학술논문
Quality of care of peptic ulcer disease worldwide: A systematic analysis for the global burden of disease study 1990–2019.
Document Type
Article
Author
Abbasi-Kangevari, Mohsen; Ahmadi, Naser; Fattahi, Nima; Rezaei, Negar; Malekpour, Mohammad-Reza; Ghamari, Seyyed-Hadi; Moghaddam, Sahar Saeedi; Azadnajafabad, Sina; Esfahani, Zahra; Kolahi, Ali-Asghar; Roshani, Shahin; Rezazadeh-Khadem, Sahba; Gorgani, Fateme; Naleini, Seyyed Nima; Naderimagham, Shohreh; Larijani, Bagher; Farzadfar, Farshad
Source
Subject
*GLOBAL burden of disease
*PEPTIC ulcer
*AGE groups
*
*
Language
ISSN
1932-6203
Abstract
Background: Peptic ulcer disease (PUD) affects four million people worldwide annually and has an estimated lifetime prevalence of 5−10% in the general population. Worldwide, there are significant heterogeneities in coping approaches of healthcare systems with PUD in prevention, diagnosis, treatment, and follow-up. Quantifying and benchmarking health systems' performance is crucial yet challenging to provide a clearer picture of the potential global inequities in the quality of care. Objective: The objective of this study was to compare the health-system quality-of-care and inequities for PUD among age groups and sexes worldwide. Methods: Data were derived from the Global Burden of Disease Study 1990–2019. Principal-Component-Analysis was used to combine age-standardized mortality-to-incidence-ratio, disability-adjusted-life-years-to-prevalence-ratio, prevalence-to-incidence-ratio, and years-of-life-lost-to-years-lived-with-disability-into a single proxy named Quality-of-Care-Index (QCI). QCI was used to compare the quality of care among countries. QCI's validity was investigated via correlation with the cause-specific Healthcare-Access-and-Quality-index, which was acceptable. Inequities were presented among age groups and sexes. Gender Disparity Ratio was obtained by dividing the score of women by that of men. Results: Global QCI was 72.6 in 1990, which increased by 14.6% to 83.2 in 2019. High-income-Asia-pacific had the highest QCI, while Central Latin America had the lowest. QCI of high-SDI countries was 82.9 in 1990, which increased to 92.9 in 2019. The QCI of low-SDI countries was 65.0 in 1990, which increased to 76.9 in 2019. There was heterogeneity among the QCI-level of countries with the same SDI level. QCI typically decreased as people aged; however, this gap was more significant among low-SDI countries. The global Gender Disparity Ratio was close to one and ranged from 0.97 to 1.03 in 100 of 204 countries. Conclusion: QCI of PUD improved dramatically during 1990–2019 worldwide. There are still significant heterogeneities among countries on different and similar SDI levels. [ABSTRACT FROM AUTHOR]