National Institute for Stroke and Applied Neurosciences, Faculty of Health and Environmental Sciences, Auckland University of Technology, Auckland, New Zealand.
Institute for Health Metrics Evaluation, University of Washington, Seattle, WA, USA.
Lancet Neurol. 2020 Mar;19(3):255-265. doi: 10.1016/S1474-4422(19)30411-9. Epub 2019 Dec 5.
Neurological disorders are the leading cause of disability and the second leading cause of death worldwide. In the past 30 years, the absolute numbers of deaths and people with disabilities owing to neurological diseases have risen substantially, particularly in low-income and middle-income countries, and further increases are expected globally as a result of population growth and ageing. This rise in absolute numbers of people affected suggests that advances in prevention and management of major neurological disorders are not sufficiently effective to counter global demographic changes. Urgent measures to reduce this burden are therefore needed. Because resources for health care and research are already overstretched, priorities need to be set to guide policy makers, governments, and funding organisations to develop and implement action plans for prevention, health care, and research to tackle the growing challenge of neurological disorders.
神经紊乱是全世界导致残疾和死亡的首要原因。在过去 30 年中,因神经疾病而死亡和残疾的绝对人数大幅上升,特别是在低收入和中等收入国家,而且由于人口增长和老龄化,预计全球还会进一步上升。受影响人数的绝对增加表明,预防和管理主要神经紊乱方面的进展还不足以有效应对全球人口结构变化。因此,需要采取紧急措施来减轻这一负担。由于医疗保健和研究资源已经捉襟见肘,需要确定优先事项,以指导决策者、政府和资助组织制定和实施预防、医疗保健和研究行动计划,以应对神经紊乱日益增长的挑战。