Chronic care manages long-term, progressive conditions, while acute care addresses short-term conditions. Chronic conditions increasingly strain health systems, which are often unprepared for these demands. This study examines the burden of conditions requiring acute versus chronic care, including sequelae. Conditions and sequelae from the Global Burden of Diseases Study 2019 were classified into acute or chronic care categories. Data were analysed by age, sex, and socio-demographic index, presenting total numbers and contributions to burden metrics such as Disability-Adjusted Life Years (DALYs), Years Lived with Disability (YLD), and Years of Life Lost (YLL). Approximately 68% of DALYs were attributed to chronic care, while 27% were due to acute care. Chronic care needs increased with age, representing 86% of YLDs and 71% of YLLs, and accounting for 93% of YLDs from sequelae. These findings highlight that chronic care needs far exceed acute care needs globally, necessitating health systems to adapt accordingly. Chronic care manages long-term, progressive conditions, while acute care handles short-term ones. Here, authors show chronic conditions account for most of the global health burden, with 68% of DALYs and 93% of YLDs attributed to chronic care needs.
Návaznosti
LX22NPO5101, projekt VaV
Název: Národní institut pro výzkum socioekonomických dopadů nemocí a systémových rizik (Akronym: SYRI)
Investor: Ministerstvo školství, mládeže a tělovýchovy ČR, Národní institut pro výzkum socioekonomických dopadů nemocí a systémových rizik, 5.1 EXCELES
ANZA-RAMIREZ, Cecilia; J Jaime MIRANDA; Benedetta ARMOCIDA; Jorge Cesar CORREIA; Van Spall Harriette Gillian CHRISTINE; David BERAN; Amirali AALI; Kalkidan Hassen ABATE; Semagn Mekonnen ABATE; Cristiana ABBAFATI; Mohsen ABBASI-KANGEVARI; Zeinab ABBASI-KANGEVARI; Hedayat ABBASTABAR; Ahmed M ABDEL-AZEEM; Michael ABDELMASSEH; Sherief ABD-ELSALAM; Ahmed ABDELWAHAB; Gholamreza ABDOLI; Mohammad ABDOLLAHI; Meriem ABDOUN; Deldar Morad ABDULAH; Abu Yousuf Md ABDULLAH; Ame Mehadi ABDUREHMAN; Getachew ABEBE; Aidin ABEDI; Vida ABEDI; Hassan ABIDI; Richard Gyan ABOAGYE; Hassan ABOLHASSANI; Lucas Guimaraes ABREU; Michael R M ABRIGO; Yonas Derso ABTEW; Hiwa Abubaker ALI; Eman ABU-GHARBIEH; Ahmed ABU-ZAID; Manfred Mario Kokou ACCROMBESSI; Juan Manuel ACUNA; Denberu Eshetie ADANE; Tigist Demssew ADANE; Isaac Yeboah ADDO; Giovanni ADDOLORATO; Oluwafemi Atanda ADEAGBO; Victor ADEKANMBI; Miracle Ayomikun ADESINA; Olatunji O ADETOKUNBOH; Daniel Adedayo ADEYINKA; Qorinah Estiningtyas Sakilah ADNANI; Aanuoluwapo Adeyimika AFOLABI; 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In-Hwan OH; Akin OJAGBEMI; Hassan OKATI-ALIABAD; Akinkunmi Paul OKEKUNLE; Osaretin Christabel OKONJI; Adeolu Olufunso OLADUNJOYE; Olubunmi Omotola OLADUNJOYE; Andrew T OLAGUNJU; Antonio OLIVAS-MARTINEZ; Arao Belitardo OLIVEIRA; Glaucia Maria Moraes OLIVEIRA; Isaac Iyinoluwa OLUFADEWA; Bolajoko Olubukunola OLUSANYA; Jacob Olusegun OLUSANYA; Ahmed Omar BALI; Sokking ONG; Obinna E ONWUJEKWE; Doris V ORTEGA-ALTAMIRANO; Alberto ORTIZ; Adrian OTOIU; Nikita OTSTAVNOV; Stanislav S OTSTAVNOV; Abderrahim OULHAJ; Amel OUYAHIA; Simon OVERLAND; Mayowa O OWOLABI; P A MAHESH; Kevin PACHECO-BARRIOS; Alicia PADRON-MONEDERO; Jagadish Rao PADUBIDRI; Pramod Kumar PAL; Tamas PALICZ; Raffaele PALLADINO; Songhomitra PANDA-JONAS; Seithikurippu R PANDI-PERUMAL; Helena Ullyartha PANGARIBUAN; Suman PANT; Paraskevi PAPADOPOULOU; Shahina PARDHAN; Eun-Cheol PARK; Eun-Kee PARK; Seoyeon PARK; Deepak Kumar PASUPULA; Jay PATEL; Jenil R PATEL; Rikinkumar S PATEL; Urvish K PATEL; Aslam Ramjan PATHAN; Ronit Patnaik PATNAIK; Uttam PAUDEL; Shrikant PAWAR; Hamidreza Pazoki TOROUDI; Amy E PEDEN; Paolo PEDERSINI; Minjin PENG; Umberto PENSATO; Veincent Christian Filipino PEPITO; Emmanuel K PEPRAH; Joao PERDIGAO; Marcos PEREIRA; Renato B PEREIRA; Norberto PERICO; Simone PERNA; Richard G PESTELL; Konrad PESUDOVS; Ionela-Roxana PETCU; Raffaele PEZZANI; Michael R PHILLIPS; Cristiano PICCINELLI; David M PIGOTT; Julian David PILLAY; Zahra Zahid PIRACHA; Saeed PIROUZPANAH; Meghdad PIRSAHEB; Evgenii PLOTNIKOV; Indrashis PODDER; Vivek PODDER; Riccardo POFI; Roman V POLIBIN; Kevan R POLKINGHORNE; Ramesh POLURU; Constance Dimity POND; Fabio PORRU; Maarten J POSTMA; Naeimeh POURTAHERI; Sergio I PRADA; Pranil Man Singh PRADHAN; V. PRAKASH; Narayan PRASAD; Luis PROENCA; Ibrahim QATTEA; Zahiruddin Quazi SYED; Navid RABIEE; Amir RADFAR; Raghu Anekal RADHAKRISHNAN; Venkatraman RADHAKRISHNAN; Ata RAFIEE; Alberto RAGGI; Pankaja Raghav RAGHAV; Fakher RAHIM; Majid RAHIMI; Vafa RAHIMI-MOVAGHAR; Azizur RAHMAN; Md Obaidur RAHMAN; Mohammad Hifz Ur RAHMAN; Mosiur RAHMAN; Muhammad Aziz RAHMAN; Amir Masoud RAHMANI; Shayan RAHMANI; Vahid RAHMANIAN; Diego RAIMONDO; Ivano RAIMONDO; Sheetal Raj MOOLAMBALLY; Prashant RAJPUT; Sasa RAJSIC; Sree Bhushan RAJU; Ram PRADHUM; Sheena RAMAZANU; Juwel RANA; Chhabi Lal RANABHAT; Chythra R RAO; Sowmya J RAO; TemamBeshir RARU; Sina RASHEDI; Mohammad-Mahdi RASHIDI; Prateek RASTOGI; Azad RASUL; Zubair Ahmed RATAN; Ramin RAVANGARD; David Laith RAWAF; Reza RAWASSIZADEH; Rabail Zehra RAZA; Iman RAZEGHIAN-JAHROMI; Elrashdy Moustafa Mohamed REDWAN; Giuseppe REMUZZI; Andre M N RENZAHO; Bhageerathy RESHMI; Nazila REZAEI; Negar REZAEI; Nima REZAEI; Zahed REZAEI; Mohsen REZAEIAN; Abanoub RIAD; Mavra A RIAZ; Muhammad RIAZ; Antonio Luiz P RIBEIRO; Daniel Cury RIBEIRO; Daniela RIBEIRO; da Silva Tercia Moreira RIBEIRO; Jennifer RICKARD; Monica RODRIGUES; Jefferson Antonio Buendia RODRIGUEZ; Leonardo ROEVER; Esperanza ROMERO-RODRIGUEZ; Michele ROMOLI; Luca RONFANI; Betty ROOSIHERMIATIE; Victor Daniel ROSENTHAL; Morteza ROSTAMIAN; Bedanta ROY; Enrico RUBAGOTTI; Susan Fred RUMISHA; Godfrey M RWEGERERA; S. MANJULA; S N CHANDAN; Aly M A SAAD; Michela SABBATUCCI; Maha Mohamed SABER-AYAD; Siamak SABOUR; Simona SACCO; Perminder S SACHDEV; Rajesh SACHDEVA; Basema SADDIK; Erfan SADEGHI; Malihe SADEGHI; Masoumeh SADEGHI; Saeid SADEGHIAN; Mohammad Reza SAEB; Umar SAEED; Sahar Saeedi MOGHADDAM; Muhammad Aamir Safdar SAFDAR; Mahdi SAFDARIAN; Sher Zaman SAFI; Rajesh SAGAR; Dominic SAGOE; Amirhossein SAHEBKAR; Harihar SAHOO; Mohammad Ali SAHRAIAN; K M SAIF-UR-RAHMAN; Mirza Rizwan SAJID; Sateesh SAKHAMURI; Rehab SALAH; Saina SALAHI; Sarvenaz SALAHI; Nasir SALAM; Payman SALAMATI; Marwa Rashad SALEM; Hossein Samadi KAFIL; Yoseph Leonardo SAMODRA; Abdallah M SAMY; Juan SANABRIA; Francesco SANMARCHI; Itamar S SANTOS; Milena M SANTRIC-MILICEVIC; Bruno Piassi Sao JOSE; Muhammad Arif Nadeem SAQIB; Sivan Yegnanarayana Iyer SARASWATHY; Yaser SARIKHANI; Rakesh Kumar SAROJ; Nizal SARRAFZADEGAN; Arash SARVEAZAD; Brijesh SATHIAN; Thirunavukkarasu SATHISH; Maheswar SATPATHY; Davide SATTIN; Monika SAWHNEY; Ganesh Kumar SAYA; 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Dhan Bahadur Dhan SHRESTHA; Sunil SHRESTHA; Kanwar Hamza SHUJA; Kerem SHUVAL; Inga Dora SIGFUSDOTTIR; Luis Manuel Lopes Rodrigues SILVA; Ali Reza SIMA; Wudneh SIMEGN; Biagio SIMONETTI; Ehsan SINAEI; Anjali SINGAL; Ambrish SINGH; Balbir Bagicha SINGH; Garima SINGH; Harpreet SINGH; Jasvinder A SINGH; Kuldeep SINGH; Narinder Pal SINGH; Paramdeep SINGH; Surjit SINGH; Robert SINTO; Md Shahjahan SIRAJ; Soren T SKOU; Valentin Yurievich SKRYABIN; Anna Aleksandrovna SKRYABINA; David A SLEET; Bogdan SOCEA; Yonatan SOLOMON; Mohammad Sadegh SOLTANI-ZANGBAR; Ranjani SOMAYAJI; Suhang SONG; Yimeng SONG; Prashant SOOD; Joan B SORIANO; Raul A R C SOUSA; Ireneous N SOYIRI; Chandrashekhar T SREERAMAREDDY; Antonina V STARODUBOVA; Nicholas STEEL; Simona Catalina STEFAN; Dan J STEIN; Paschalis STEIROPOULOS; Jacqueline H STEPHENS; Mark A STOKES; Konstantinos STROUMPOULIS; Parminder S SUCHDEV; Muhammad SULEMAN; Abida SULTANA; Jing SUN; Johan SUNDSTROM; Mindy D SZETO; Miklos SZOCSKA; Seidamir Pasha TABAEIAN; Rafael TABARES-SEISDEDOS; Seyed-Amir TABATABAEIZADEH; Shima TABATABAI; KarenM TABB; Mohammad TABISH; Takahiro TABUCHI; Santosh Kumar TADAKAMADLA; Majid TAHERI; Yasaman Taheri ABKENAR; Moslem Taheri SOODEJANI; Iman M TALAAT; Mircea TAMPA; Ker-Kan TAN; Ingan Ukur TARIGAN; Elvis Enowbeyang TARKANG; Nathan Y TAT; Vivian Y TAT; Yibekal Manaye TEFERA; Hadi TEHRANI; Worku Animaw TEMESGEN; Mohamad-Hani TEMSAH; Masayuki TERAMOTO; Getaye Worku TESEMA; Azene TESFAYE; Pugazhenthan THANGARAJU; Kavumpurathu Raman THANKAPPAN; Rekha THAPAR; Friedrich THIENEMANN; Nihal THOMAS; Nikhil Kenny THOMAS; James Douglas THORNTON; Ales TICHOPAD; Jansje Henny Vera TICOALU; Marius Belmondo TINCHO; Marcello TONELLI; Roman TOPOR-MADRY; Marcos Roberto TOVANI-PALONE; Mai Thi Ngoc TRAN; Manjari TRIPATHI; Niharika TRIPATHI; Jaya Prasad TRIPATHY; Thomas Clement TRUELSEN; Nikolaos TSILIMPARIS; Lorainne Tudor CAR; Derara Girma TUFA; Biruk Shalmeno TUSA; Deinzel Robles UEZONO; Saif ULLAH; Sana ULLAH; Srikanth UMAKANTHAN; Krishna Kishore UMAPATHI; Chukwuma David UMEOKONKWO; Brigid UNIM; Bhaskaran UNNIKRISHNAN; Era UPADHYAY; Marco VACANTE; Alireza VAKILIAN; Sahel Valadan TAHBAZ; Pascual R VALDEZ; Rohollah VALIZADEH; Van den Eynde JEF; Constantine VARDAVAS; Ravi Prasad VARMA; Priya VART; Santosh VARUGHESE; Tommi Juhani VASANKARI; Milena VASIC; Siavash VAZIRI; Narayanaswamy VENKETASUBRAMANIAN; Madhur VERMA; Massimiliano VEROUX; Dominique VERVOORT; Jorge Hugo VILLAFANE; Francesco S VIOLANTE; Prashant M VISHWANATH; Vasily VLASSOV; Vo BAY; Victor VOLOVICI; Linh Gia VU; Yanzhong WANG; Yu WANG; Yuan-Pang WANG; Ziyue WANG; Paul WARD; Abdul WARIS; Melissa Y WEI; Yi Feng WEN; Ronny WESTERMAN; Taweewat WIANGKHAM; Nuwan Darshana WICKRAMASINGHE; Abay Tadesse WODAY; Daniel Sisay Wolde TSADIK; Melat WOLDEMARIAM; Charles D A WOLFE; Anthony D WOOLF; Ai-Min WU; Gedif Ashebir WUBETIE; Ratna D W I WULANDARI; Hong XIAO; Yang XIE; Hanzhang XU; Suowen XU; Xiaoyue XU; Sajad YAGHOUBI; Gahin Abdulraheem Tayib Yahya YAHYA; Seyed Hossein Yahyazadeh JABBARI; Tomohide YAMADA; Kazumasa YAMAGISHI; Lin YANG; Yuichiro YANO; Sanni YAYA; Fereshteh YAZDANPANAH; Pengpeng YE; Siyan YI; Arzu YIGIT; Vahit YIGIT; Paul YIP; Eshetu YISIHAK; Dong Keon YON; Naohiro YONEMOTO; Yuyi YOU; Mustafa Z YOUNIS; Zabihollah YOUSEFI; Taraneh YOUSEFINEZHADI; Hossein YUSEFI; Siddhesh ZADEY; Vesna ZADNIK; Farbod Zahedi TAJRISHI; Mazyar ZAHIR; Farima ZAKARYAEI; Nazar ZAKI; Bin Zaman SOJIB; Nelson ZAMORA; Alireza ZANGENEH; Moein ZANGIABADIAN; Iman ZARE; Ali Zare DEHNAVI; Kourosh ZAREA; Zahra ZARESHAHRABADI; Mikhail Sergeevich ZASTROZHIN; Zelalem Banjaw ZEGEYE; Jean-David ZEITOUN; Getachew Assefa ZENEBE; Nejimu Biza ZEPRO; Jianrong ZHANG; Zhi-Jiang ZHANG; Xiu-Ju George ZHAO; Chenwen ZHONG; Boback ZIAEIAN; Mohammad ZOLADL; Liesl J ZUHLKE; Alimuddin ZUMLA a Yves Miel H ZUNIGA. Characterising acute and chronic care needs: insights from the Global Burden of Disease Study 2019. Nature communications. BERLIN: NATURE PORTFOLIO, 2025, roč. 16, č. 1, s. 1-36. ISSN 2041-1723. Dostupné z: https://doi.org/10.1038/s41467-025-56910-x.
@article{2506560, author = {AnzaandRamirez, Cecilia and Miranda, J Jaime and Armocida, Benedetta and Correia, Jorge Cesar and Christine, Van Spall Harriette Gillian and Beran, David and Aali, Amirali and Abate, Kalkidan Hassen and Abate, Semagn Mekonnen and Abbafati, Cristiana and AbbasiandKangevari, Mohsen and AbbasiandKangevari, Zeinab and Abbastabar, Hedayat and AbdelandAzeem, Ahmed M and Abdelmasseh, Michael and AbdandElsalam, Sherief and Abdelwahab, Ahmed and Abdoli, Gholamreza and Abdollahi, Mohammad and Abdoun, Meriem and Abdulah, Deldar Morad and Abdullah, Abu Yousuf Md and Abdurehman, Ame Mehadi and Abebe, Getachew and Abedi, Aidin and Abedi, Vida and Abidi, Hassan and Aboagye, Richard Gyan and Abolhassani, Hassan and Abreu, Lucas Guimaraes and Abrigo, Michael R M and Abtew, Yonas Derso and Ali, Hiwa Abubaker and AbuandGharbieh, Eman and AbuandZaid, Ahmed and Accrombessi, Manfred Mario Kokou and Acuna, Juan Manuel and Adane, Denberu Eshetie and Adane, Tigist Demssew and Addo, Isaac Yeboah and Addolorato, Giovanni and Adeagbo, Oluwafemi Atanda and Adekanmbi, Victor and Adesina, Miracle Ayomikun and Adetokunboh, Olatunji O and Adeyinka, Daniel Adedayo and Adnani, Qorinah Estiningtyas Sakilah and Afolabi, Aanuoluwapo Adeyimika and Afzal, Muhammad Sohail and Afzal, Saira and Agarwal, Gina and Agarwal, Prerna and Agasthi, Pradyumna and Agrawal, Anurag and AgudeloandBotero, Marcela and Ahinkorah, Bright Opoku and Ahmad, Aqeel and Ahmad, Sajjad and Ahmad, Sohail and Ahmad, Tauseef and Ahmadi, Ali and Ahmadi, Keivan and Ahmadi, Sepideh and Ahmed, Ali and Ahmed, Ayman and Ahmed, Haroon and Ahmed, Jivan Qasim and Ahmed, Luai A and Aithala, Janardhana P and Ajami, Marjan and Aji, Budi and Akbarialiabad, Hossein and Akelew, Yibeltal and Akhlaghdoust, Meisam and Aklilu, Addis and Akonde, Maxwell and Hanadi, Al Hamad and Alahdab, Fares and AlandAly, Ziyad and Alam, Khurshid and Alam, Manjurul and Alam, Nazmul and Alam, Samiah and Alanezi, Fahad Mashhour and Alanzi, Turki M and AlcaldeandRabanal, Jacqueline Elizabeth and Alemayehu, Astawus and Alemu, Birhanu Alamirew Alamirew and Alene, Kefyalew Addis and Algammal, Abdelazeem M and Alhabib, Khalid F and Alhajri, Noora and AlandHanawi, Mohammed Khaled and Alhassan, Robert Kaba and Ali, Liaqat and Ali, Muhammad and Ali, Syed Shujait and Samakkhah, Shohreh Alian and Alicandro, Gianfranco and Alif, Sheikh Mohammad and Alimohamadi, Yousef and AlandJumaily, Adel and Aljunid, Syed Mohamed and Alla, Francois and Almalki, Mohammed J and AlandMaweri, Sadeq and Almustanyir, Sami and Alomari, Mahmoud A and Alonso, Jordi and Alonso, Nivaldo and AlandRaddadi, Rajaa M and AlandSabah, Salman Khalifah and AlandTammemi, Ala'a B and Altirkawi, Khalid A and AlvisandGuzman, Nelson and AlvisandZakzuk, Nelson J and Amare, Azmeraw T and Amare, Hiwot and Ameyaw, Edward Kwabena and Amin, Tarek Tawfik and Dehkordi, Javad Aminian and Amir, Afreenish and Amiri, Hoda and Amiri, Sohrab and Amu, Hubert and Amuasi, John H and Amugsi, Dickson A and Amusa, Ganiyu Adeniyi and Anagaw, Tadele Fentabil and Ancochea, Julio and Ancuceanu, Robert and Anderlini, Deanna and Andrei, Catalina Liliana and Andrei, Tudorel and Androudi, Sofia and Anjana, Ranjit Mohan and Anoushiravani, Amir and Ansar, Adnan and AnsariandMoghaddam, Alireza and Antony, Benny and Antriyandarti, Ernoiz and Antwi, Maxwell Hubert and Anvari, Davood and Anwer, Razique and Anyasodor, Anayochukwu Edward and Apostolaki, Stella and Appiah, Francis and Arabloo, Jalal and ArabandZozani, Morteza and Areda, Demelash and Aref, Hany Mohamed Amin and Argaw, Zeleke Gebru and Ariffin, Hany and Arnlov, Johan and Arruda, Renato and Arshad, Muhammad and Artaman, Al and Artamonov, Anton A and Artanti, Kurnia Dwi and Arulappan, Judie and Aruleba, Raphael Taiwo and Arumugam, Ashokan and Aryal, Krishna K and Aryan, Zahra and AsadiandPooya, Ali A and Asemi, Zatollah and Asgary, Saeed et al.}, article_location = {BERLIN}, article_number = {1}, doi = {https://doi.org/10.1038/s41467-025-56910-x}, keywords = {Diseases; Epidemiology; Public health}, language = {eng}, issn = {2041-1723}, journal = {Nature communications}, title = {Characterising acute and chronic care needs: insights from the Global Burden of Disease Study 2019}, url = {https://www.nature.com/articles/s41467-025-56910-x}, volume = {16}, year = {2025} }
TY - JOUR ID - 2506560 AU - Anza-Ramirez, Cecilia - Miranda, J Jaime - Armocida, Benedetta - Correia, Jorge Cesar - Christine, Van Spall Harriette Gillian - Beran, David - Aali, Amirali - Abate, Kalkidan Hassen - Abate, Semagn Mekonnen - Abbafati, Cristiana - Abbasi-Kangevari, Mohsen - Abbasi-Kangevari, Zeinab - Abbastabar, Hedayat - Abdel-Azeem, Ahmed M - Abdelmasseh, Michael - Abd-Elsalam, Sherief - Abdelwahab, Ahmed - Abdoli, Gholamreza - Abdollahi, Mohammad - Abdoun, Meriem - Abdulah, Deldar Morad - Abdullah, Abu Yousuf Md - Abdurehman, Ame Mehadi - Abebe, Getachew - Abedi, Aidin - Abedi, Vida - Abidi, Hassan - Aboagye, Richard Gyan - Abolhassani, Hassan - Abreu, Lucas Guimaraes - Abrigo, Michael R M - Abtew, Yonas Derso - Ali, Hiwa Abubaker - Abu-Gharbieh, Eman - Abu-Zaid, Ahmed - Accrombessi, Manfred Mario Kokou - Acuna, Juan Manuel - Adane, Denberu Eshetie - Adane, Tigist Demssew - Addo, Isaac Yeboah - Addolorato, Giovanni - Adeagbo, Oluwafemi Atanda - Adekanmbi, Victor - Adesina, Miracle Ayomikun - Adetokunboh, Olatunji O - Adeyinka, Daniel Adedayo - Adnani, Qorinah Estiningtyas Sakilah - Afolabi, Aanuoluwapo Adeyimika - Afzal, Muhammad Sohail - Afzal, Saira - Agarwal, Gina - Agarwal, Prerna - Agasthi, Pradyumna - Agrawal, Anurag - Agudelo-Botero, Marcela - Ahinkorah, Bright Opoku - Ahmad, Aqeel - Ahmad, Sajjad - Ahmad, Sohail - Ahmad, Tauseef - Ahmadi, Ali - Ahmadi, Keivan - Ahmadi, Sepideh - Ahmed, Ali - Ahmed, Ayman - Ahmed, Haroon - Ahmed, Jivan Qasim - Ahmed, Luai A - Aithala, Janardhana P - Ajami, Marjan - Aji, Budi - Akbarialiabad, Hossein - Akelew, Yibeltal - Akhlaghdoust, Meisam - Aklilu, Addis - Akonde, Maxwell - Hanadi, Al Hamad - Alahdab, Fares - Al-Aly, Ziyad - Alam, Khurshid - Alam, Manjurul - Alam, Nazmul - Alam, Samiah - Alanezi, Fahad Mashhour - Alanzi, Turki M - Alcalde-Rabanal, Jacqueline Elizabeth - Alemayehu, Astawus - Alemu, Birhanu Alamirew Alamirew - Alene, Kefyalew Addis - Algammal, Abdelazeem M - Alhabib, Khalid F - Alhajri, Noora - Al-Hanawi, Mohammed Khaled - Alhassan, Robert Kaba - Ali, Liaqat - Ali, Muhammad - Ali, Syed Shujait - Samakkhah, Shohreh Alian - Alicandro, Gianfranco - Alif, Sheikh Mohammad - Alimohamadi, Yousef - Al-Jumaily, Adel - Aljunid, Syed Mohamed - Alla, Francois - Almalki, Mohammed J - Al-Maweri, Sadeq - Almustanyir, Sami - Alomari, Mahmoud A - Alonso, Jordi - Alonso, Nivaldo - Al-Raddadi, Rajaa M - Al-Sabah, Salman Khalifah - Al-Tammemi, Ala'a B - Altirkawi, Khalid A - Alvis-Guzman, Nelson - Alvis-Zakzuk, Nelson J - Amare, Azmeraw T - Amare, Hiwot - Ameyaw, Edward Kwabena - Amin, Tarek Tawfik - Dehkordi, Javad Aminian - Amir, Afreenish - Amiri, Hoda - Amiri, Sohrab - Amu, Hubert - Amuasi, John H - Amugsi, Dickson A - Amusa, Ganiyu Adeniyi - Anagaw, Tadele Fentabil - Ancochea, Julio - Ancuceanu, Robert - Anderlini, Deanna - Andrei, Catalina Liliana - Andrei, Tudorel - Androudi, Sofia - Anjana, Ranjit Mohan - Anoushiravani, Amir - Ansar, Adnan - Ansari-Moghaddam, Alireza - Antony, Benny - Antriyandarti, Ernoiz - Antwi, Maxwell Hubert - Anvari, Davood - Anwer, Razique - Anyasodor, Anayochukwu Edward - Apostolaki, Stella - Appiah, Francis - Arabloo, Jalal - Arab-Zozani, Morteza - Areda, Demelash - Aref, Hany Mohamed Amin - Argaw, Zeleke Gebru - Ariffin, Hany - Arnlov, Johan - Arruda, Renato - Arshad, Muhammad - Artaman, Al - Artamonov, Anton A - Artanti, Kurnia Dwi - Arulappan, Judie - Aruleba, Raphael Taiwo - Arumugam, Ashokan - Aryal, Krishna K - Aryan, Zahra - Asadi-Pooya, Ali A - Asemi, Zatollah - Asgary, Saeed et al. PY - 2025 TI - Characterising acute and chronic care needs: insights from the Global Burden of Disease Study 2019 JF - Nature communications VL - 16 IS - 1 SP - 1-36 EP - 1-36 PB - NATURE PORTFOLIO SN - 20411723 KW - Diseases KW - Epidemiology KW - Public health UR - https://www.nature.com/articles/s41467-025-56910-x N2 - Chronic care manages long-term, progressive conditions, while acute care addresses short-term conditions. Chronic conditions increasingly strain health systems, which are often unprepared for these demands. This study examines the burden of conditions requiring acute versus chronic care, including sequelae. Conditions and sequelae from the Global Burden of Diseases Study 2019 were classified into acute or chronic care categories. Data were analysed by age, sex, and socio-demographic index, presenting total numbers and contributions to burden metrics such as Disability-Adjusted Life Years (DALYs), Years Lived with Disability (YLD), and Years of Life Lost (YLL). Approximately 68% of DALYs were attributed to chronic care, while 27% were due to acute care. Chronic care needs increased with age, representing 86% of YLDs and 71% of YLLs, and accounting for 93% of YLDs from sequelae. These findings highlight that chronic care needs far exceed acute care needs globally, necessitating health systems to adapt accordingly. Chronic care manages long-term, progressive conditions, while acute care handles short-term ones. Here, authors show chronic conditions account for most of the global health burden, with 68% of DALYs and 93% of YLDs attributed to chronic care needs. ER -
ANZA-RAMIREZ, Cecilia; J Jaime MIRANDA; Benedetta ARMOCIDA; Jorge Cesar CORREIA; Van Spall Harriette Gillian CHRISTINE; David BERAN; Amirali AALI; Kalkidan Hassen ABATE; Semagn Mekonnen ABATE; Cristiana ABBAFATI; Mohsen ABBASI-KANGEVARI; Zeinab ABBASI-KANGEVARI; Hedayat ABBASTABAR; Ahmed M ABDEL-AZEEM; Michael ABDELMASSEH; Sherief ABD-ELSALAM; Ahmed ABDELWAHAB; Gholamreza ABDOLI; Mohammad ABDOLLAHI; Meriem ABDOUN; Deldar Morad ABDULAH; Abu Yousuf Md ABDULLAH; Ame Mehadi ABDUREHMAN; Getachew ABEBE; Aidin ABEDI; Vida ABEDI; Hassan ABIDI; Richard Gyan ABOAGYE; Hassan ABOLHASSANI; Lucas Guimaraes ABREU; Michael R M ABRIGO; Yonas Derso ABTEW; Hiwa Abubaker ALI; Eman ABU-GHARBIEH; Ahmed ABU-ZAID; Manfred Mario Kokou ACCROMBESSI; Juan Manuel ACUNA; Denberu Eshetie ADANE; Tigist Demssew ADANE; Isaac Yeboah ADDO; Giovanni ADDOLORATO; Oluwafemi Atanda ADEAGBO; Victor ADEKANMBI; Miracle Ayomikun ADESINA; Olatunji O ADETOKUNBOH; Daniel Adedayo ADEYINKA; Qorinah Estiningtyas Sakilah ADNANI; Aanuoluwapo Adeyimika AFOLABI; Muhammad Sohail AFZAL; Saira AFZAL; Gina AGARWAL; Prerna AGARWAL; Pradyumna AGASTHI; Anurag AGRAWAL; Marcela AGUDELO-BOTERO; Bright Opoku AHINKORAH; Aqeel AHMAD; Sajjad AHMAD; Sohail AHMAD; Tauseef AHMAD; Ali AHMADI; Keivan AHMADI; Sepideh AHMADI; Ali AHMED; Ayman AHMED; Haroon AHMED; Jivan Qasim AHMED; Luai A AHMED; Janardhana P AITHALA; Marjan AJAMI; Budi AJI; Hossein AKBARIALIABAD; Yibeltal AKELEW; Meisam AKHLAGHDOUST; Addis AKLILU; Maxwell AKONDE; Al Hamad HANADI; Fares ALAHDAB; Ziyad AL-ALY; Khurshid ALAM; Manjurul ALAM; Nazmul ALAM; Samiah ALAM; Fahad Mashhour ALANEZI; Turki M ALANZI; Jacqueline Elizabeth ALCALDE-RABANAL; Astawus ALEMAYEHU; Birhanu Alamirew Alamirew ALEMU; Kefyalew Addis ALENE; Abdelazeem M ALGAMMAL; Khalid F ALHABIB; Noora ALHAJRI; Mohammed Khaled AL-HANAWI; Robert Kaba ALHASSAN; Liaqat ALI; Muhammad ALI; Syed Shujait ALI; Shohreh Alian SAMAKKHAH; Gianfranco ALICANDRO; Sheikh Mohammad ALIF; Yousef ALIMOHAMADI; Adel AL-JUMAILY; Syed Mohamed ALJUNID; Francois ALLA; Mohammed J ALMALKI; Sadeq AL-MAWERI; Sami ALMUSTANYIR; Mahmoud A ALOMARI; Jordi ALONSO; Nivaldo ALONSO; Rajaa M AL-RADDADI; Salman Khalifah AL-SABAH; Ala'a B AL-TAMMEMI; Khalid A ALTIRKAWI; Nelson ALVIS-GUZMAN; Nelson J ALVIS-ZAKZUK; Azmeraw T AMARE; Hiwot AMARE; Edward Kwabena AMEYAW; Tarek Tawfik AMIN; Javad Aminian DEHKORDI; Afreenish AMIR; Hoda AMIRI; Sohrab AMIRI; Hubert AMU; John H AMUASI; Dickson A AMUGSI; Ganiyu Adeniyi AMUSA; Tadele Fentabil ANAGAW; Julio ANCOCHEA; Robert ANCUCEANU; Deanna ANDERLINI; Catalina Liliana ANDREI; Tudorel ANDREI; Sofia ANDROUDI; Ranjit Mohan ANJANA; Amir ANOUSHIRAVANI; Adnan ANSAR; Alireza ANSARI-MOGHADDAM; Benny ANTONY; Ernoiz ANTRIYANDARTI; Maxwell Hubert ANTWI; Davood ANVARI; Razique ANWER; Anayochukwu Edward ANYASODOR; Stella APOSTOLAKI; Francis APPIAH; Jalal ARABLOO; Morteza ARAB-ZOZANI; Demelash AREDA; Hany Mohamed Amin AREF; Zeleke Gebru ARGAW; Hany ARIFFIN; Johan ARNLOV; Renato ARRUDA; Muhammad ARSHAD; Al ARTAMAN; Anton A ARTAMONOV; Kurnia Dwi ARTANTI; Judie ARULAPPAN; Raphael Taiwo ARULEBA; Ashokan ARUMUGAM; Krishna K ARYAL; Zahra ARYAN; Ali A ASADI-POOYA; Zatollah ASEMI; Saeed ASGARY; Mohammad ASGHARI-JAFARABADI; Tahira ASHRAF; Ashagre Molla ASSAYE; Thomas ASTELL-BURT; Mahshid ATAEI; Zahra ATAFAR; Mohammad ATHAR; Seyyed Shamsadin ATHARI; Prince ATORKEY; Alok ATREYA; Madhu Sudhan ATTERAYA; Sameh ATTIA; Avinash AUJAYEB; Marcel AUSLOOS; Abolfazl AVAN; Beatriz Paulina Ayala QUINTANILLA; Tegegn Mulatu AYANA; Alemu Degu AYELE; Meshesha Tsegazeab AYELE; Birhanu AYELIGN; Olatunde O AYINDE; Jose L AYUSO-MATEOS; Sina AZADNAJAFABAD; Mohammadreza AZANGOU-KHYAVY; Amirhossein Azari JAFARI; Ahmed Y AZZAM; Amirhesam BABAJANI; Abraham Samuel BABU; Muhammad BADAR; Alaa BADAWI; Ashish D BADIYE; Nayereh BAGHCHEGHI; Nasser BAGHERI; Sara BAGHERIEH; Saeed BAHADORY; Atif Amin BAIG; Mohan BAIRWA; Jennifer L BAKER; Shankar M BAKKANNAVAR; Asaminew Birhanu BALTA; Ovidiu Constantin BALTATU; Amitava BANERJEE; Indrajit BANERJEE; Palash Chandra BANIK; Hansi BANSAL; Abere Tilahun BANTIE; Mainak BARDHAN; Suzanne Lyn BARKER-COLLO; Till Winfried BARNIGHAUSEN; Mark Thomaz Ugliara BARONE; Francesco BARONE-ADESI; Hiba Jawdat BARQAWI; Fabio BARRA; Amadou BARROW; Sandra BARTEIT; Lingkan BARUA; Azadeh BASHIRI; Pritish BASKARAN; Sanjay BASU; Saurav BASU; Abdul-Monim Mohammad BATIHA; Bernhard T BAUNE; Neeraj BEDI; Tahmina BEGUM; Diana Fernanda Bejarano RAMIREZ; Hailu B Y BELAY; Moges Mareg BELAY; Uzma Iqbal BELGAUMI; Michelle L BELL; Luis BELO; Salaheddine BENDAK; Derrick A BENNETT; Isabela M BENSENOR; Habib BENZIAN; Alemshet Yirga BERHIE; Adam E BERMAN; Robert S BERNSTEIN; Akshaya Srikanth BHAGAVATHULA; Dinesh BHANDARI; Nikha BHARDWAJ; Pankaj BHARDWAJ; Sonu BHASKAR; Ajay Nagesh BHAT; Vivek BHAT; Suraj BHATTARAI; Vijayalakshmi S BHOJARAJA; Boris BIKBOV; Corey B BILLS; Antonio BIONDI; Setognal BIRARA; Atanu BISWAS; Raaj Kishore BISWAS; Saeid BITARAF; Oleg BLYUSS; Micheal Kofi BOACHIE; Belay Boda Abule BODICHA; Virginia BODOLICA; Hunduma Amensisa BOJIA; Archith BOLOOR; 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WilliamC CHO; Yuen Yu CHONG; Hitesh CHOPRA; Tzu-Chieh CHOU; Sonali Gajanan CHOUDHARI; Enayet Karim CHOWDHURY; Rajiv CHOWDHURY; Hanne CHRISTENSEN; Steffan Wittrup McPhee CHRISTENSEN; Devasahayam J CHRISTOPHER; Dinh-Toi CHU; Isaac Sunday CHUKWU; Sheng-Chia CHUNG; Raffaela CIUFFREDA; Scott Richard CLARK; Rafael M CLARO; Kaleb COBERLY; Joao CONDE; Barbara CORSO; Michael H CRIQUI; Marita CROSS; Natalia CRUZ-MARTINS; Omid DADRAS; Xiaochen DAI; Albertino Antonio Moura DAMASCENO; Giovanni DAMIANI; Hadi A DANAWI; Jai K DAS; Saswati DAS; Ana Maria DASCALU; Anna DASTIRIDOU; Claudio Alberto DAVILA-CERVANTES; Kairat DAVLETOV; De la Hoz Fernando PIO; De Luca MAIA; Sisay Abebe DEBELA; Natanim DEGEFU; Amin DEHGHAN; Azizallah DEHGHAN; Hiwot DEJENE; Robert Paul DELLAVALLE; Andreas K DEMETRIADES; Biniyam DEMISSE; Fitsum Wolde DEMISSE; Solomon DEMISSIE; Edgar DENOVA-GUTIERREZ; Diriba DEREJE; Msganaw DERESE; Nikolaos DERVENIS; Hardik Dineshbhai DESAI; Rupak DESAI; Fikadu Nugusu DESSALEGN; Gashaw DESSIE; Abebaw Alemayehu DESTA; 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Mariana Gaspar FONSECA; Federica GAZZELLONI; Semiu Olatunde GBADAMOSI; Mesfin GEBREHIWOT; Kahsu Gebrekirstos GEBREKIDAN; Teferi Gebru GEBREMESKEL; Yibeltal Yismaw GELA; Leta Adugna GELETA; Urge GEREMA; Lemma GETACHER; Tamirat GETACHEW; Keyghobad GHADIRI; Fariborz GHAFFARPASAND; Mansour GHAFOURIFARD; Sulmaz GHAHRAMANI; Seyyed-Hadi GHAMARI; Reza GHANBARI; Mohammad Ghasemi NOUR; Ahmad GHASHGHAEE; Farzaneh Ghazi SHERBAF; Zahra GHODSI; Maryam GHOLAMALIZADEH; Ali GHOLAMI; Ali GHOLAMREZANEZHAD; Ghozali GHOZALI; Sherief GHOZY; Tiffany K GILL; Themba G GININDZA; JamesC GLASBEY; Laszlo GOBOLOS; Amit GOEL; Mahaveer GOLECHHA; Pouya GOLEIJ; Davide GOLINELLI; Nelson G M GOMES; Sameer Vali GOPALANI; Houman GOUDARZI; Alessandra C GOULART; Barbara Niegia Garcia GOULART; Michal GRIVNA; Jenny S GUADAMUZ; Habtamu Alganeh GUADIE; Mohammed Ibrahim Mohialdeen GUBARI; Zewdie GUDISA; Avirup GUHA; Rafael Alves GUIMARAES; Bhawna GUPTA; Rajeev GUPTA; Sapna GUPTA; Veer Bala GUPTA; Vijai Kumar GUPTA; Vivek Kumar GUPTA; Alemu GUTA; Wilmer Cristobal GUZMAN-VILCA; Mojtaba Habibi ASGARABAD; Parham HABIBZADEH; Vladimir HACHINSKI; Mostafa HADEI; Nima HAFEZI-NEJAD; Adel Hajj ALI; Arvin HAJ-MIRZAIAN; Esam S HALBOUB; Aram HALIMI; Brian J HALL; Rabih HALWANI; Randah R HAMADEH; Mitiku Teshome HAMBISA; Sajid HAMEED; Samer HAMIDI; Mohammad HAMIDUZZAMAN; Asif HANIF; Graeme J HANKEY; Md Abdul HANNAN; Md Nuruzzaman HAQUE; Harapan HARAPAN; Arief HARGONO; Ninuk HARIYANI; Josep Maria HARO; Mehdi HARORANI; Risky Kusuma HARTONO; Ahmed I HASABALLAH; Faizul HASAN; M Tasdik HASAN; Md Mehedi HASAN; Hamidreza HASANI; Abbas M HASSAN; Amr HASSAN; Shoaib HASSAN; Hossein HASSANIAN-MOGHADDAM; Soheil HASSANIPOUR; Hadi HASSANKHANI; Rasmus J HAVMOELLER; Khezar HAYAT; Jeffrey J HEBERT; Khedidja HEDNA; Mohammad HEIDARI; Reza HEIDARI-SOURESHJANI; Delia HENDRIE; Brenda Yuliana HERRERA-SERNA; Demisu Zenbaba HEYI; Kamal HEZAM; Yuta HIRAIKE; Ramesh HOLLA; Nobuyuki HORITA; Md Mahbub HOSSAIN; Sahadat HOSSAIN; Mehdi HOSSEINZADEH; Mihaela HOSTIUC; Sorin HOSTIUC; Soodabeh HOVEIDAMANESH; Mohamed HSAIRI; Alexander Kevin HSIAO; Junjie HUANG; Irene Lena HUDSON; Mohammad Salman HUSSAIN; Zakir HUSSAIN; Nawfal R HUSSEIN; Foziya Mohammed HUSSIEN; Bing-Fang HWANG; Segun Emmanuel IBITOYE; Olayinka Stephen ILESANMI; Irena M ILIC; Milena D ILIC; Mustapha IMMURANA; Leeberk Raja INBARAJ; Lalu Muhammad IRHAM; Md Rafiqul ISLAM; Mohammad Mainul ISLAM; Rubana ISLAM; Sheikh Mohammed Shariful ISLAM; Farhad ISLAMI; Nahlah Elkudssiah ISMAIL; Hiroyasu ISO; Gaetano ISOLA; Ademola Joshua ITIOLA; Masao IWAGAMI; Chidozie C D IWU; Chinwe Juliana IWU-JAJA; Ihoghosa Osamuyi IYAMU; Merin J LINDA; Jalil JAAFARI; Louis JACOB; Farhad JADIDI-NIARAGH; Haitham JAHRAMI; Rajesh JAIN; Abhishek JAISWAL; Mihajlo JAKOVLJEVIC; Elham JAMSHIDI; Chinmay T JANI; Manthan Dilipkumar JANODIA; Tahereh JAVAHERI; Krishnamurthy JAYANNA; Sathish Kumar JAYAPAL; Umesh JAYARAJAH; Shubha JAYARAM; Seyed Behzad JAZAYERI; Rime JEBAI; Jayakumar JEGANATHAN; Digisie Mequanint JEMERE; Angeline JEYAKUMAR; 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Moien A B KHAN; M Nuruzzaman KHAN; Yusra H KHAN; Javad KHANALI; Khaled KHATAB; Moawiah Mohammad KHATATBEH; Mona M KHATER; Sorour KHATERI; Mahalaqua Nazli KHATIB; Hamid Reza Khayat KASHANI; Zahra KHAZAEIPOUR; Ahmad KHOSRAVI; Jagdish KHUBCHANDANI; Gyu Ri KIM; Jihee KIM; Yun Jin KIM; Ruth W KIMOKOTI; Adnan KISA; Sezer KISA; Mika KIVIMAKI; Cameron J KNEIB; Sonali KOCHHAR; David S Q KOH; Ali-Asghar KOLAHI; Pavel KOLKHIR; Kamrun Nahar KOLY; Farzad KOMPANI; Hamid Reza KOOHESTANI; Vladimir Andreevich KORSHUNOV; Oleksii KORZH; Soewarta KOSEN; Parvaiz A KOUL; Sindhura Lakshmi Koulmane LAXMINARAYANA; Ai KOYANAGI; Kewal KRISHAN; Vijay KRISHNAMOORTHY; Estie KRUGER; Barthelemy Kuate DEFO; Burcu Kucuk BICER; Mohammed KUDDUS; Nuworza KUGBEY; Akshay KUMAR; Manasi KUMAR; Narinder KUMAR; Naveen KUMAR; Nithin KUMAR; Omp KURMI; Dian KUSUMA; Ambily KUTTIKKATTU; La Vecchia CARLO; Ben LACEY; Lucie LAFLAMME; Dharmesh Kumar LAL; Ratilal LALLOO; Tea LALLUKKA; Judit LAM; Faris Hasan LAMI; Qing LAN; Ivan LANDIRES; 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Seyyedmohammadsadeq MIRMOEENI; Erkin M MIRRAKHIMOV; Moonis MIRZA; Maryam MIRZAEI; Roya MIRZAEI; Awoke MISGANAW; Sanjeev MISRA; Prasanna MITHRA; Chaitanya MITTAL; Javad MOGHADASI; Ashraf MOHAMADKHANI; Abdalla Z MOHAMED; Karzan Abdulmuhsin MOHAMMAD; Sakineh MOHAMMAD-ALIZADEH-CHARANDABI; Esmaeil MOHAMMADI; Soheil MOHAMMADI; Hussen MOHAMMED; Shafiu MOHAMMED; Syam MOHAN; Nagabhishek MOKA; Ali H MOKDAD; Mariam MOLOKHIA; Sara MOMTAZMANESH; Lorenzo MONASTA; T J Robinson T MONCATAR; Stefania MONDELLO; Mohammad Ali MONI; Md MONIRUZZAMAN; Fateme MONTAZERI; Delaram MOOSAVI; Yousef MORADI; Maziar MORADI-LAKEH; Paula MORAGA; Rafael Silveira MOREIRA; Joana MORGADO-DA-COSTA; Negar MOROVATDAR; Meg E MORRIS; Shane Douglas MORRISON; Elias MOSSIALOS; Ebrahim MOSTAFAVI; Majid MOTAGHINEJAD; Simin MOUODI; Amin Mousavi KHANEGHAH; Sumaira MUBARIK; Lorenzo MUCCIOLI; Ulrich Otto MUELLER; Soumyadeep MUKHERJEE; Francesk MULITA; Getaneh Baye MULU; Daniel MUNBLIT; Efren MURILLO-ZAMORA; Shruti MURTHY; Ana-Maria MUSINA; Ghulam MUSTAFA; Saravanan MUTHUPANDIAN; Julius C MWITA; Ashraf F NABHAN; Ahamarshan Jayaraman NAGARAJAN; Mukhammad David NAIMZADA; Tapas Sadasivan NAIR; Zhila NAJAFPOUR; Luigi NALDI; Vinay NANGIA; Atta Abbas NAQVI; Sreenivas Narasimha SWAMY; Aparna Ichalangod NARAYANA; Bruno Ramos NASCIMENTO; Gopalakrishnan NATARAJAN; Zuhair S NATTO; Biswa Prakash NAYAK; Vinod C NAYAK; Rawlance NDEJJO; Sabina Onyinye NDUAGUBA; Ionut NEGOI; Ruxandra Irina NEGOI; Seyed Aria NEJADGHADERI; Evangelia NENA; Samata NEPAL; Henok Biresaw NETSERE; Georges NGUEFACK-TSAGUE; Josephine W NGUNJIRI; Che Henry NGWA; Robina Khan NIAZI; Solomon Gedlu NIGATU; Ali NIKOOBAR; Amin Reza NIKPOOR; Muhammad A NIZAM; Chukwudi A NNAJI; Shuhei NOMURA; Nurulamin M NOOR; Nafise NOROOZI; Bo NORRVING; Jean Jacques NOUBIAP; Hasti NOURAEI; George NTAIOS; Mpiko NTSEKHE; Dieta NURRIKA; Jerry John NUTOR; Chimezie Igwegbe NZOPUTAM; Ogochukwu Janet NZOPUTAM; Felix Chukwudi Abrahams OBI; Oluwakemi Ololade ODUKOYA; Onome Bright OGHENETEGA; Abiola OGUNKOYA; 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