Cited by 742Dermatology and Skin DiseasesDermatological diseases and infestationsGlobal Health and Epidemiology

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Global Skin Disease Morbidity and Mortality: An Update From the Global Burden of Disease Study 2013

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Karimkhani, Chante, Dellavalle, Robert P., Coffeng, Luc E., Flohr, Carsten, Hay, Roderick J., Langan, Sinéad M., Nsoesie, Elaine O., Ferrari, Alize J., Erskine, Holly E., Silverberg, Jonathan I., Vos, Theo, Naghavi, Mohsen·2017·JAMA Dermatology

DOI 10.1001/jamadermatol.2016.5538PMC PMC5817488

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Abstract

Importance: Disability secondary to skin conditions is substantial worldwide. The Global Burden of Disease Study 2013 includes estimates of global morbidity and mortality due to skin diseases. Objective: To measure the burden of skin diseases worldwide. Data Sources: For nonfatal estimates, data were found by literature search using PubMed and Google Scholar in English and Spanish for years 1980 through 2013 and by accessing administrative data on hospital inpatient and outpatient episodes. Data for fatal estimates were based on vital registration and verbal autopsy data. Study Selection: Skin disease data were extracted from more than 4000 sources including systematic reviews, surveys, population-based disease registries, hospital inpatient data, outpatient data, cohort studies, and autopsy data. Data metrics included incidence, prevalence, remission, duration, severity, deaths, and mortality risk. Data Extraction and Synthesis: Data were extracted by age, time period, case definitions, and other study characteristics. Data points were modeled with Bayesian meta-regression to generate estimates of morbidity and mortality metrics for skin diseases. All estimates were made with 95% uncertainty intervals. Main Outcomes and Measures: Disability-adjusted life years (DALYs), years lived with disability, and years of life lost from 15 skin conditions in 188 countries. Results: Skin conditions contributed 1.79% to the global burden of disease measured in DALYs from 306 diseases and injuries in 2013. Individual skin diseases varied in size from 0.38% of total burden for dermatitis (atopic, contact, and seborrheic dermatitis), 0.29% for acne vulgaris, 0.19% for psoriasis, 0.19% for urticaria, 0.16% for viral skin diseases, 0.15% for fungal skin diseases, 0.07% for scabies, 0.06% for malignant skin melanoma, 0.05% for pyoderma, 0.04% for cellulitis, 0.03% for keratinocyte carcinoma, 0.03% for decubitus ulcer, and 0.01% for alopecia areata. All other skin and subcutaneous diseases composed 0.12% of total DALYs. Conclusions and Relevance: Skin and subcutaneous diseases were the 18th leading cause of global DALYs in Global Burden of Disease 2013. Excluding mortality, skin diseases were the fourth leading cause of disability worldwide.

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Global Burden of Disease Study 2013 Collaborators, 2015, Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013., Lancet, 386, 743, 10.1016/S0140-6736(15)60692-4 · DOI · Paper page
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Authors: Karimkhani, C., Dellavalle, R. P., Coffeng, L. E., Flohr, C., Hay, R. J., Langan, S. M., Nsoesie, E. O., Ferrari, A. J., Erskine, H. E., Silverberg, J. I., Vos, T., & Naghavi, M.
Affiliations: University Hospitals Case Western Medical Center, Cleveland, Ohio
Colorado School of Public Health (US)
University of Washington (US)
King's College London (GB)
King's College Hospital (GB)
London School of Hygiene & Tropical Medicine (GB)
The University of Queensland (AU)
Northwestern University (US)
ORCID: Dellavalle, Robert P.
Coffeng, Luc E.
Flohr, Carsten
Hay, Roderick J.
Langan, Sinéad M.
Nsoesie, Elaine O.
Ferrari, Alize J.
Erskine, Holly E.
Silverberg, Jonathan I.
Vos, Theo
Naghavi, Mohsen
Venue: JAMA Dermatology
Publisher: American Medical Association (AMA)
Published: 2017-05-01
Volume: 153
Issue: 5
Pages: 406
ISSN: 2168-6068 (ISSN-L)
DOI: 10.1001/jamadermatol.2016.5538
PMC: PMC5817488
OpenAlex: W2594455611
Cited by: 742
References: 19
Citations by year: 2026: 80 · 2025: 88 · 2024: 110 · 2023: 99 · 2022: 79 · 2021: 82 · 2020: 96 · 2019: 53 · 2018: 41 · 2017: 13
FWCI: 63.05
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
Locations: JAMA Dermatology (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
Research Portal (King's College London) (submittedVersion, cc-by)
RePub (Erasmus University Rotterdam) (submittedVersion)
Funders: Bill and Melinda Gates Foundation
National Institute for Health and Care Research (NIHR/CS/010/014)
Topics: Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
Health Sciences › Medicine › Infectious Diseases › Dermatological diseases and infestations
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Epidemiology
Keywords: skin diseases, global burden of disease, disability-adjusted life years, years lived with disability, years of life lost, morbidity, mortality, atopic dermatitis, contact dermatitis, seborrheic dermatitis, acne, psoriasis, urticaria, viral skin infections, fungal skin infection, scabies, melanoma, pyoderma, cellulitis
MeSH terms: Global Burden of Disease, Adolescent, Adult, Aged, Aged, 80 and over, Bayes Theorem, Child, Child, Preschool, Female, Persons with Disabilities, Humans, Infant, Infant, Newborn, Male, Middle Aged, Skin Diseases, Global Health, Prevalence, Quality-Adjusted Life Years, Young Adult

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