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. 2019 Nov 20;4(12):e645–e657. doi: 10.1016/S2468-2667(19)30189-6

Table 3.

DALYs, DALY rates, and age-standardised DALY rates in 2017, with percentage change between 1990 and 2017, ordered by ranking in top 20 Level 3 causes of DALYs in 2017

Rank by number of DALYs in 2017
DALYs (in thousands)
All-age DALY rate per 100 000 people
Age-standardised DALY rate per 100 000 people
1990 2017 2017 Percentage change, 1990–2017 2017 Percentage change, 1990–2017 2017 Percentage change, 1990–2017
All causes .. .. 16 493 (14 334 to 18 969) −4·3% (−7·9 to −0·9) 27 217 (23 654 to 31 303) −10·3% (−13·6 to −7·1) 17 022 (14 382 to 20 024) −28·8% (−32·5 to −25·3)
Ischaemic heart disease 1 (1 to 1) 1 (1 to 2) 1110 (1034 to 1204) −33·6% (−37·8 to −29·0) 1831 (1706 to 1987) −37·8% (−41·7 to −33·4) 749 (697 to 805) −59·7% (−62·3 to −56·9)
Low back pain 3 (2 to 4) 2 (1 to 2) 1057 (758 to 1421) 11·2% (5·0 to 17·3) 1744 (1251 to 2345) 4·2% (−1·5 to 9·9) 1284 (917 to 1733) −6·2% (−11 to −1·1)
Alzheimer's disease and other dementias 9 (9 to 11) 3 (3 to 5) 759 (695 to 825) 77·9% (68·4 to 87·2) 1253 (1148 to 1362) 66·7% (57·9 to 75·4) 396 (362 to 429) −13·8% (−18·4 to −9·1)
Diabetes 7 (6 to 7) 4 (4 to 6) 733 (570 to 921) 36·6% (23·1 to 50·4) 1210 (941 to 1520) 28·0% (15·4 to 41·0) 601 (457 to 777) −2·2% (−12·8 to 8·1)
Headache disorders 5 (4 to 6) 5 (3 to 7) 723 (477 to 1035) 4·5% (1·1 to 8·2) 1194 (787 to 1708) −2·0% (−5·2 to 1·4) 1110 (730 to 1598) 0·6% (−2·5 to 3·9)
Stroke 2 (2 to 3) 6 (4 to 6) 700 (647 to 764) −32·9% (−37·1 to −28·2) 1156 (1068 to 1261) −37·1% (−41·0 to −32·7) 458 (422 to 498) −60·4% (−62·9 to −57·8)
Tracheal, bronchus, and lung cancer 4 (3 to 5) 7 (5 to 7) 612 (573 to 654) −14·9% (−20·7 to −8·8) 1011 (946 to 1079) −20·2% (−25·7 to −14·6) 487 (456 to 520) −40·9% (−44·9 to −36·6)
Neck pain 14 (9 to 17) 8 (8 to 11) 443 (309 to 620) 25·3% (21·9 to 28·9) 731 (510 to 1024) 17·4% (14·3 to 20·8) 481 (336 to 667) −0·1% (−1·7 to 1·9)
Chronic obstructive pulmonary disease 10 (10 to 13) 9 (8 to 12) 438 (399 to 477) 12·1% (3·8 to 20·6) 723 (658 to 788) 5·0% (−2·7 to 13·1) 304 (273 to 335) −29·4% (−35 to −23·7)
Age-related and other hearing loss 20 (16 to 21) 10 (9 to 12) 427 (300 to 588) 54·8% (50·3 to 60·2) 705 (495 to 971) 45·1% (40·9 to 50·2) 328 (225 to 460) 0·2% (−2·0 to 2·3)
Falls 12 (10 to 14) 11 (9 to 10) 418 (321 to 542) 11·9% (7·3 to 15·8) 690 (529 to 894) 4·9% (0·6 to 8·6) 422 (318 to 554) −19·2% (−23·1 to −16·1)
Depressive disorders 11 (8 to 16) 12 (11 to 13) 383 (270 to 519) −1·7% (−6·7 to 3·3) 632 (446 to 856) −7·9% (−12·6 to −3·2) 528 (372 to 726) −10·8% (−15·0 to −6·2)
Colon and rectum cancer 16 (13 to 18) 13 (10 to 15) 345 (319 to 376) 9·7% (1·1 to 18·6) 570 (526 to 621) 2·8% (−5·2 to 11·2) 265 (244 to 289) −25·9% (−31·7 to −19·6)
Anxiety disorders 17 (14 to 18) 14 (13 to 16) 319 (224 to 423) 2·0% (−3·4 to 7·9) 526 (370 to 699) −4·4% (−9·4 to 1·2) 499 (351 to 667) −2·6% (−8·0 to 3·2)
Breast cancer 18 (15 to 19) 15 (14 to 17) 276 (248 to 304) −8·3% (−17·4 to 0·4) 456 (410 to 503) −14·0% (−22·6 to −5·9) 245 (219 to 271) −34·9% (−41·4 to −28·4)
Road injuries 6 (5 to 7) 16 (15 to 16) 275 (241 to 316) −53·4% (−57·2 to −49·5) 454 (398 to 522) −56·3% (−59·8 to −52·7) 396 (354 to 447) −59·3% (−62·1 to −56·2)
Other musculoskeletal disorders 22 (21 to 28) 17 (14 to 20) 266 (180 to 378) 27·6% (15·7 to 40·9) 440 (297 to 624) 19·6% (8·5 to 32·0) 327 (223 to 463) 9·3% (0·6 to 19·1)
Cirrhosis and other chronic liver diseases 8 (8 to 12) 18 (17 to 20) 247 (223 to 270) −43·1% (−48·1 to −38·1) 407 (368 to 446) −46·7% (−51·3 to −42·0) 221 (198 to 243) −58·6% (−62·5 to −54·8)
Hypertensive heart disease 30 (30 to 32) 19 (22 to 29) 218 (122 to 250) 45·1% (−7·6 to 62·4) 360 (201 to 412) 36·0% (−13·4 to 52·2) 127 (79 to 143) −21·1% (−44·5 to −12·5)
Blindness and vision impairment 28 (25 to 29) 20 (19 to 23) 215 (149 to 294) 28·0% (24·3 to 32·2) 354 (245 to 486) 20·0% (16·5 to 23·9) 199·7 (135 to 282) −10·6% (−13·3 to −7·9)

Data in parentheses are 95% uncertainty intervals. DALYs=disability-adjusted life-years.