GBDInjury

This meeting was one of a cluster of meetings related with injury measurement that were held at Swansea University from Sept 17 to Sept 20 2010. To find out more about the other meetings, including an attendee list, please visit the main meeting page (click here).

Agenda: The meeting program can be viewed below or a pdf-version can be downloaded by clicking here.

Aim: This one-day meeting was designed to provide an:

• update on the work of the GBD-Injury Expert Group and the broader GBD project
• opportunity to discuss specific aspects of the work
• opportunity to reflect on implications of this work for injury measurement and statistics more broadly

Program Summary

Registration: from 8:30 am

Welcome and Introduction (9:00am – 9:15am)

Briefing on the GBD project (9:15am – 9:30am)

Session 1: Injury mortality estimation (9:30am – Noon)

(Includes a 15 minute break at approximately 10:30am)

LUNCH (Noon – 1:00pm)

Session 2: Injury morbidity estimation: data (1:00pm – 2:00pm)

Session 3: Injury morbidity estimation: tools and methods (2:00pm – 3:30pm)

BREAK (3:30pm – 3:45pm)

Session 4: Discussion and Implications (3:45pm – 5:00pm)

MEETING CLOSE (5:00pm)

Program Details

Session 1: Injury mortality estimation

More than perhaps any other Expert Group in the current GBD project, the Injury Expert Group has been involved in finding, appraising and analyzing deaths data. This has been judged necessary because of the large contribution of mortality to total injury DALYs in previous GBD projects, combined with indications of weaknesses in the mortality data likely to have been used by the GBD mortality group in the absence of involvement of the Injury group. The results of this work are likely to have relevance that extends beyond the GBD project. This session will present some aspects of the work and invite discussion.

• Overview (Kavi Bhalla)
• Global road injury mortality (Kavi Bhalla)
• Global estimation of homicide (Richard Matzopoulos)
• Quality appraisal of WHO mortality database (James Harrison)
• Mortuary data: potential for injury measurement in information poor settings (Joan Ozanne-Smith and Kidist Bartolomeos)
• Discussion

Session 2: Injury morbidity estimation: data

Finding data for the GBD project was expected to be challenging. That has been confirmed in practice. What has been found confirms early expectations in some respects and not in others. Presentations in this session will describe what has been obtained.

• Overview (James Harrison)
• Reviews of published literature (James Harrison & Claire Bryan Hancock)
• Hospital inpatient data (Saeid Shahraz)
• Population survey data (Saeid Shahraz)

Session 3: Injury morbidity estimation: tools and methods

Combining the (often patchy and unreliable) data to make estimates of injury burden is as challenging as finding data. In this session analytic approaches that are being used or developed will be presented, and discussion will be invited. This is work-in-progress.

• Overview (Kavi Bhalla)
• GBD weights: progress report (James Harrison)
• DISMOD 3: What is it and how is it being used for injury estimation (Saeid Shahraz & Claire Bryan Hancock)
  • Example: Using DISMOD to combine data on TBI from data from literature, surveys and hospital data collections
• The UK Burden of Injury Study (Ronan Lyons & Belinda Gabbe)
• Combining morbidity data to make population estimates (Kavi Bhalla)
• Discussion

Session 4: Discussion and Implications

Early in the life of the GBD Injury Expert Group a number of topics were raised by members as having implications for GBD work. In some instances, these were a special case of an issue with relevance to injury statistics and measurement more broadly (e.g. case definition; severity). Others were more specific to the GBD project (e.g. the revision of reporting categories). Members of the group expressed interest in leading work on particular topics, and preparation of papers was foreshadowed. Progress has varied between topics. This session provides an opportunity to revisit the topics, reflect on progress and discuss implications for future work, in the context of the presentations and discussion in the earlier sessions of this meeting. .

• Summary of topics and overview of activities to date (James Harrison)
• Where to from here? (open discussion)
  • Publishing findings
  • Publishing methods
  • Making data more accessible
  • Advocating change (e.g. to ICD, data collections)
  • Study questions arising from this work
  • Other …

Acknowledgements

The meeting was made possible by core support from the World Health Organization and help from a number of Welsh organisations, including: the St David’s Medical Foundation, the School of Medicine, Swansea University, Public Health Wales NHS Trust, Children in Wales and the Thematic Research network for emergency UnScheduled and Trauma Care (TRUST). Support from the Violence and Injury Prevention program of the World Health Organization and the World Bank Global Road Safety Facility enabled the participation of twenty researchers and officials from low and middle income countries (LMICs), while CDC's National Center for Health Statistics sponsors the scientific coordination of the International Collaborative Effort on Injury Statistics.