Summary Cirrhosis and other chronic liver diseases due to other causes resulted in 8·44 million (95% UI 6·94–10·2) global DALYs in 2019.
Definition This cause includes cirrhosis and other chronic liver diseases due to causes other than hepatitis B, hepatitis C, alcohol, and NAFLD.
Total sources | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Incidence | 0 | |||||||||||
Prevalence | 0 | |||||||||||
Remission | 0 | |||||||||||
Causes of death | 3828 | |||||||||||
Other | 31 | |||||||||||
Table 1:
Total sources used in GBD 2019 estimation
What is new in GBD 2019?
- •Meta-analysis was conducted in MR-BRT of five cirrhosis case-series studies that reported proportions due to both NASH and cryptogenic aetiologies; estimated ratio was used to adjust data that reported the proportion of cases due to cryptogenic but not NASH, under the assumption that these studies counted NASH cases in the cryptogenic category.
- •Bias adjustment for claims data to hospital data in the USA was estimated using MR-BRT and applied to data, lowering claims data values differentially prior to analysis in DisMod-MR 2.1.
- •Excess mortality data (EMR) were modelled in MR-BRT by age and sex as a function of the HAQ Index to provide greater guidance to DisMod-MR on expected pattern of EMR.
- •We added mild, moderate, and severe anaemia health states to decompensated cirrhosis based on a review of the mean haemoglobin shift of 18 g/L in people with cirrhosis.
Prevalence
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Incidence
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Deaths
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YLLs
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YLDs
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DALYs
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Cases
(millions) |
Rate (per 100 000)
|
Cases
(millions) |
Rate (per 100 000)
|
Deaths
(millions) |
Rate (per 100 000)
|
YLLs
(millions) |
Rate (per 100 000)
|
YLDs
(millions) |
Rate (per 100 000)
|
DALYs
(millions) |
Rate (per 100 000)
|
|
2019 | ||||||||||||
Both Sexes | 11·4 (9·28 to 13·9) |
144·7 (118·5 to 175·6) |
0·522 (0·407 to 0·655) |
6·9 (5·4 to 8·6) |
0·240 (0·188 to 0·303) |
3·0 (2·4 to 3·8) |
8·25 (6·75 to 10·1) |
104·9 (86·2 to 127·1) |
0·187 (0·119 to 0·278) |
2·5 (1·6 to 3·7) |
8·44 (6·94 to 10·2) |
107·3 (88·8 to 129·6) |
Females | 6·40 (5·19 to 7·85) |
160·2 (130·8 to 195·9) |
0·266 (0·209 to 0·328) |
7·1 (5·6 to 8·7) |
0·123 (0·0945 to 0·155) |
2·9 (2·3 to 3·6) |
3·89 (3·12 to 4·70) |
97·5 (79·1 to 117·2) |
0·0970 (0·0615 to 0·144) |
2·6 (1·6 to 3·8) |
3·99 (3·22 to 4·80) |
100·0 (81·8 to 119·9) |
Males | 5·01 (4·03 to 6·13) |
128·1 (104·4 to 156·2) |
0·256 (0·197 to 0·328) |
6·7 (5·2 to 8·5) |
0·117 (0·0921 to 0·151) |
3·1 (2·4 to 4·0) |
4·36 (3·52 to 5·42) |
111·9 (91·0 to 137·8) |
0·0904 (0·0575 to 0·134) |
2·4 (1·5 to 3·5) |
4·45 (3·61 to 5·49) |
114·3 (93·2 to 140·0) |
Percentage change 2010-19 | ||||||||||||
Both Sexes | 21·1% (17·4 to 24·6) |
5·9% (3·4 to 8·4) |
13·9% (9·8 to 18·1) |
5·7% (2·3 to 8·8) |
11·0% (4·3 to 17·7) |
–9·0% (–14·1 to –3·8) |
1·6% (–6·3 to 11·0) |
–11·3% (–18·3 to –3·5) |
14·4% (10·3 to 18·5) |
3·6% (–0·1 to 7·6) |
1·8% (–5·8 to 11·1) |
–11·0% (–17·9 to –3·3) |
Females | 22·2% (18·3 to 25·9) |
5·9% (3·3 to 8·6) |
15·4% (10·9 to 19·9) |
5·8% (2·3 to 9·1) |
11·7% (4·1 to 19·5) |
–9·2% (–15·2 to –3·0) |
1·1% (–7·3 to 11·1) |
–12·4% (–20·0 to –3·2) |
14·6% (10·1 to 19·0) |
3·2% (–1·1 to 7·7) |
1·4% (–6·9 to 11·3) |
–12·1% (–19·5 to –3·0) |
Males | 19·8% (15·9 to 23·4) |
6·0% (3·3 to 8·5) |
12·5% (8·5 to 16·3) |
5·4% (2·0 to 8·8) |
10·2% (2·0 to 19·0) |
–8·7% (–15·0 to –1·5) |
2·0% (–7·4 to 12·5) |
–10·4% (–18·1 to –1·1) |
14·2% (9·1 to 19·5) |
4·1% (–0·3 to 9·1) |
2·2% (–6·9 to 12·5) |
–10·2% (–17·7 to –1·0) |
Numbers in parentheses are 95% uncertainty intervals. |
Table 2:
Global prevalence, incidence, deaths, YLLs, YLDs, and DALYs in counts and age-standardised rates for both sexes combined, females, and males, 2019, with percentage change between 2010 and 2019
Deaths | YLLs | YLDs | DALYs | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
1990 | 49th | 53rd | 183rd | 69th | ||||||||
2010 | 50th | 47th | 192nd | 67th | ||||||||
2019 | 43rd | 46th | 190th | 72nd | ||||||||
Table 3:
Rank among most detailed causes for global deaths, YLLs, YLDs, and DALYs in 1990, 2010, and 2019, for both sexes combined

Figure 1:
Composition of DALYs by YLLs and constituent sequelae YLDs for both sexes combined, 2019


Figure 2:
Age-standardised DALY rates for each location by SDI, both sexes combined, 2019

Figure 3:
Composition of DALYs by YLLs and YLDs, age group, and sex, 2019


Figure 4:
Age-standardised DALY rates (per 100 000) by location, both sexes combined, 2019