Methodological considerations in injury burden of disease studies across Europe: a systematic literature review

Background Calculating the disease burden due to injury is complex, as it requires many methodological choices. Until now, an overview of the methodological design choices that have been made in burden of disease (BoD) studies in injury populations is not available. The aim of this systematic literature review was to identify existing injury BoD studies undertaken across Europe and to comprehensively review the methodological design choices and assumption parameters that have been made to calculate years of life lost (YLL) and years lived with disability (YLD) in these studies. Methods We searched EMBASE, MEDLINE, Cochrane Central, Google Scholar, and Web of Science, and the grey literature supplemented by handsearching, for BoD studies. We included injury BoD studies that quantified the BoD expressed in YLL, YLD, and disability-adjusted life years (DALY) in countries within the European Region between early-1990 and mid-2021. Results We retrieved 2,914 results of which 48 performed an injury-specific BoD assessment. Single-country independent and Global Burden of Disease (GBD)-linked injury BoD studies were performed in 11 European countries. Approximately 79% of injury BoD studies reported the BoD by external cause-of-injury. Most independent studies used the incidence-based approach to calculate YLDs. About half of the injury disease burden studies applied disability weights (DWs) developed by the GBD study. Almost all independent injury studies have determined YLL using national life tables. Conclusions Considerable methodological variation across independent injury BoD assessments was observed; differences were mainly apparent in the design choices and assumption parameters towards injury YLD calculations, implementation of DWs, and the choice of life table for YLL calculations. Development and use of guidelines for performing and reporting of injury BoD studies is crucial to enhance transparency and comparability of injury BoD estimates across Europe and beyond

Panorama da ginástica artística feminina brasileira de alto rendimento esportivo: progressão, realidade e necessidades

The Brazilian Women's Artistic Gymnastics results in international championships are refl ecting the high level of the athletes in the modality and expressing the evolution of this sport in Brazil in the last 10 years. Therefore, this article has the goal to present data about such evolution since the fi rst participation of the Brazilian gymnasts in the Olympic Games (1980), and to refl ect the development of the modality in Brazil. The data have been collected through a bibliographic and documental research. The data analysis showed a unstructured and immature process of the development of this sport in Brazil, revealing a very different reality from what has been exposed in the media.Os resultados das atletas brasileiras da Ginástica Artística feminina nos últimos 10 anos, refletidos principalmente nas competições de nível internacional, apontam para uma expressiva evolução do esporte no país. Assim, este artigo tem o propósito de apresentar dados acerca desta transformação, principalmente a partir da participação das ginastas em Jogos Olímpicos (desde 1980), e estabelecer reflexões em relação ao desenvolvimento da modalidade no país. A partir de uma pesquisa bibliográfica e documental, estes dados foram obtidos, reunidos e contextualizados com outras informações já disponíveis na literatura. Ao analisá-los foi possível não só apontar com especificidade como se deu esta evolução, como também apresentar uma realidade deflagradora de um processo ainda imaturo de desenvolvimento do esporte no país, que não condiz em grande parte com o que é posto pela mídia (de que a modalidade está em pleno avanço e de forma estruturada)