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

Gorasso V, Morgado JN, Charalampous P, Pires SM, Haagsma JA, Santos JV, Idavain J, Ngwa CH, Noguer I, Padron-monedero A, Sarmiento R, Pinheiro V, Von der Lippe E, Jakobsen LS, Devleesschauwer B, Plass D, Aasvang GM, Ádám B, Alkerwi A, Arabloo J, Baltazar AL, Uysal HB, Bikbov B, Bolling AK, Borrell-Pages M, Carreras G, Castelpietra G, Chen-Xu J, Lagarija ŠC, Corso B, Cuschieri S, De Pauw R, Dhaouadi S, Dokova K, Dopelt K, Economou M, Emeto TI, Fantke P, Fischer F, Freitas A, Galluzzo L, García-González JM, Gazzelloni F, Gissler M, Gkitakou A, Gubes S, Canu IG, Hincapié CA, Hynds P, Ilic I, Ilic M, Isola G, Kabir Z, Kolkhir P, Konar NM, Kretzschmar M, Kulimbet M, La Vecchia C, Ladeira C, Lassen B, Lauriola P, Lehtomäki H, Levi M, Majer M, McDonald SA, Mechili EA, Misins J, Monasta L, Laguna JM, Namorado S, Nena E, Ng ES, Nguewa P, Niranjan V, Nola IA, Obradović M, O’Caoimh R, Öztürk N, Pastorinho MR, Petrou P, Peyroteo M, Ortiz MR, Riva S, Rocha-Gomes J, Santoso CMA, Schmitt T, Shigdel R, Sigurvinsdottir R, Soriano JB, Sousa AC, Sprügel M, Steiropoulos P, Tozija F, Unim B, Vandeninden B, Varga O, Vasic M, Viegas S, Vieira R, Violante FS, Wyper GM, Yigit V, Zaletel J (2023)

Publication Type: Journal article, Review article

Publication year: 2023

Journal

Book Volume: 81

Article Number: 116

Journal Issue: 1

DOI: 10.1186/s13690-023-01119-x

Abstract

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, avoid misinterpretations thus improving comparability among estimates. Registration: The study protocol has been registered on PROSPERO, CRD42020177477 (available at: https://www.crd.york.ac.uk/PROSPERO/).

Authors with CRIS profile

Involved external institutions

Centre for Disease Prevention and Control (SPKC) Latvia (LV) Azienda USL Toscana Centro Italy (IT) University of Belgrade / Универзитет у Београду Serbia (RS) Netherlands National Institute for Public Health and the Environment / Rijksinstituut voor Volksgezondheid en Milieu (RIVM) Netherlands (NL) Ondokuz Mayıs University Turkey (TR) Universidad de Navarra Spain (ES) University College Dublin (UCD) Ireland (IE) University of Zagreb / Sveučilište u Zagrebu Croatia (HR) Technological University Dublin / Ollscoil Teicneolaíochta Bhaile Atha Cliath Ireland (IE) Saints Cyril and Methodius University of Skopje / Универзитет „Св. Кирил и Методиј“ во Скопје Republic of North Macedonia (MK) Sciensano Belgium (BE) University of Lisbon / Universidade de Lisboa (ULisboa) Portugal (PT) Erasmus University Medical Center (MC) Netherlands (NL) Technical University of Denmark / Danmarks Tekniske Universitet (DTU) Denmark (DK) United Arab Emirates University / جامعة الإمارات العربية المتحدة United Arab Emirates (AE) Iran University of Medical Sciences (IUMS) / دانشگاه علوم پزشکی ایران Iran, Islamic Republic of (IR) Polytechnical Institute of Coimbra / Instituto Politécnico de Coimbra (IPC) Portugal (PT) Adnan Menderes University / Adnan Menderes Üniversitesi Turkey (TR) Mario Negri Institute for Pharmacological Research (IRCCS) / Istituto di Ricerche Farmacologiche Mario Negri Italy (IT) Norwegian Institute of Public Health (NIPH) / Folkehelseinstituttet Norway (NO) Universidade do Porto Portugal (PT) Sant Pau Institute for Biomedical Research (IIBSP) / Institut de Recerca de L’hospital de La Santa Creu i de Sant Pau Spain (ES) Istituto per lo Studio e la Prevenzione Oncologica (ISPRO) Italy (IT) Charité - Universitätsmedizin Berlin Germany (DE) University of Bologna / Università di Bologna Italy (IT) Italian National Health Institute / Istituto Superiore di Sanità (ISS) Italy (IT) Public Health Scotland United Kingdom (GB) Süleyman Demirel Üniversitesi Turkey (TR) Universidad Pablo de Olavide of Seville Spain (ES) Ljubljana University Medical Centre (Ljubljana UMC) / Univerzitetni klinični center Ljubljana Slovenia (SI) The Institute and Faculty of Actuaries (IFoA) United Kingdom (GB) National Institute for Health and Welfare (THL) Finland (FI) University of Zurich / Universität Zürich (UZH) Switzerland (CH) National Institute of Health Dr. Ricardo Jorge (INSA) / Instituto Nacional de Saúde Dr. Ricardo Jorge Portugal (PT) Democritus University of Thrace (DUTH) / Δημοκρίτειο Πανεπιστήμιο Θράκης Greece (GR) London School of Hygiene and Tropical Medicine United Kingdom (GB) University of Banja Luka Bosnia And Herzegovina (BA) University College Cork (UCC) Ireland (IE) Antalya Training and Research Hospital / TC Sağlık Bakanlığı Turkey (TR) Universidade de Évora Portugal (PT) University of Crete / Πανεπιστήμιο Κρήτης Greece (GR) I.R.C.C.S. materno infantile Burlo Garofolo Italy (IT) University of Malta Malta (MT) Instituto de Salud Carlos III (Institute of Health Carlos III, ISCIII) Spain (ES) Centre for Health Technology and Services Research / Centro de Investigação em Tecnologias e Serviços de Saúde (CINTESIS) Portugal (PT) Faculty of Medicine of Tunis (FMT) / كلية الطب بتونس Tunisia (TN) Robert Koch-Institut (RKI) Germany (DE) Trakia University Bulgaria (BG) Ashkelon Academic College Israel (IL) Cyprus University of Technology (CUT) / Τεχνολογικό Πανεπιστήμιο Κύπρου Cyprus (CY) Umweltbundesamt (UBA) Germany (DE) James Cook University Australia (AU) University of Debrecen / Debreceni Egyetem Hungary (HU) Institute of Public Health of Serbia (IOPHOS) / Institut za Javno Zdravlje Srbije Serbia (RS) New University of Lisbon / Universidade Nova de Lisboa Portugal (PT) University of Nicosia Cyprus (CY) University of South Florida (USF) United States (USA) (US) St Mary's University Twickenham London United Kingdom (GB) University of Kragujevac Serbia (RS) Università degli Studi di Catania Italy (IT) Maastricht University Netherlands (NL) University of Bergen / Universitetet i Bergen Norway (NO) Reykjavik University Iceland (IS) Berliner Institut für Gesundheitsforschung (BIH) Germany (DE) Ahi Evran Üniversitesi Turkey (TR) Al-Farabi Kazakh National University / Äl Farabï atındağı Qazaq Ulttıq Unïversïteti Kazakhstan (KZ) Università degli studi di Milano Italy (IT) Instituto Politécnico de Lisboa (IPL) Portugal (PT) Institute for Public Health of the Federation of Bosnia and Herzegovina Bosnia And Herzegovina (BA) Consiglio Nazionale delle Ricerche (CNR) / National Research Council of Italy Italy (IT) Tervise Arengu Instituut Estonia (EE) Sahlgrenska University Hospital / Sahlgrenska Universitetssjukhuset Sweden (SE)

How to cite

APA:

Gorasso, V., Morgado, J.N., Charalampous, P., Pires, S.M., Haagsma, J.A., Santos, J.V.,... Zaletel, J. (2023). Burden of disease attributable to risk factors in European countries: a scoping literature review. Archives of Public Health, 81(1). https://doi.org/10.1186/s13690-023-01119-x

MLA:

Gorasso, Vanessa, et al. "Burden of disease attributable to risk factors in European countries: a scoping literature review." Archives of Public Health 81.1 (2023).

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