The elimination of selected chronic diseases in a population

The compression and expansion of morbidity

Dados Bibliográficos

ID11037511
AutoresWilma J Nusselder (0000-0002-1314-7760), Koos Van Der Velden (0000-0002-4002-3413, Bureau of Labor Statistics), J L van Sonsbeek (Bureau of Labor Statistics), M E Lenior (Bureau of Labor Statistics), G A van den Bos (Bureau of Labor Statistics)
Ano1996
Volume86
Fascículo2
Páginas187-194
Data de publicação1996-02-01
Peer ReviewedSim
Open AccessNão
TipoARTICLE
PeriódicoAmerican Journal of Public Health (JOURNAL)
Identificadores do periódicoISSN: 0090-0036 • E-ISSN: 1541-0048
EditoraAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.86.2.187
PMID8633734
OpenAlexW2114400075
IdiomaEN
Citações recebidas29
Referências citadas22

OBJECTIVES. This study evaluates the effect of eliminating a specific disease on the mortality, long-term disability, and overall health status of a population. Primarily, it examines whether elimination leads to a compression of morbidity. METHODS. The Sullivan method was used to calculate disability-free life expectancy. Cause-deleted disability prevalence was estimated with a multiple logistic regression model that used data from the Dutch National Survey of General Practice. Cause-deleted probabilities of dying were derived with the cause-elimination life-table technique, assuming independence among competing causes of death. RESULTS. Eliminating disabling nonfatal diseases such as arthritis/back complaints results in a decline in life expectancy with disability--that is, an absolute compression of morbidity. Eliminating highly fatal diseases such as cancer leads to an increase in the number of years and the proportion of life with disability--that is, a relative expansion of morbidity. CONCLUSIONS. While eliminating fatal diseases leads to an increase in disability-free life expectancy, life expectancy with disability may increase as well. This represents an increasing burden to society. On the other hand, eliminating nonfatal disabling diseases leads to absolute compression of morbidity

Cause of death · Disease · Environmental health · Life expectancy · Logistic regression · Population · Years of potential life lost · Chronic Disease Management Strategies · Demography · Health disparities and outcomes · Health Systems, Economic Evaluations, Quality of Life · Internal Medicine · Medicine · Gerontology