A generic model for the assessment of disease epidemiology: the computational basis of DisMod II
Open accessAbstract
Epidemiology as an empirical science has developed sophisticated methods to measure the causes and patterns of disease in populations. Nevertheless, for many diseases in many countries only partial data are available. When the partial data are insufficient, but data collection is not an option, it is possible to supplement the data by exploiting the causal relations between the various variables that describe a disease process. We present a simple generic disease model with incidence, one prevalent state, and case fatality and remission. We derive a set of equations that describes this disease process and allows calculation of the complete epidemiology of a disease given a minimum of three input variables. We give the example of asthma with age-specific prevalence, remission, and mortality as inputs. Outputs are incidence and case fatality, among others. The set of equations is embedded in a software package called 'DisMod II', which is made available to the public domain by the World Health Organization.
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DisMod-MR enforces internal consistency between estimates from different epidemiological parameters.
“uses an Incidence-Prevalence-Mortality mathematical model [18],[27] to enforce internal consistency between estimates from different epidemiological parameters”
From Burden of depressive disorders by country, sex, age, and year: findings from the Global Burden of Disease Study 2010 (2013) · cites this paper as [27]
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Cites
An Introduction to the Bootstrap
Efron, B., & Tibshirani, R. J. (1994) · doi:10.1201/9780429246593 · Cited by 40,500 · see citing works
Vetterling, W. T., Teukolsky, S. A., Press, W. H., & Flannery, B. P. (1988) · Cited by 7,701 · see citing works
Higgins, S. M. F., Macken, A. P., Cullen, W., Saunders, J., Dunne, C. P., & O’Gorman, C. S. (2013) · PubMed · doi:10.34961/9953 · Cited by 4,806 · see citing works
Murray, C. J. L., & López, A. D. (1997) · The Lancet · doi:10.1016/s0140-6736(96)07494-6 · Cited by 466 · see citing works
Self-citationThe Health Care Costs of Smoking
Barendregt, J. J., Bonneux, L. G. A., & van der Maas, P. J. (1997) · New England Journal of Medicine · doi:10.1056/nejm199710093371506 · Cited by 404 · see citing works
Self-citationQuantifying disability: data, methods and results.
Murray, C. J. L., & López, A. D. (1994) · PubMed · Cited by 245 · see citing works
Self-citationFirst Leaves: A Tutorial Introduction to Maple V
Char, B. W., Geddes, K. O., Gonnet, G. H., et al. (1995) · The Journal of the Acoustical Society of America · doi:10.1121/1.413756 · Cited by 179 · see citing works
Coping with multiple morbidity in a life table
Barendregt, J. J., van Oortmarssen, G. J., van Hout, B. A., Bosch, J. M. V. D., & Bonneux, L. G. A. (1998) · Mathematical Population Studies · doi:10.1080/08898489809525445 · Cited by 99 · see citing works
Self-citationThe use of models in the estimation of disease epidemiology.
Kruijshaar, M. E., Barendregt, J. J., & Hoeymans, N. (2002) · Europe PMC (PubMed Central) · Cited by 59 · see citing works
Self-citationVictorian Burden of Disease Study: Mortality
Vos, T., & Begg, S. J. (2020) · Figshare · doi:10.26181/5fab13e67ede8 · Cited by 58 · see citing works
Self-citationAn indirect estimate of the incidence of non-insulin-dependent diabetes mellitus.
Barendregt, J. J., Baan, C. A., & Bonneux, L. (2000) · Epidemiology · doi:10.1097/00001648-200005000-00008 · Cited by 45 · see citing works
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Wild, S., Roglic, G., Green, A., Sicree, R., & King, H. (2004) · Diabetes Care · doi:10.2337/diacare.27.5.1047 · Cited by 15,297 · see citing works
Vos, T., Flaxman, A. D., Naghavi, M., Lozano, R., Michaud, C., Ezzati, M., Shibuya, K., Salomon, J. A., Abdalla, S., Aboyans, V., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61729-2 · Cited by 8,291 · see citing works
Self-citationLopez, A. D., Mathers, C. D., Ezzati, M., Jamison, D. T., & Murray, C. J. (2006) · The Lancet · doi:10.1016/s0140-6736(06)68770-9 · Cited by 5,630 · see citing works
Self-citationWorldwide Epidemiology of Atrial Fibrillation: A Global Burden of Disease 2010 Study
Chugh, S. S., Havmoeller, R., Narayanan, K., Singh, D., Rienstra, M., Benjamin, E. J., Gillum, R. F., Kim, Y.-H., McAnulty, J. H., Zheng, Z.-J., et al. (2014) · Circulation · doi:10.1161/circulationaha.113.005119 · Cited by 4,506 · see citing works
Self-citationRehm, J., Mathers, C., Popova, S., Thavorncharoensap, M., Teerawattananon, Y., & Patra, J. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60746-7 · Cited by 3,870 · see citing works
Ferrari, A. J., Charlson, F. J., Norman, R. E., Patten, S. B., Freedman, G., Murray, C. J. L., Vos, T., & Whiteford, H. A. (2013) · PLoS Medicine · doi:10.1371/journal.pmed.1001547 · Cited by 3,115 · see citing works
Self-citationSchizophrenia: A Concise Overview of Incidence, Prevalence, and Mortality
McGrath, J., Saha, S., Chant, D., & Welham, J. (2008) · Epidemiologic Reviews · doi:10.1093/epirev/mxn001 · Cited by 2,280 · see citing works
Dietary quality among men and women in 187 countries in 1990 and 2010: a systematic assessment
Imamura, F., Micha, R., Khatibzadeh, S., Fahimi, S., Shi, P., Powles, J., & Mozaffarian, D. (2015) · The Lancet Global Health · doi:10.1016/s2214-109x(14)70381-x · Cited by 834 · see citing works
The global burden of congenital toxoplasmosis: a systematic review
Torgerson, P. R., & Mastroiacovo, P. (2013) · Bulletin of the World Health Organization · doi:10.2471/blt.12.111732 · Cited by 748 · see citing works
Degenhardt, L., Charlson, F., Mathers, B., Hall, W. D., Flaxman, A. D., Johns, N., & Vos, T. (2014) · Addiction · doi:10.1111/add.12551 · Cited by 396 · see citing works
Self-citationFerrari, A. J., Charlson, F. J., Norman, R. E., Flaxman, A. D., Patten, S. B., Vos, T., & Whiteford, H. A. (2013) · PLoS ONE · doi:10.1371/journal.pone.0069637 · Cited by 330 · see citing works
“This is when final prevalence, incidence, duration and excess-mortality estimates simultaneously adhere to the generic relationships in the incidence-prevalence-mortality model for a single time, place, and sex [11,25,26].”
Self-citationAnenberg, S. C., Henze, D. K., Tinney, V., Kinney, P. L., Raich, W., Fann, N., Malley, C. S., Roman, H., Lamsal, L., Duncan, B., et al. (2018) · Environmental Health Perspectives · doi:10.1289/ehp3766 · Cited by 337 · see citing works
Begg, S. J., Vos, T., Barker, B., Stanley, L., & Lopez, A. D. (2008) · Medical Journal of Australia · doi:10.5694/j.1326-5377.2008.tb01503.x · Cited by 239 · see citing works
Self-citationThe global burden of conduct disorder and attention-deficit/hyperactivity disorder in 2010
Erskine, H. E., Ferrari, A. J., Polanczyk, G. V., Moffitt, T. E., Murray, C. J. L., Vos, T., Whiteford, H. A., & Scott, J. G. (2014) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.12186 · Cited by 207 · see citing works
Self-citationLee, Y. Y., Barendregt, J. J., Stockings, E. A., Ferrari, A. J., Whiteford, H. A., Patton, G. A., & Mihalopoulos, C. (2017) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796016000469 · Cited by 85 · see citing works
Self-citationMethodology of the Global and Regional Burden of Stroke Study
(2012) · Neuroepidemiology · doi:10.1159/000334744 · Cited by 39 · see citing works
Bardach, A., Cañete, F., Sequera, V. G., Palacios, A., Alcaraz, A., Rodríguez, B., Caporale, J., Augustovski, F., & Pichón-Riviere, A. (2018) · Revista Peruana de Medicina Experimental y Salud Pública · doi:10.17843/rpmesp.2018.354.3708 · Cited by 18 · see citing works
- Authors
- Barendregt, J. J., van Oortmarssen, G. J., Vos, T., & Murray, C. J.
- Affiliations
- Erasmus MC (NL)
- Government of Victoria (AU)
- World Health Organization (CH)
- Corresponding author
- Barendregt, Jan J
- Venue
- Population Health Metrics
- Published
- 2003-04-14
- Volume
- 1
- Issue
- 1
- Pages
- 4-4
- ISSN
- 1478-7954 (ISSN-L)
- PMC
- PMC156029
- OpenAlex
- W2136344990
- Cited by
- 402
- References
- 11
- Citations by year
- 2026: 15 · 2025: 22 · 2024: 19 · 2023: 22 · 2022: 24 · 2021: 23 · 2020: 15 · 2019: 15 · 2018: 17 · 2017: 17 · 2016: 29 · 2015: 25 · 2014: 29 · 2013: 31 · 2012: 15
- FWCI
- 6.14
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- public-domain
- www.springer.com/tdm (unspecified)
- Locations
- Population Health Metrics (publishedVersion, public-domain)
- PubMed Central (publishedVersion, other-oa)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, public-domain)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion, other-oa)
- RePub (Erasmus University Rotterdam) (submittedVersion, public-domain)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Physical Sciences › Mathematics › Statistics and Probability › Statistical Methods in Epidemiology
- Social Sciences › Demography › Insurance, Mortality, Demography, Risk Management
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Health Systems, Economic Evaluations, Quality of Life
- Keywords
- disease epidemiology, incidence estimation, disease models, case fatality, remission, asthma, age-specific prevalence, mortality, data-scarce settings, epidemiological inference, public domain software
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