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

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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: ).
Keywords
Burden of disease, Comparative risk assessment, Risk factors

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MLA
Gorasso, Vanessa, et al. “Burden of Disease Attributable to Risk Factors in European Countries : A Scoping Literature Review.” ARCHIVES OF PUBLIC HEALTH, vol. 81, no. 1, Springer Science and Business Media LLC, 2023, doi:10.1186/s13690-023-01119-x.
APA
Gorasso, V., Morgado, J. N., Charalampous, P., Pires, S. M., Haagsma, J. A., Santos, J. V., … The COST Action CA18218 participants, [missing]. (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
Chicago author-date
Gorasso, Vanessa, Joana Nazaré Morgado, Periklis Charalampous, Sara M. Pires, Juanita A. Haagsma, João Vasco Santos, Jane Idavain, et al. 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.
Chicago author-date (all authors)
Gorasso, Vanessa, Joana Nazaré Morgado, Periklis Charalampous, Sara M. Pires, Juanita A. Haagsma, João Vasco Santos, Jane Idavain, Che Henry Ngwa, Isabel Noguer, Alicia Padron-Monedero, Rodrigo Sarmiento, Vera Pinheiro, Elena Von der Lippe, Lea Sletting Jakobsen, Brecht Devleesschauwer, Dietrich Plass, Gunn Marit Aasvang, Balázs Ádám, Ala’a Alkerwi, Jalal Arabloo, Ana Lúcia Baltazar, Hilal Bektas Uysal, Boris Bikbov, Anette Kocbach Bolling, Maria Borrell-Pages, Giulia Carreras, Giulio Castelpietra, José Chen-Xu, Šeila Cilović Lagarija, Barbara Corso, Sarah Cuschieri, Robby De Pauw, Sonia Dhaouadi, Klara Dokova, Keren Dopelt, Mary Economou, Theophilus I. Emeto, Peter Fantke, Florian Fischer, Alberto Freitas, Lucia Galluzzo, Juan Manuel García-González, Federica Gazzelloni, Mika Gissler, Artemis Gkitakou, Sezgin Gubes, Irina Guseva Canu, Cesar A. Hincapié, Paul Hynds, Irena Ilic, Milena Ilic, Gaetano Isola, Zubair Kabir, Pavel Kolkhir, Naime Meriç Konar, Mirjam Kretzschmar, Mukhtar Kulimbet, Carlo La Vecchia, Carina Ladeira, Brian Lassen, Paolo Lauriola, Heli Lehtomäki, Miriam Levi, Marjeta Majer, Scott A. McDonald, Enkeleint A. Mechili, Janis Misins, Lorenzo Monasta, Javier Muñoz Laguna, Sónia Namorado, Evangelia Nena, Edmond S. W. Ng, Paul Nguewa, Vikram Niranjan, Iskra Alexandra Nola, Marija Obradović, Rónán O’Caoimh, Nazife Öztürk, M. Ramiro Pastorinho, Panagiotis Petrou, Mariana Peyroteo, Miguel Reina Ortiz, Silvia Riva, João Rocha-Gomes, Cornelia Melinda Adi Santoso, Tugce Schmitt, Rajesh Shigdel, Rannveig Sigurvinsdottir, Joan B. Soriano, Ana Catarina Sousa, Maximilian Sprügel, Paschalis Steiropoulos, Fimka Tozija, Brigid Unim, Bram Vandeninden, Orsolya Varga, Milena Vasic, Susana Viegas, Rafael Vieira, Francesco S. Violante, Grant M. A. Wyper, Vahit Yigit, Jelka Zaletel, and [missing] The COST Action CA18218 participants. 2023. “Burden of Disease Attributable to Risk Factors in European Countries : A Scoping Literature Review.” ARCHIVES OF PUBLIC HEALTH 81 (1). doi:10.1186/s13690-023-01119-x.
Vancouver
1.
Gorasso V, Morgado JN, Charalampous P, Pires SM, Haagsma JA, Santos JV, et al. Burden of disease attributable to risk factors in European countries : a scoping literature review. ARCHIVES OF PUBLIC HEALTH. 2023;81(1).
IEEE
[1]
V. Gorasso et al., “Burden of disease attributable to risk factors in European countries : a scoping literature review,” ARCHIVES OF PUBLIC HEALTH, vol. 81, no. 1, 2023.
@article{01H4T8K55YFCSZW2JQNFAF01TS,
  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: ).}},
  articleno    = {{116}},
  author       = {{Gorasso, Vanessa and Morgado, Joana Nazaré and Charalampous, Periklis and Pires, Sara M. and Haagsma, Juanita A. and Santos, João Vasco and Idavain, Jane and Ngwa, Che Henry and Noguer, Isabel and Padron-Monedero, Alicia and Sarmiento, Rodrigo and Pinheiro, Vera and Von der Lippe, Elena and Jakobsen, Lea Sletting and Devleesschauwer, Brecht and Plass, Dietrich and Aasvang, Gunn Marit and Ádám, Balázs and Alkerwi, Ala’a and Arabloo, Jalal and Baltazar, Ana Lúcia and Uysal, Hilal Bektas and Bikbov, Boris and Bolling, Anette Kocbach and Borrell-Pages, Maria and Carreras, Giulia and Castelpietra, Giulio and Chen-Xu, José and Lagarija, Šeila Cilović and Corso, Barbara and Cuschieri, Sarah and De Pauw, Robby and Dhaouadi, Sonia and Dokova, Klara and Dopelt, Keren and Economou, Mary and Emeto, Theophilus I. and Fantke, Peter and Fischer, Florian and Freitas, Alberto and Galluzzo, Lucia and García-González, Juan Manuel and Gazzelloni, Federica and Gissler, Mika and Gkitakou, Artemis and Gubes, Sezgin and Canu, Irina Guseva and Hincapié, Cesar A. and Hynds, Paul and Ilic, Irena and Ilic, Milena and Isola, Gaetano and Kabir, Zubair and Kolkhir, Pavel and Konar, Naime Meriç and Kretzschmar, Mirjam and Kulimbet, Mukhtar and La Vecchia, Carlo and Ladeira, Carina and Lassen, Brian and Lauriola, Paolo and Lehtomäki, Heli and Levi, Miriam and Majer, Marjeta and McDonald, Scott A. and Mechili, Enkeleint A. and Misins, Janis and Monasta, Lorenzo and Laguna, Javier Muñoz and Namorado, Sónia and Nena, Evangelia and Ng, Edmond S. W. and Nguewa, Paul and Niranjan, Vikram and Nola, Iskra Alexandra and Obradović, Marija and O’Caoimh, Rónán and Öztürk, Nazife and Pastorinho, M. Ramiro and Petrou, Panagiotis and Peyroteo, Mariana and Ortiz, Miguel Reina and Riva, Silvia and Rocha-Gomes, João and Santoso, Cornelia Melinda Adi and Schmitt, Tugce and Shigdel, Rajesh and Sigurvinsdottir, Rannveig and Soriano, Joan B. and Sousa, Ana Catarina and Sprügel, Maximilian and Steiropoulos, Paschalis and Tozija, Fimka and Unim, Brigid and Vandeninden, Bram and Varga, Orsolya and Vasic, Milena and Viegas, Susana and Vieira, Rafael and Violante, Francesco S. and Wyper, Grant M. A. and Yigit, Vahit and Zaletel, Jelka and The COST Action CA18218 participants, [missing]}},
  issn         = {{0778-7367}},
  journal      = {{ARCHIVES OF PUBLIC HEALTH}},
  keywords     = {{Burden of disease,Comparative risk assessment,Risk factors}},
  language     = {{eng}},
  number       = {{1}},
  pages        = {{11}},
  publisher    = {{Springer Science and Business Media LLC}},
  title        = {{Burden of disease attributable to risk factors in European countries : a scoping literature review}},
  url          = {{http://doi.org/10.1186/s13690-023-01119-x}},
  volume       = {{81}},
  year         = {{2023}},
}

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