Spinal Disease Burden and Priorities of Community Spine Care in the Brazilian Public Health System vs the United States

Illustrative tree map of causes and disease burden expressed in disability-adjusted life years (DALYs) and years lived with disability (YDLs) comparing 2019 data from Brazil and the United States for all genders and ages. DALYs for low back pain were 5.11% of total DALYs (4.11%–6.08%) with an annual change rate of −0.077%. The Brazilian 2019 low back pain was 3.11% of total DALYs (2.39%–3.89%) with an annual change rate of 0.095%. The 2019 YDLs numbers for the United States were 5,697,152.11 (7,474,689.77–4,114,138.91) and 2,044,102.33 (2,715,670.05–1,441,813.54) for Brazil. The YDLs data also show a higher percentage of disease burden due to low back pain in the United States (10.68%; 12.1%–9.38%) compared with Brazil (7.81%; 9.25%–6.51%). CKD, chronic kidney disease; CMP, cardiomyopathy; COPD, chronic obstructive pulmonary disease; HIV, human immunodeficiency virus; HTN HD, hypertension heart disease; IHD, ischemic heart disease; LRI, lower respiratory infection; MSK, musculoskeletal; RHD, rheumatic heart disease; TB, tuberculosis; PEM, postexertional malaise. Source: Institute for Health Metrics Evaluation. Used with permission. All rights reserved.