2026-06-14T03:33:44Zhttps://repisalud.isciii.es/rest/oai/requestoai:repisalud.isciii.es:20.500.12105/165182025-05-08T17:14:02Zcom_20.500.12105_2052com_20.500.12105_2051com_20.500.12105_15322col_20.500.12105_19613col_20.500.12105_16968col_20.500.12105_16972
Repisalud
author
Gorasso, Vanessa
author
Morgado, Joana Nazaré
author
Charalampous, Periklis
author
Pires, Sara M
author
Haagsma, Juanita A
author
Santos, João Vasco
author
Idavain, Jane
author
Ngwa, Che Henry
author
Noguer, Isabel
author
Padron-Monedero, Alicia
author
Sarmiento Suárez, Rodrigo
author
Pinheiro, Vera
author
von der Lippe, Elena
author
Jakobsen, Lea Sletting
author
Devleesschauwer, Brecht
author
Plass, Dietrich
author
The COST Action CA18218 participants
2023-09-27T08:40:01Z
2023-09-27T08:40:01Z
2023-06-25
Arch Public Health. 2023 Jun 25;81(1):116.
10.1186/s13690-023-01119-x
0778-7367
Archives of public health = Archives belges de sante publique
37355706
http://hdl.handle.net/20.500.12105/16518
Objectives: Within the framework of the burden of disease (BoD) approach, disease and injury burden estimates attributable to risk factors are a useful guide for policy formulation and priority setting in disease prevention. Considering the important differences in methods, and their impact on burden estimates, we conducted a scoping literature review to: (1) map the BoD assessments including risk factors performed across Europe; and (2) identify the methodological choices in comparative risk assessment (CRA) and risk assessment methods. Methods: We searched multiple literature databases, including grey literature websites and targeted public health agencies websites. Results: A total of 113 studies were included in the synthesis and further divided into independent BoD assessments (54 studies) and studies linked to the Global Burden of Disease (59 papers). Our results showed that the methods used to perform CRA varied substantially across independent European BoD studies. While there were some methodological choices that were more common than others, we did not observe patterns in terms of country, year or risk factor. Each methodological choice can affect the comparability of estimates between and within countries and/or risk factors, since they might significantly influence the quantification of the attributable burden. From our analysis we observed that the use of CRA was less common for some types of risk factors and outcomes. These included environmental and occupational risk factors, which are more likely to use bottom-up approaches for health outcomes where disease envelopes may not be available. Conclusions: Our review also highlighted misreporting, the lack of uncertainty analysis and the under-investigation of causal relationships in BoD studies. Development and use of guidelines for performing and reporting BoD studies will help understand differences, avoid misinterpretations thus improving comparability among estimates.
eng
Burden of disease
Comparative risk assessment
Risk factors
Burden of disease attributable to risk factors in European countries: a scoping literature review
review article
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