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Improved and standa...
Improved and standardized method for assessing years lived with disability after burns and its application to estimate the non-fatal burden of disease of burn injuries in Australia, New Zealand and the Netherlands
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- Spronk, Inge (author)
- Univ Med Ctr Rotterdam, Erasmus MC, Dept Publ Hlth, POB 2040, NL-3000 CA Rotterdam, Netherlands;Maasstad Hosp, Assoc Dutch Burn Ctr, Rotterdam, Netherlands;Vrije Univ Amsterdam, Amsterdam UMC, Dept Plast Reconstruct & Hand Surg, Amsterdam Movement Sci, Amsterdam, Netherlands
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- Edgar, Dale W. (author)
- Fiona Stanley Hosp, State Adult Burn Unit, Murdoch, WA, Australia;Univ Notre Dame, Burn Injury Res Node, Fremantle, WA, Australia;Fiona Wood Fdn, Murdoch, WA, Australia
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- van Baar, Margriet E. (author)
- Univ Med Ctr Rotterdam, Erasmus MC, Dept Publ Hlth, POB 2040, NL-3000 CA Rotterdam, Netherlands;Maasstad Hosp, Assoc Dutch Burn Ctr, Rotterdam, Netherlands
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- Wood, Fiona M. (author)
- Fiona Stanley Hosp, State Adult Burn Unit, Murdoch, WA, Australia;Fiona Wood Fdn, Murdoch, WA, Australia
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- Van Loey, Nancy E. E. (author)
- Assoc Dutch Burn Ctr, Dept Behav Res, Beverwijk, Netherlands;Univ Utrecht, Dept Clin Psychol, Utrecht, Netherlands
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- Middelkoop, Esther (author)
- Vrije Univ Amsterdam, Amsterdam UMC, Dept Plast Reconstruct & Hand Surg, Amsterdam Movement Sci, Amsterdam, Netherlands;Red Cross Hosp, Assoc Dutch Burn Ctr, Beverwijk, Netherlands
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- Renneberg, Babette (author)
- Free Univ Berlin, Dept Clin Psychol & Psychotherapy, Berlin, Germany
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- Öster, Caisa (author)
- Uppsala universitet,Ekselius: Psykiatri,Uppsala Univ, Sweden
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- Orwelius, Lotti (author)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, ANOPIVA US
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- Moi, Asgjerd L. (author)
- Western Norway Univ Appl Sci, Fac Hlth & Social Sci, Dept Hlth & Caring Sci, Bergen, Norway;Haukeland Hosp, Natl Burn Ctr, Dept Plast Hand & Reconstruct Surg, Bergen, Norway
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- Nieuwenhuis, Marianne (author)
- Martini Hosp, Assoc Dutch Burn Ctr, Groningen, Netherlands;Univ Groningen, Univ Med Ctr Groningen, Ctr Human Movement Sci, Groningen, Netherlands
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- van der Vlies, Cornelis H. (author)
- Maasstad Hosp, Burn Ctr, Rotterdam, Netherlands;Univ Med Ctr Rotterdam, Erasmus MC, Dept Surg, Trauma Res Unit, Rotterdam, Netherlands
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- Polinder, Suzanne (author)
- Univ Med Ctr Rotterdam, Erasmus MC, Dept Publ Hlth, POB 2040, NL-3000 CA Rotterdam, Netherlands
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- Haagsma, Juanita A. (author)
- Univ Med Ctr Rotterdam, Erasmus MC, Dept Publ Hlth, POB 2040, NL-3000 CA Rotterdam, Netherlands
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(creator_code:org_t)
- 2020-01-29
- 2020
- English.
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In: BMC Public Health. - : BMC. - 1471-2458. ; 20
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Abstract
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- Background: Burden of disease estimates are an important resource in public health. Currently, robust estimates are not available for the burn population. Our objectives are to adapt a refined methodology (INTEGRIS method) to burns and to apply this new INTEGRIS-burns method to estimate, and compare, the burden of disease of burn injuries in Australia, New Zealand and the Netherlands.Methods: Existing European and Western-Australian health-related quality of life (HRQL) datasets were combined to derive disability weights for three homogenous burn injury groups based on percentage total body surface area (%TBSA) burned. Subsequently, incidence data from Australia, New Zealand, and the Netherlands from 2010 to 2017 were used to compute annual non-fatal burden of disease estimates for each of these three countries. Non-fatal burden of disease was measured by years lived with disability (YLD).Results: The combined dataset included 7159 HRQL (EQ-5D-3 L) outcomes from 3401 patients. Disability weights ranged from 0.046 (subgroup < 5% TBSA burned > 24 months post-burn) to 0.497 (subgroup > 20% TBSA burned 0-1 months post-burn). In 2017 the non-fatal burden of disease of burns for the three countries (YLDs/100,000 inhabitants) was 281 for Australia, 279 for New Zealand and 133 for the Netherlands.Conclusions: This project established a method for more precise estimates of the YLDs of burns, as it is the only method adapted to the nature of burn injuries and their recovery. Compared to previous used methods, the INTEGRIS-burns method includes improved disability weights based on severity categorization of burn patients; a better substantiated proportion of patients with lifelong disability based; and, the application of burn specific recovery timeframes. Information derived from the adapted method can be used as input for health decision making at both the national and international level. Future studies should investigate whether the application is valid in low- and middle- income countries.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
Keyword
- Burden of disease
- Burn injuries
- Methodology
- Disability weights
Publication and Content Type
- ref (subject category)
- art (subject category)
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Spronk, Inge
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Edgar, Dale W.
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van Baar, Margri ...
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Wood, Fiona M.
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Van Loey, Nancy ...
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Middelkoop, Esth ...
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Renneberg, Babet ...
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Öster, Caisa
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Orwelius, Lotti
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Moi, Asgjerd L.
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Nieuwenhuis, Mar ...
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van der Vlies, C ...
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Polinder, Suzann ...
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Haagsma, Juanita ...
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Uppsala University
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Linköping University