The estimated disease burden of acute COVID-19 in the Netherlands in 2020, in disability-adjusted life-years
The impact of COVID-19 on population health is recognised as being substantial, yet few studies have attempted to quantify to what extent infection causes mild or moderate symptoms only, requires hospital and/or ICU admission, results in prolonged and chronic illness, or leads to premature death. We...
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creator | McDonald, Scott A. Lagerweij, Giske R. de Boer, Pieter de Melker, Hester E. Pijnacker, Roan Mughini Gras, Lapo Kretzschmar, Mirjam E. den Hartog, Gerco van Gageldonk-Lafeber, Arianne B. van den f, Susan Wallinga, Jacco |
description | The impact of COVID-19 on population health is recognised as being substantial, yet few studies have attempted to quantify to what extent infection causes mild or moderate symptoms only, requires hospital and/or ICU admission, results in prolonged and chronic illness, or leads to premature death. We aimed to quantify the total disease burden of acute COVID-19 in the Netherlands in 2020 using the disability-adjusted life-years (DALY) measure, and to investigate how burden varies between age-groups and occupations. Using standard methods and diverse data sources (mandatory notifications, population-level seroprevalence, hospital and ICU admissions, registered COVID-19 deaths, and the literature), we estimated years of life lost (YLL), years lived with disability, DALY and DALY per 100,000 population due to COVID-19, excluding post-acute sequelae, stratified by 5-year age-group and occupation category. The total disease burden due to acute COVID-19 was 286,100 (95% CI: 281,700–290,500) DALY, and the per-capita burden was 1640 (95% CI: 1620–1670) DALY/100,000, of which 99.4% consisted of YLL. The per-capita burden increased steeply with age, starting from 60 to 64 years, with relatively little burden estimated for persons under 50 years old. SARS-CoV-2 infection and associated premature mortality was responsible for a considerable direct health burden in the Netherlands, despite extensive public health measures. DALY were much higher than for other high-burden infectious diseases, but lower than estimated for coronary heart disease. These findings are valuable for informing public health decision-makers regarding the expected COVID-19 health burden among population subgroups, and the possible gains from targeted preventative interventions. |
doi_str_mv | 10.1007/s10654-022-00895-0 |
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We aimed to quantify the total disease burden of acute COVID-19 in the Netherlands in 2020 using the disability-adjusted life-years (DALY) measure, and to investigate how burden varies between age-groups and occupations. Using standard methods and diverse data sources (mandatory notifications, population-level seroprevalence, hospital and ICU admissions, registered COVID-19 deaths, and the literature), we estimated years of life lost (YLL), years lived with disability, DALY and DALY per 100,000 population due to COVID-19, excluding post-acute sequelae, stratified by 5-year age-group and occupation category. The total disease burden due to acute COVID-19 was 286,100 (95% CI: 281,700–290,500) DALY, and the per-capita burden was 1640 (95% CI: 1620–1670) DALY/100,000, of which 99.4% consisted of YLL. The per-capita burden increased steeply with age, starting from 60 to 64 years, with relatively little burden estimated for persons under 50 years old. SARS-CoV-2 infection and associated premature mortality was responsible for a considerable direct health burden in the Netherlands, despite extensive public health measures. DALY were much higher than for other high-burden infectious diseases, but lower than estimated for coronary heart disease. These findings are valuable for informing public health decision-makers regarding the expected COVID-19 health burden among population subgroups, and the possible gains from targeted preventative interventions.</description><identifier>ISSN: 0393-2990</identifier><identifier>ISSN: 1573-7284</identifier><identifier>EISSN: 1573-7284</identifier><identifier>DOI: 10.1007/s10654-022-00895-0</identifier><identifier>PMID: 35951278</identifier><language>eng</language><publisher>Dordrecht: Springer Netherlands</publisher><subject>Age ; Cardiology ; Cardiovascular disease ; Cardiovascular diseases ; Complications ; Coronary artery disease ; Coronaviruses ; Cost of Illness ; COVID-19 ; Decision making ; Disability-Adjusted Life Years ; Disabled Persons ; Epidemiology ; Heart diseases ; Humans ; Infectious Diseases ; Medicine ; Medicine & Public Health ; Middle Aged ; Netherlands - epidemiology ; Oncology ; Population ; Public Health ; Quality-Adjusted Life Years ; SARS-CoV-2 ; Seroepidemiologic Studies ; Serology ; Severe acute respiratory syndrome coronavirus 2 ; Signs and symptoms ; Subgroups ; Viral diseases</subject><ispartof>European journal of epidemiology, 2022-10, Vol.37 (10), p.1035-1047</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-ff252c7d5de9831a7b37f948d9507ca8a10c127b61ea526036ad6d05389f43953</citedby><cites>FETCH-LOGICAL-c474t-ff252c7d5de9831a7b37f948d9507ca8a10c127b61ea526036ad6d05389f43953</cites><orcidid>0000-0003-0788-6011</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10654-022-00895-0$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10654-022-00895-0$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,776,780,881,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35951278$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McDonald, Scott A.</creatorcontrib><creatorcontrib>Lagerweij, Giske R.</creatorcontrib><creatorcontrib>de Boer, Pieter</creatorcontrib><creatorcontrib>de Melker, Hester E.</creatorcontrib><creatorcontrib>Pijnacker, Roan</creatorcontrib><creatorcontrib>Mughini Gras, Lapo</creatorcontrib><creatorcontrib>Kretzschmar, Mirjam E.</creatorcontrib><creatorcontrib>den Hartog, Gerco</creatorcontrib><creatorcontrib>van Gageldonk-Lafeber, Arianne B.</creatorcontrib><creatorcontrib>van den f, Susan</creatorcontrib><creatorcontrib>Wallinga, Jacco</creatorcontrib><creatorcontrib>RIVM COVID-19 surveillance, epidemiology team</creatorcontrib><title>The estimated disease burden of acute COVID-19 in the Netherlands in 2020, in disability-adjusted life-years</title><title>European journal of epidemiology</title><addtitle>Eur J Epidemiol</addtitle><addtitle>Eur J Epidemiol</addtitle><description>The impact of COVID-19 on population health is recognised as being substantial, yet few studies have attempted to quantify to what extent infection causes mild or moderate symptoms only, requires hospital and/or ICU admission, results in prolonged and chronic illness, or leads to premature death. We aimed to quantify the total disease burden of acute COVID-19 in the Netherlands in 2020 using the disability-adjusted life-years (DALY) measure, and to investigate how burden varies between age-groups and occupations. Using standard methods and diverse data sources (mandatory notifications, population-level seroprevalence, hospital and ICU admissions, registered COVID-19 deaths, and the literature), we estimated years of life lost (YLL), years lived with disability, DALY and DALY per 100,000 population due to COVID-19, excluding post-acute sequelae, stratified by 5-year age-group and occupation category. The total disease burden due to acute COVID-19 was 286,100 (95% CI: 281,700–290,500) DALY, and the per-capita burden was 1640 (95% CI: 1620–1670) DALY/100,000, of which 99.4% consisted of YLL. The per-capita burden increased steeply with age, starting from 60 to 64 years, with relatively little burden estimated for persons under 50 years old. SARS-CoV-2 infection and associated premature mortality was responsible for a considerable direct health burden in the Netherlands, despite extensive public health measures. DALY were much higher than for other high-burden infectious diseases, but lower than estimated for coronary heart disease. These findings are valuable for informing public health decision-makers regarding the expected COVID-19 health burden among population subgroups, and the possible gains from targeted preventative interventions.</description><subject>Age</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Complications</subject><subject>Coronary artery disease</subject><subject>Coronaviruses</subject><subject>Cost of Illness</subject><subject>COVID-19</subject><subject>Decision making</subject><subject>Disability-Adjusted Life Years</subject><subject>Disabled Persons</subject><subject>Epidemiology</subject><subject>Heart diseases</subject><subject>Humans</subject><subject>Infectious Diseases</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Netherlands - epidemiology</subject><subject>Oncology</subject><subject>Population</subject><subject>Public Health</subject><subject>Quality-Adjusted Life Years</subject><subject>SARS-CoV-2</subject><subject>Seroepidemiologic Studies</subject><subject>Serology</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Signs and symptoms</subject><subject>Subgroups</subject><subject>Viral 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burden of acute COVID-19 in the Netherlands in 2020, in disability-adjusted life-years</atitle><jtitle>European journal of epidemiology</jtitle><stitle>Eur J Epidemiol</stitle><addtitle>Eur J Epidemiol</addtitle><date>2022-10-01</date><risdate>2022</risdate><volume>37</volume><issue>10</issue><spage>1035</spage><epage>1047</epage><pages>1035-1047</pages><issn>0393-2990</issn><issn>1573-7284</issn><eissn>1573-7284</eissn><abstract>The impact of COVID-19 on population health is recognised as being substantial, yet few studies have attempted to quantify to what extent infection causes mild or moderate symptoms only, requires hospital and/or ICU admission, results in prolonged and chronic illness, or leads to premature death. We aimed to quantify the total disease burden of acute COVID-19 in the Netherlands in 2020 using the disability-adjusted life-years (DALY) measure, and to investigate how burden varies between age-groups and occupations. Using standard methods and diverse data sources (mandatory notifications, population-level seroprevalence, hospital and ICU admissions, registered COVID-19 deaths, and the literature), we estimated years of life lost (YLL), years lived with disability, DALY and DALY per 100,000 population due to COVID-19, excluding post-acute sequelae, stratified by 5-year age-group and occupation category. The total disease burden due to acute COVID-19 was 286,100 (95% CI: 281,700–290,500) DALY, and the per-capita burden was 1640 (95% CI: 1620–1670) DALY/100,000, of which 99.4% consisted of YLL. The per-capita burden increased steeply with age, starting from 60 to 64 years, with relatively little burden estimated for persons under 50 years old. SARS-CoV-2 infection and associated premature mortality was responsible for a considerable direct health burden in the Netherlands, despite extensive public health measures. DALY were much higher than for other high-burden infectious diseases, but lower than estimated for coronary heart disease. These findings are valuable for informing public health decision-makers regarding the expected COVID-19 health burden among population subgroups, and the possible gains from targeted preventative interventions.</abstract><cop>Dordrecht</cop><pub>Springer Netherlands</pub><pmid>35951278</pmid><doi>10.1007/s10654-022-00895-0</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-0788-6011</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Age Cardiology Cardiovascular disease Cardiovascular diseases Complications Coronary artery disease Coronaviruses Cost of Illness COVID-19 Decision making Disability-Adjusted Life Years Disabled Persons Epidemiology Heart diseases Humans Infectious Diseases Medicine Medicine & Public Health Middle Aged Netherlands - epidemiology Oncology Population Public Health Quality-Adjusted Life Years SARS-CoV-2 Seroepidemiologic Studies Serology Severe acute respiratory syndrome coronavirus 2 Signs and symptoms Subgroups Viral diseases |
title | The estimated disease burden of acute COVID-19 in the Netherlands in 2020, in disability-adjusted life-years |
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