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Global Skin Disease Morbidity and Mortality: An Update From the Global Burden of Disease Study 2013
Open accessAbstract
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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In the citing paper
“While SDs are the fourth leading cause of consultations in health centres [11,12]”
In the citing paper
“In 2013, skin conditions contributed 1.79% to the total global burden of disease measured in DALYs across 306 diseases and injuries.”
From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [6]
In the citing paper
“Dermatitis (encompassing atopic, seborrheic, and contact types) resulted in the greatest burden of the skin conditions, costing 9.3 million DALYs”
From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [6]
In the citing paper
“Melanoma causes the greatest burden in resource-rich regions such as Australia and North America”
From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [6]
In the citing paper
“infectious causes of skin conditions, such as viral warts, pyoderma, cellulitis, and scabies, causing greater burden among children”
From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [6]
In the citing paper
“Persons of older age suffer disability burden from psoriasis, alopecia areata, urticaria, fungal skin diseases, and decubitus ulcers.”
From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [6]
In the citing paper
“dermatitis has the highest DALY rate in Sub-Saharan Africa”
From Global Burden of Skin Disease: Inequities and Innovations (2017) · cites this paper as [6]
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Metadata
- 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
- Venue
- JAMA Dermatology
- Publisher
- American Medical Association (AMA)
- Published
- 2017-05-01
- Volume
- 153
- Issue
- 5
- Pages
- 406
- ISSN
- 2168-6068 (ISSN-L)
- 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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