Lancet. 2020 Oct 17;396(10258):1135-1159. doi: 10.1016/S0140-6736(20)31404-5.
The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 provides a rules-based synthesis of the available evidence on levels and trends in health outcomes, a diverse set of risk factors, and health system responses. GBD 2019 covered 204 countries and territories, as well as first administrative level disaggregations for 22 countries, from 1990 to 2019. Because GBD is highly standardised and comprehensive, spanning both fatal and non-fatal outcomes, and uses a mutually exclusive and collectively exhaustive list of hierarchical disease and injury causes, the study provides a powerful basis for detailed and broad insights on global health trends and emerging challenges. GBD 2019 incorporates data from 281 586 sources and provides more than 3·5 billion estimates of health outcome and health system measures of interest for global, national, and subnational policy dialogue. All GBD estimates are publicly available and adhere to the Guidelines on Accurate and Transparent Health Estimate Reporting. From this vast amount of information, five key insights that are important for health, social, and economic development strategies have been distilled. These insights are subject to the many limitations outlined in each of the component GBD capstone papers.
全球疾病、伤害和危险因素负担研究(GBD)2019 为健康结果的水平和趋势、各种风险因素以及卫生系统应对措施提供了基于规则的综合证据。GBD 2019 涵盖了 204 个国家和地区,以及 22 个国家的第一级行政区划细分,数据来自 1990 年至 2019 年。由于 GBD 高度标准化和全面,涵盖了致命和非致命的结果,并使用相互排斥和全面涵盖的分层疾病和伤害原因清单,因此该研究为深入了解全球健康趋势和新出现的挑战提供了有力的基础。GBD 2019 整合了来自 281586 个来源的数据,并提供了超过 35 亿个与全球、国家和次国家政策对话相关的健康结果和卫生系统措施的估计值。所有 GBD 估计值均公开提供,并符合准确和透明的健康估计报告指南。从大量信息中,提炼出了五个对健康、社会和经济发展战略很重要的关键见解。这些见解受到各组成部分 GBD 综合论文中概述的许多限制的影响。