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

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

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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