Context matters for disability and priority setting for musculoskeletal diseases

Revisiting the egalitarian approach to disability weights and disability-adjusted life-years

Bibliographic Data

ID21881679
AuthorsManon Pigeolet (0000-0003-0683-9520, Hôpital Necker-Enfants Malades, corresponding author), Helena Franco (0000-0002-9902-0815, Harvard University), Lisa Nussbaum (0000-0001-6146-1538, Boston Children's Hospital), Daniel Scott Corlew (Harvard University), John G Meara (0000-0003-4369-3209, Boston Children's Hospital)
Year2023
Volume8
Issue6
Pagese012106
Publication date2023-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2023-012106
PMID37311581
OpenAlexW4380480147
LanguageEN
Citations received1
References cited26

Health metrics have evolved with increasing sophistication. The disability-adjusted life-year (DALY) has emerged as a widely used metric. While DALYs vary between countries, the global disability weights (DWs) that are integral to the DALY ignore the potential impact of local factors on the burden of disease. Developmental dysplasia of the hip (DDH), a spectrum of hip pathologies, typically develops during early childhood and is a leading cause of early hip osteoarthritis. This paper explores the variability in the DW for DDH in relation to to local health environments using select health system indicators. The DW for DDH increases with decreasing income level of countries. The Human Development Index and the Gross Domestic Product per capita are both negatively correlated with (p Consideration should be given to re-establishing the DWs for health entities in countries that do not meet the minimum standards of a functional health system. This would more accurately reflect the burden of disease from a functional perspective in LMICs, and perhaps allow for more informed priority setting within LMICs and for donors. The establishment of these DWs should not start from scratch; our data suggest that the variability in DWs due to context can most likely be modelled using health system and financial protection indicators already in use today

Disability-adjusted life year · Disease burden · Economic growth · Economics · Environmental health · Geography · Human Development Index · Per capita · Population · Workforce · Demography · Global Health and Surgery · Global Health Workforce Issues · Health Systems, Economic Evaluations, Quality of Life · Medicine · Gerontology

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