Years of Life Lost due to exposure: Causal concepts and empirical shortcomings
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Correspondence: P Morfeld peter.morfeld@rag.de
Institute for Occupational and Social Medicine, Cologne University Medical School, 50931 Cologne, Joseph-Stelzmann-Str. 9, Germany
Institute for Occupational Sciences of RAG Aktiengesellschaft, 44369 Dortmund, Hülshof 28, Germany
Epidemiologic Perspectives & Innovations 2004, 1:5 doi:10.1186/1742-5573-1-5
Published: 16 December 2004Additional files
Additional File 1:
Life table analysis with calculation of excess Years of Potential Life Lost e-YPLL according to Park et al. 2002. Basic data (unexposed) from BEIR IV (1988), Table 2A-10, p. 133: death rates of the male US population, surviving at least 30 years, applied to a birth cohort of 100,000. Exposure impact: advancement of certain fractions of deaths. For details of assumed mechanism see Table 2 (Additional file 2).
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Additional File 2:
Two different exposure-response mechanisms compatible with the life table analysis in Table 1. Fractions of the unexposed deaths are advanced by 0 yr or 5 yr according to mechanism 1 and by 0 yr, 5 yr or 10 yr according to mechanism 2. The age distribution of all exposed deaths is identical under both mechanisms. The distribution of the true excess Years of Life Lost e-YLL differs between mechanisms and both diverge from e-YPLL (Table 1, see Additional file 1), whereas the totals agree. (advcm = advancement)
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Additional File 3:
Life table analysis with calculation of excess Years of Potential Life Lost e-YPLL and true excess Years of Life Lost e-YLL for overall and lung cancer mortality (ICD9-162). Basic data (unexposed) from BEIR IV (1988), Table 2A-10, p. 133: overall and lung cancer death rates of the male US population, surviving at least 30 years applied to a birth cohort of 100,000. Exposure impact: advancement of factual and hypothetical lung cancer deaths by 5 years, mixture of advancements among deaths from all causes. It is assumed that the advancement of hypothetical lung cancer deaths leads to an excess of 50% of lung cancer deaths among exposed in each age category. The overall e-YLL for lung cancer are less than the number of exposed lung cancer deaths times 5 years. The e-YPLL for overall death and lung cancer death are determined according to Park et al. 2002. For all deaths e-YPLL must equal e-YLL, but e-YPLL is obviously biased for lung cancer death.
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Additional File 4:
Excel sheet explaining the calculations in Additional files 1 and 2.
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Additional File 5:
Excel sheet explaining the calculations in Additional file 3.
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