Gonzalez Lorena, Caporale Joaquin E, Elgart Jorge F, Gagliardino Juan J
CENEXA. Centro de Endocrinología Experimental y Aplicada (UNLP - CONICET), Centro Colaborador de OPS/OMS para Diabetes, Facultad de Ciencias Médicas (UNLP), La Plata, Argentina.
Glob J Health Sci. 2014 Nov 17;7(3):124-33. doi: 10.5539/gjhs.v7n3p124.
To measure the economic burden of diabetes in Argentina by age, gender and region for the year 2005, in disability-adjusted life years (DALYs).
DALYs were estimated by the sum of years of life lost due to premature death (YLL) and years of life lived with disability (YLD).
In the population studied (20 to 85 years), the burden of diabetes without complications was 1.3 million DALYs, 85% of which were caused by disabilities. Whereas mortality rates (YLL) increased as a function of age, YLD showed the opposite relationship. Women had higher burden of disease values, represented by 51 and 61% of YLL and YLD, respectively, independently of age.
Our results demonstrate that disabilities are a key component of diabetes burden; its regular and systematic estimation would allow to design effective prevention strategies, to assess the impact of their implementation and to optimize resource allocation based on objective evidence.
以伤残调整生命年（DALYs）为单位，测算2005年阿根廷糖尿病按年龄、性别和地区划分的经济负担。
伤残调整生命年通过过早死亡导致的生命年损失（YLL）与伤残生命年（YLD）之和进行估算。
在所研究的人群（20至85岁）中，无并发症糖尿病的负担为130万个伤残调整生命年，其中85%由残疾所致。虽然死亡率（YLL）随年龄增长而上升，但伤残生命年（YLD）呈现相反的关系。无论年龄如何，女性的疾病负担值更高，分别占过早死亡导致的生命年损失（YLL）和伤残生命年（YLD）的51%和61%。
我们的结果表明，残疾是糖尿病负担的关键组成部分；对其进行定期和系统的估算将有助于制定有效的预防策略，评估其实施效果，并根据客观证据优化资源配置。
