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. 2022 Jan 19;55(1):10–18. doi: 10.3961/jpmph.21.597

Table 1.

Methodological advantages and disadvantages of DALY estimation approaches

Variables Advantages Disadvantages
Incidence-based approach YLD and YLL are measured consistently It is difficult to accurately measure the burden of diseases showing a fall in incidence but a persistently high level of prevalence
A more valid data source is provided for policies or interventions that focus on disease prevention YLD estimation is influenced by the method of applying the discount rate
Data on disease duration are required
The incorporation of comorbidities is relatively difficult
Prevalence-based approach (with a focus on the hybrid approach) YLD estimation is not significantly influenced by the method of applying the discount rate YLD and YLL measurements may cause confusion, as they rely on different methods
YLD estimation does not require data on disease duration For diseases with a short duration, such as infectious diseases, YLD may be underestimated
YLD estimation can more easily consider comorbidities

DALY, disability-adjusted life-years; YLD, years lost due to disability; YLL, years of life lost.