J Korean Med Sci.  2016 Nov;31(Suppl 2):S101-S107. 10.3346/jkms.2016.31.S2.S101.

Quantifying Burden of Disease to Measure Population Health in Korea

Affiliations
  • 1Department of Public Health, Korea University Graduate School, Seoul, Korea.
  • 2Department of Preventive Medicine, Korea University College of Medicine, Seoul, Korea. yoonsj02@korea.ac.kr

Abstract

Quantitative assessments of the health status of a population are essential to make decisions and set priorities in the field of public health. Changing epidemiologic patterns increase the demand for comprehensive estimates of population health across the full health spectrum, including non-communicable diseases and injuries. Burden of disease (BoD) analysis has helped meet this need. With the success of the Global Burden of Disease (GBD) Study, the BoD technique has become predominantly associated with the GBD approach and its methodology using disability-adjusted life year (DALY) has been rapidly disseminated and generally accepted over the last several years. The first Korean BoD study using the DALY metric was presented in 2002. Various BoD studies have since been conducted, but the DALY concept has remained primarily academic and has not yet been actively utilized in the health policy arena. Here, we review the DALY metric and population-based Korean BoD studies using national health data, with the intent of increasing the understanding of their value and their potential role in strengthening future assessments of the Korean population's health status.

Keyword

Burden of Disease; Disability-Adjusted Life Year; Population Health; Korea

MeSH Terms

Health Policy
Korea*
Public Health

Cited by  5 articles

The Burden of Disease due to COVID-19 in Korea Using Disability-Adjusted Life Years
Min-Woo Jo, Dun-Sol Go, Rhieun Kim, Seung Won Lee, Minsu Ock, Young-Eun Kim, In-Hwan Oh, Seok-Jun Yoon, Hyesook Park
J Korean Med Sci. 2020;35(21):e199.    doi: 10.3346/jkms.2020.35.e199.

Trends and Patterns of Burden of Disease and Injuries in Korea Using Disability-Adjusted Life Years
Young-Eun Kim, Hyesook Park, Min-Woo Jo, In-Hwan Oh, Dun-Sol Go, Jaehun Jung, Seok-Jun Yoon
J Korean Med Sci. 2019;34(Suppl 1):.    doi: 10.3346/jkms.2019.34.e75.

Comparison of Health Status and Nutrient Intake by Household Type in the Elderly Population
Hee-Sook Lim, Mi-Nam Lee
J Bone Metab. 2019;26(1):25-30.    doi: 10.11005/jbm.2019.26.1.25.

Health and Mortality in Korean Healthcare Workers
Yoonhee Shin, Ui Jeong Kim, Hye Ah Lee, Eun Jeong Choi, Hyun Jin Park, Hyeong Sik Ahn, Hyesook Park,
J Korean Med Sci. 2022;37(3):e22.    doi: 10.3346/jkms.2022.37.e22.

Public awareness of cardiovascular disease prevention in Korea
Eunji Kim, Chan-Hee Jung, Eun-Jung Rhee, Junghyun Noh, Jae Hyuk Lee, Hun-Jun Park, Sungha Park, Sang-Hyun Ihm, Won-Young Lee, Hyeon Chang Kim
Cardiovasc Prev Pharmacother. 2022;4(4):149-157.    doi: 10.36011/cpp.2022.4.e20.


Reference

1. Pinheiro P, Plaß D, Krämer A. The burden of disease approach for measuring population health. In : Krämer A, Khan MM, Kraas F, editors. Health in Megacities and Urban Areas. . Heidelberg: Physica-Verlag;2011. p. 21–38.
2. Mathers CD, Lopez AD, Murray CJ. The burden of disease and mortality by condition: data, methods, and results for 2001. In : Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ, editors. Global Burden of Disease and Risk Factors. Washington, D.C.: World Bank;2006. p. 45–240.
3. Murray CJ, Salomon JA, Mathers CD, Lopez AD. Summary Measures of Population Health: Concepts, Ethics, Measurement and Applications. Geneva: World Health Organization;2002.
4. van der Maas PJ. Applications of summary measures of population health. In : Murray CJ, Salomon JA, Mathers CD, Lopez AD, editors. Summary Measures of Population Health: Concepts, Ethics, Measurement and Applications. Geneva: World Health Organization;2002. p. 53–60.
5. Department of Health Statistics and Information Systems, World Health Organization. WHO Methods and Data Sources for Country-level Causes of Death 2000??012. Global Health Estimates Technical Paper WHO/HIS/HSI/GHE/2014.7. Geneva: World Health Organization;2014.
6. World Bank. World Development Report 1993: Investing in Health. New York, NY: Oxford University Press;1993.
7. Murray CJ, Lopez AD. Mortality by cause for eight regions of the world: global burden of disease study. Lancet. 1997; 349:1269–1276.
8. Murray CJ, Lopez AD. Regional patterns of disability-free life expectancy and disability-adjusted life expectancy: global burden of disease study. Lancet. 1997; 349:1347–1352.
9. Murray CJ, Lopez AD. Global mortality, disability, and the contribution of risk factors: global burden of disease study. Lancet. 1997; 349:1436–1442.
10. Murray CJ, Lopez AD. Alternative projections of mortality and disability by cause 1990-2020: global burden of disease study. Lancet. 1997; 349:1498–1504.
11. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ, editors. Global Burden of Disease and Risk Factors. Washington, D.C.: World Bank;2006.
12. Yoon SJ, Lee H, Shin Y, Kim YI, Kim CY, Chang H. Estimation of the burden of major cancers in Korea. J Korean Med Sci. 2002; 17:604–610.
13. Lee H, Yoon SJ, Ahn HS. Measuring the burden of major cancers due to smoking in Korea. Cancer Sci. 2006; 97:530–534.
14. Park JH, Yoon SJ, Lee HY, Cho HS, Lee JY, Eun SJ, Park JH, Kim Y, Kim YI, Shin YS. Estimating the burden of psychiatric disorder in Korea. J Prev Med Public Health. 2006; 39:39–45.
15. Lee H, Yoon SJ, Ahn HS, Moon OR. Estimation of potential health gains from reducing multiple risk factors of stroke in Korea. Public Health. 2007; 121:774–780.
16. Yoon SJ, Bae SC, Lee SI, Chang H, Jo HS, Sung JH, Park JH, Lee JY, Shin Y. Measuring the burden of disease in Korea. J Korean Med Sci. 2007; 22:518–523.
17. Hong KS. Disability-adjusted life years analysis: implications for stroke research. J Clin Neurol. 2011; 7:109–114.
18. Hong KS, Ali LK, Selco SL, Fonarow GC, Saver JL. Weighting components of composite end points in clinical trials: an approach using disability-adjusted life-years. Stroke. 2011; 42:1722–1729.
19. Hong KS, Kim J, Cho YJ, Seo SY, Hwang SI, Kim SC, Kim JE, Kim A, Cho JY, Park HK, et al. Burden of ischemic stroke in Korea: analysis of disability-adjusted life years lost. J Clin Neurol. 2011; 7:77–84.
20. Kim YM, Kim JW, Lee HJ. Burden of disease attributable to air pollutants from municipal solid waste incinerators in Seoul, Korea: a source-specific approach for environmental burden of disease. Sci Total Environ. 2011; 409:2019–2028.
21. Chung SE, Cheong HK, Park JH, Kim HJ. Burden of disease of multiple sclerosis in Korea. Epidemiol Health. 2012; 34:e2012008.
22. Oh IH, Yoon SJ, Yoon TY, Choi JM, Choe BK, Kim EJ, Kim YA, Seo HY, Park YH. Health and economic burden of major cancers due to smoking in Korea. Asian Pac J Cancer Prev. 2012; 13:1525–1531.
23. Kim EJ, Yoon SJ, Jo MW, Kim HJ. Measuring the burden of chronic diseases in Korea in 2007. Public Health. 2013; 127:806–813.
24. Kim YM, Park JH, Choi K, Noh SR, Choi YH, Cheong HK. Burden of disease attributable to the Hebei Spirit oil spill in Taean, Korea. BMJ Open. 2013; 3:e003334.
25. Park JH, Eum JH, Bold B, Cheong HK. Burden of disease due to dementia in the elderly population of Korea: present and future. BMC Public Health. 2013; 13:293.
26. Park JH, Lee KS, Choi KS. Burden of cancer in Korea during 2000-2020. Cancer Epidemiol. 2013; 37:353–359.
27. Lee KS, Park JH. Burden of disease in Korea during 2000-10. J Public Health (Oxf). 2014; 36:225–234.
28. Lee S, Shin H. Municipal disease burden attributable to heat wave. J Korean Soc Health Educ Promot. 2014; 31:51–62.
29. Yoon J, Oh IH, Seo H, Kim EJ, Gong YH, Ock M, Lim D, Lee WK, Lee YR, Kim D, et al. Disability-adjusted Life Years for 313 Diseases and Injuries: the 2012 Korean Burden of Disease Study. J Korean Med Sci. 2016; 31:Suppl 2. S146–S157.
30. Yoon J, Seo H, Oh IH, Yoon SJ. The Non-Communicable Disease Burden in Korea: Findings from the 2012 Korean Burden of Disease Study. J Korean Med Sci. 2016; 31:Suppl 2. S158–S167.
31. Lee WK, Lim D, Park H. Disability-Adjusted Life Years (DALYs) for Injuries Using Death Certificates and Hospital Discharge Survey by the Korean Burden of Disease Study 2012. J Korean Med Sci. 2016; 31:Suppl 2. S200–S207.
32. Lee YR, Kim YA, Park SY, Oh CM, Kim YE, Oh IH. Application of a Modified Garbage Code Algorithm to Estimate Cause-Specific Mortality and Years of Life Lost in Korea. J Korean Med Sci. 2016; 31:Suppl 2. S121–S128.
33. Lim D, Lee WK, Park H. Disability-adjusted Life Years (DALYs) for Mental and Substance Use Disorders in the Korean Burden of Disease Study 2012. J Korean Med Sci. 2016; 31:Suppl 2. S191–S199.
34. Ock M, Lee JY, Oh IH, Park H, Yoon SJ, Jo MW. Disability Weights Measurement for 228 Causes of Disease in the Korean Burden of Disease Study 2012. J Korean Med Sci. 2016; 31:Suppl 2. S129–S138.
35. Kim SH, Lee HJ, Ock M, Go DS, Kim HJ, Lee JY, Jo MW. Disability-Adjusted Life Years for Maternal, Neonatal, and Nutritional Disorders in Korea. J Korean Med Sci. 2016; 31:Suppl 2. S184–S190.
36. Field MJ, Gold MR. Institute of Medicine (US) Committee on Summary Measures of Population Health. Summarizing Population Health: Directions for the Development and Application of Population Metrics. Washington, D.C.: National Academies Press;1998.
37. Mathers CD, Sadana R, Salomon JA, Murray CJ, Lopez AD. Estimates of DALE for 191 Countries: Methods and Results. Global Programme on Evidence for Health Policy Working Paper No. 16. Geneva: World Health Organization;2000.
38. Mahapatra P. Priority-setting in the health sector and summary measures of population health. In : Murray CJ, Salomon JA, Mathers CD, Lopez AD, editors. Summary Measures of Population Health: Concepts, Ethics, Measurement and Applications. Geneva: World Health Organization;2002. p. 83–90.
39. Mathers CD, Ezzati M, Lopez AD, Murray CJ, Rodgers A. Causal decomposition of summary measures of population health. In : Murray CJ, Salomon JA, Mathers CD, Lopez AD, editors. Summary Measures of Population Health: Concepts, Ethics, Measurement and Applications. Geneva: World Health Organization;2002. p. 273–290.
40. Murray CJ, Salomon JA, Mathers C. A critical examination of summary measures of population health. Bull World Health Organ. 2000; 78:981–994.
41. Murray CJ, Acharya AK. Understanding DALYs (disability-adjusted life years). J Health Econ. 1997; 16:703–730.
42. Airoldi M, Morton A. Adjusting life for quality or disability: stylistic difference or substantial dispute? Health Econ. 2009; 18:1237–1247.
43. Arnesen T, Kapiriri L. Can the value choices in DALYs influence global priority-setting? Health Policy. 2004; 70:137–149.
44. Lyttkens CH. Time to disable DALYs? On the use of disability-adjusted life-years in health policy. Eur J Health Econ. 2003; 4:195–202.
45. Nygaard E. Is it feasible or desirable to measure burdens of disease as a single number? Reprod Health Matters. 2000; 8:117–125.
46. AbouZahr C, Vaughan JP. Assessing the burden of sexual and reproductive ill-health: questions regarding the use of disability-adjusted life years. Bull World Health Organ. 2000; 78:655–666.
47. Williams A. Calculating the global burden of disease: time for a strategic reappraisal? Health Econ. 1999; 8:1–8.
48. Sundby J. Are women disfavoured in the estimation of disability adjusted life years and the global burden of disease? Scand J Public Health. 1999; 27:279–285.
49. Arnesen T, Nord E. The value of DALY life: problems with ethics and validity of disability adjusted life years. BMJ. 1999; 319:1423–1425.
50. Anand S, Hanson K. Disability-adjusted life years: a critical review. J Health Econ. 1997; 16:685–702.
51. Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ. Measuring the global burden of disease and risk factors, 1990??001. In : Lopez AD, Mathers CD, Ezzati M, Jamison DT, Murray CJ, editors. Global Burden of Disease and Risk Factors. Washington, D.C.: World Bank;2006. p. 1–14.
52. Murray CJ, Lopez AD. The Global Burden of Disease: a Comprehensive Assessment of Mortality and Disability from Diseases, Injuries, and Risk Factors in 1990 and Projected to 2020. Cambridge, MA: Harvard University Press;1996.
53. World Health Organization. Metrics: disability-adjusted life year (DALY) [Internet]. accessed on 30 Novermber 2015. Available at http://www.who.int/healthinfo/global_burden_disease/metrics_daly/en/.
54. Murray CJ, Lopez AD. Measuring the global burden of disease. N Engl J Med. 2013; 369:448–457.
55. Mathers C, Fat DM, Boerma JT. The Global Burden of Disease: 2004 Update. Geneva: World Health Organization;2008.
56. Mathers CD, Vos T, Lopez AD, Salomon J, Ezzati M. National Burden of Disease Studies: a Practical Guide. Edition 2.0. Global Program on Evidence for Health Policy. Geneva: World Health Organization;2001.
57. Murray CJ, Ezzati M, Flaxman AD, Lim S, Lozano R, Michaud C, Naghavi M, Salomon JA, Shibuya K, Vos T, et al. GBD 2010: design, definitions, and metrics. Lancet. 2012; 380:2063–2066.
58. Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C, Ezzati M, Shibuya K, Salomon JA, Abdalla S, et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012; 380:2197–2223.
59. Department of Health Statistics and Information Systems, World Health Organization. WHO Methods and Data Sources for Global Burden of Disease Estimates 2000-2011. Global Health Estimates Technical Paper WHO/HIS/HSI/GHE/2013.4. Geneva: World Health Organization;2013.
60. Murray CJ. Quantifying the burden of disease: the technical basis for disability-adjusted life years. Bull World Health Organ. 1994; 72:429–445.
61. Schroeder SA. Incidence, prevalence, and hybrid approaches to calculating disability-adjusted life years. Popul Health Metr. 2012; 10:19.
62. Vos T, Barber RM, Bell B, Bertozzi-Villa A, Biryukov S, Bolliger I, Charlson F, Davis A, Degenhardt L, Dicker D, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2015; 386:743–800.
63. Begg SJ, Vos T, Barker B, Stanley L, Lopez AD. Burden of disease and injury in Australia in the new millennium: measuring health loss from diseases, injuries and risk factors. Med J Aust. 2008; 188:36–40.
64. National Health Insurance Service (KR). Major statistics on National Health Insurance Services, 2012 [Internet]. accessed on 11 November 2015. Available at http://www.nhis.or.kr.
65. Alwan A. Global Status Report: on Noncommunicable Diseases 2010. Geneva: World Health Organization;2011.
66. Mathers C, Vos T, Stevenson C. The Burden of Disease and Injury in Australia. Canberra: Australian Institute of Health and Welfare;1999.
67. Ezzati M, Riboli E. Can noncommunicable diseases be prevented? Lessons from studies of populations and individuals. Science. 2012; 337:1482–1487.
68. World Health Organization. Cost effectiveness and strategic planning (WHO-CHOICE) [Internet]. accessed on 11 April 2016. Available at http://www.who.int/choice/cost-effectiveness/en/.
69. Lapostolle A, Lefranc A, Gremy I, Spira A. Sensitivity analysis in summary measure of population health in France. Eur J Public Health. 2008; 18:195–200.
70. Melse JM, Essink-Bot ML, Kramers PG, Hoeymans N; Dutch Burden of Disease Group. A national burden of disease calculation: Dutch disability-adjusted life-years. Am J Public Health. 2000; 90:1241–1247.
Full Text Links
  • JKMS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr