial Coll London, George Inst Global Hlth, London, England
Zadnik V:
Inst Oncol Ljubljana, Epidemiol & Canc Registry Sector, Ljubljana, Slovenia
Zeitoun J:
Publ Hosp Paris, Hotel Dieu Hosp, Assistance Publ Hop Paris, Ctr Clin Epidemiol, Paris, France
Publ Hosp Paris, St Antoine Hosp, Assistance Publ Hop Paris, Gastroenterol & Nutr, Paris, France
Zumla A:
UCL, Dept Infect, London, England
Univ Coll London Hosp, NIHR Biomed Res Ctr NIHR BRC, London, England
Freitas A:
Univ Porto, CINTESIS RISE, MEDCIDS, Fac Med, Porto, Portugal
Univ Porto, Dept Community Med Informat & Hlth Decis Sci, Porto, Portugal
Devleesschauwer B:
Sciensano, Dept Epidemiol & Publ Hlth, Brussels, Belgium
Univ Ghent, Dept Translat Physiol Infectiol & Publ Hlth, Ghent, Belgium
Green Submitted, Green Accepted, Green Published, gold
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