Mortality and disability-adjusted life years in North Africa and Middle East attributed to kidney dysfunction: a systematic analysis for the Global Burden of Disease Study 2019

Mohammad Mahdi Rashidi, Sahar Saeedi Moghaddam, Sina Azadnajafabad, Esmaeil Mohammadi, Amirmohammad Khalaji, Mohammad Reza Malekpour, Mohammad Keykhaei, Negar Rezaei, Zahra Esfahani, Nazila Rezaei, Ali H. Mokdad, Christopher J.L. Murray, Mohsen Naghavi, Bagher Larijani, Farshad Farzadfar*, Mohsen Abbasi-Kangevari, Zeinab Abbasi-Kangevari, Samar Abd ElHafeez, Sherief Abd-Elsalam, Meriem AbdounEman Abu-Gharbieh, Aqeel Ahmad, Ayman Ahmed, Sayer Al-Azzam, Rajaa M. Al-Raddadi, Ala'a B. AlTammemi, Javad Aminian Dehkordi, Mehrdad Amir Behghadami, Jalal Arabloo, Mohammad Athar, Seyyed Shamsadin Athari, Mahsa Babaei, Hassan Babamohamadi, Nayereh Baghcheghi, Sara Bagherieh, Hamid Reza Baradaran, Akshaya Srikanth Bhagavathula, Vijayalakshmi S. Bhojaraja, Milad Bonakdar Hashemi, Luciana Aparecida Campos, Azizallah Dehghan, Muhammed Elhadi, Waseem El-Huneidi, Ali Fatehizadeh, Alireza Feizkhah, Fataneh Ghadirian, Ali Gholami, Samer Hamidi, Hadi Hassankhani, Mahsa Heidari-Foroozan, GBD 2019 NAME Kidney Dysfunction Risk Factor Collaborators

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Background. The study aimed to estimate the attributable burden to kidney dysfunction as a metabolic risk factor in the North Africa and Middle East (NAME) region and its 21 countries in 1990-2019. Methods. The data used in this study were obtained from the Global Burden of Diseases (GBD) 2019 study, which provided estimated measures of deaths, disability-adjusted life years (DALYs), and other epidemiological indicators of burden. To provide a better insight into the differences in the level of social, cultural, and economic factors, the Socio-Demographic Index (SDI) was used. Results. In the NAME region in 2019, the number of deaths attributed to kidney dysfunction was 296 632 (95% uncertainty interval: 249 965-343 962), which was about 2.5 times higher than in the year 1990. Afghanistan, Egypt, and Saudi Arabia had the highest, and Kuwait, Turkey, and Iran (Islamic Republic of) had the lowest age-standardized rate of DALYs attributed to kidney dysfunction in the region in 2019. Kidney dysfunction was accounted as a risk factor for ischemic heart disease, chronic kidney disease, stroke, and peripheral artery disease with 150 471, 111 812, 34 068, and 281 attributable deaths, respectively, in 2019 in the region. In 2019, both low-SDI and high-SDI countries in the region experienced higher burdens associated with kidney dysfunction compared to other countries. Conclusions. Kidney dysfunction increases the risk of cardiovascular diseases burden and accounted for more deaths attributable to cardiovascular diseases than chronic kidney disease in the region in 2019. Hence, policymakers in the NAME region should prioritize kidney disease prevention and control, recognizing that neglecting its impact on other diseases is a key limitation in its management.

Original languageEnglish
Article numbersfad279
Pages (from-to)1-13
Number of pages13
JournalClinical Kidney Journal
Volume17
Issue number1
Early online date17 Nov 2023
DOIs
Publication statusPublished - 29 Jan 2024

Bibliographical note

The authors would like to thank the hard work of the staff of the Institute for Health Metrics and Evaluation (IHME) for providing the best possible epidemiologic estimation of diseases in almost all regions and countries of the world, trying to reduce and eliminate poverty of knowledge and information about the diseases globally. Also, the core team authors sincerely thank all the collaborators of the GBD 2019 study who contributed to this study by providing data or a precise review of the manuscript.

Publisher Copyright:
© The Author(s) 2023. Published by Oxford University Press on behalf of the ERA. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

Keywords

  • cardiovascular diseases
  • chronic kidney disease
  • global burden of disease
  • kidney dysfunction
  • mortality

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