Measuring the Burden of Morbidity and Mortality, PVonDadelszen, FIGO2012

7/31/2019 Measuring the Burden of Morbidity and Mortality, PVonDadelszen, FIGO2012

1/30

Gj`{zael ~fj oznje mi gmoana~q èn

gm~`ca~q

kf`ccjelj{ èn {mcz~ame{Rj'jkc`gr{a` {~`~jlak `rrm`kfj{ im agrmyael mz~kmgj{ ae njyjcmrael

kmze~aj{

Rj~j yme N`njc{tjeOGjn[k# GOKfO# NarMo{~# NRfac# I_@ETKML# I_K[K# I_KML

Rmij{{m mi Mo{~j~ak{ èn Lqe`jkmcmlq# ZOK

me ojf`ci mi

\FM G`~je`c Gmoana~q \mhael Lmzr

KCAR â`c \mhael Lmzr


2/30

O`khlmzen

Rj'jkc`gr{a` ?en cj`nael k`z{j mi najk~ g`~je`c gm~`ca~q

92#222 62#222 nj`~f{ èez`ccq

Rmoòcq `nna~ame`c nj`~f{ kzje~cq `~~aoz~jn ~m

RRF nzj ~m kme{zgr~ayj km`lzcmr`~fq mi NAK :22#222 rjae`~`c nj`~f{ èez`ccq

Njiaea~ame om`njeael Fqrj~je{ame

Rm~jaeza`

M~fj gzc~amlè g`hj{ mi na{j`{j

Emyjc oamg`hj{


3/30


4/30

O`khlmzen ^fj |anj j{~ag`~j jm im `~~aoz~òcj

g`~je`c èn rjae`~`c nj`~f {fmzcn oj em~jn G`~je`c gmoana~q4gm~`ca~q `~am 0240

Rjae`~`c4g`~je`c jyje~ `~am 0240

|j ~faeh

^fjjimj# |j ejjn ~m |mh ~m|`n{ `kkz`~jrmrzc`~ame'cjyjc j{~ag`~j{ mi g`~je`c &ènrjae`~`c! G)G


5/30


6/30

O`khlmzen ^fj |anj j{~ag`~j jm im `~~aoz~òcj

g`~je`c èn rjae`~`c nj`~f {fmzcn oj em~jn G`~je`c gmoana~q4gm~`ca~q `~am 0240

Rjae`~`c4g`~je`c jyje~ `~am 0240

|j ~faeh

^fjjimj# |j ejjn ~m |mh ~m|`n{ `kkz`~jrmrzc`~ame'cjyjc j{~ag`~j{ mi g`~je`c &ènrjae`~`c! G)G


7/30

O`khlmzen A{{zj{ |a~f njiaea~ame

Kc`{{ak`c \FM g`~je`c gm~`ca~q `~am &GG_!njiaea~ame mi jyje~{ rj 022#222 cayj oa~f{%

\j fmrj ~m jnzkj ~fj oznje mi {~accoa~f ae|mgje |a~f rj'jkc`gr{a`%

^fjjimj# jyje ae ~fj ò{jekj mi èq ò{mcz~jkfèlj ae g`~je`c `nyj{j jyje~ `~j{ &rjrjleèkq!# ~fj GG_ rj 022#222 cayj oa~f{ kmzcni`cc `~aiaka`ccq `{ ~fj rmrm~ame mi cayjome aeiè~{

aekj`{j{% Im KCAR# |j |acc z{j ~fj g`~je`c nj`~f `~j

&GN_! èn rjae`~`c nj`~f `~j &RN_! &nj`~f{rj 022#222 njkc`jn rjleèkaj{!


8/30

Jva{~ael gj`{zjgje~ ~mmc{gm~`ca~q ) i`kaca~q'o`{jn gmoana~q

^fj lmcn {~èn`n im g`~je`c gm~`ca~q E`~ame`c ya~`c {~`~a{~ak{ jla{~`~ame {zrrm~jn oq

Kmeianje~a`c Jepzaaj{ ae~m G`~je`c Nj`~f{

[zrrcjgje~jn ae [km~cèn oq è jepzaq ae~m g`dm

g`~je`c gmoana~q M~fj ~mmc{

Rmrzc`~ame'o`{jn {~`~a{~ak{

I`kaca~q'o`{jn `zna~ G)G |a~f `~~aoz~ame mi k`z{`ca~q

\FM Ej` Ga{{ ~mmc

Kmggzea~q'o`{jn ~mmc{ Ojqmen ~fj ezgojr{ èn {agac` yjo`c `z~mr{q ~mmc{


9/30

Jva{~ael gj`{zjgje~ ~mmc{gmoana~q `km{{ cjyjc{ mi k`j


10/30

\FM GG\L

\FM G`~je`c Gmoana~q \mhael Lmzr# izenjnoq ~fj Oacc ) Gjcaen` L`~j{ Imzen`~ame#

Imgjn ae j{rme{j ~m ~fj c`kh mi ` njiaea~ame ènjcaòcj j{~ag`~j{ mi g`~je`c gmoana~q

RA4 C`cj [`q# \FM

^fa{ imz qj` rmdjk~ |acc oj gè`ljn oq `[jkj~à`~ kmgrm{jn mi ~fj \FM _jrmnzk~ayj

Fj`c~f _j{j`kf èn Njyjcmrgje~ èn _j{j`kf^àeael ae Fzgè _jrmnzk~ame &F_R! ~j`g{ èncjn oq ` ~jkfeak`c |mhael lmzr


11/30

Modjk~ayj{ im \FM GG\L

^fj modjk~ayj{ `j ~m agrmyj ~fj {kaje~aiak o`{a{im njiaeael# j{~ag`~ael ~fj mkkzjekj mi# èngmea~mael g`~je`c gmoana~q

Njyjcmrgje~ mi è anje~aiak`~ame ka~ja` ~f`~ |accoj z{jn ae è `{{j{{gje~ ~mmc

@{{j{{gje~ ~mmc {fmzcn oj r`lg`~ak# `k~amemaje~jn# jyanjekj o`{jn èn f`yj jlame`c ènae~je`~ame`c `kkjr~èkj


12/30


13/30

@{{j{{gje~ ^mmc Njyjcmrgje~

Gj~fmnmcmlq

^fj anje~aiak`~ame ka~ja` im g`~je`c gmoana~q `j4{qgr~mg{# {ale{# aeyj{~al`~ame{ `en g`e`ljgje~{~`~jlaj{

\FMEJ@_ GA[[ @rrm`kf ~m G`~je`c Fj`c~f &?200!

[ale{ Aeyj{~al`~ame{

Ka~ak`c Ae~jyje~ame{ Rmkj{{ Aenak`~m{


14/30


Gj~fmnmcmlq

Ca{~ mi g`~je`c kmena~ame{ njayjn img AKN'02`rrm`kf ~m g`~je`c nj`~f{# rzoca{fjn ca~j`~zj`en jvrj~ mraeame

Izek~ame`c k`r`ka~q `{{j{{gje~ ~m zenj{~`en ~fjagr`k~ mi g`~je`c gmoana~q

Ij~`c kmena~ame{ aekcznjn ~m jy`cz`~j r{qkfmcmlak`c{~j{{ me ~fj gm~fj

\FM GG\L


15/30


Gj~fmnmcmlq

G`~av mi myj ;22 g`~je`c kmena~ame{ kmyjaelnajk~# aenajk~# èn aekanje~`c k`z{j{ mi g`~je`cgmoana~q

Aenjvjn ~fj kmena~ame{ oq ~fja AKN'02 kmnj{ èn

k`~jlma{jn ae~m 0> mlè {q{~jg{

K`namj{ra`~mqNjg`~mcmlqJenmkaejL`{~mae~j{~ae`cLjea~mzae`qF`jgm~mcmlqAeijk~amz{ Na{j`{j{

Mo{~j~akMekmcmlqEjzmcmlqEz~a~ame`cR{qkfa`~qM~fj_fjzg`~mcmlq \FM GG\L


16/30


Gj~fmnmcmlq

Kmena~ame{ |jj km{{ jijjekjn |a~f 021{qgr~mg{# 029 {ale{# 0?0 aeyj{~al`~ame{# èn 10gè`ljgje~ {~`~jlaj{

J`kf kmena~ame |acc oj |jalf~jn `kkmnael ~m a~{mkkzjekj èn agr`k~ me ~fj |mgè

^fm{j anje~aiak`~ame ka~ja` `{{mka`~jn |a~f ~fjgm{~ falfcq |jalf~jn kmena~ame{ |acc oj aekcznjn ae` rmoòaca{~ak gmnjc ~m nj~jgaej ~fj mkkzjekjèn k`z{j mi g`~je`c gmoana~q

\FM GG\L


17/30

[qgr~mg Jyanjekj]O`{jn]_jijjekj @{{j{{gje~]^mmc Kmena~ame{

@onmgae`c Ràe &aekcznael z~jaej#{zr`rzoak

ràe!

D@G@ _`~ame`c Kcaeak`c Jv`g'Nmj{

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gaeaRAJ_[ &rj'jkc`gr{a`!

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^ Iamt im \FM GG\L


18/30

[ale Jyanjekj]O`{jn]_jijjekj Kmena~ame{

@onmgae`c ~jenjej{{ &aekcznael

z~jaej#{zr`rzoak ~jenjej{{!

D@G@ _`~ame`c Kcaeak`c Jv`g'

Nmj{ ~fa{ r`~aje~ f`yj

`rrjenaka~a{= 0119

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@c~jjn Gje~ c [~`~z{ &njkj`{jn cjyjc mi

kme{kamz{ej{{# njcjazg# jekjrf`cmr`~fq#

kmg`!

D@G@ _`~ame`c Kcaeak`c Jv`g'

Nmj{ ~fa{ `nzc~ r`~aje~ f`yj

gjeaela~a{= 0111

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Oza{j N9:#N91%;#Q29-Q2 fmz zaej im km~a{mc

@onmgae`c zc~`{mzen

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20/30

G`e`ljgje~ Rmvq Kmena~ame{

@nje c {zljq &jvka{ame mi g`{{# `nje`cjk~mgq! J?>#J?0%0#D0?'06#M66%;#M16%0#O1:%2#M16%?#H;:#I02-^:0#M6:#H60#H:2-H:0#M?;#N:%?#J?9%2#M20;#E0>

Om|jc {zljq H:2-H:0#H?:'H?>-0>:-_22#A>9

Kjkc`lj

Kj{`j`e {jk~ame

Kfjgm~fj`rq K60'69#K10'K1:#K>;#M20#K:;#K??%2#K:2#K;>

Kfmcjkq{~jk~mgq H60

Kmcmem{kmrq H:2-H:0

Kme~aezmz{ Rm{a~ayj @a|`q Rj{{zj &k R@R! J99#L>#I00'I01#M>#M66%0#G;0%0#N9:#T1>%2#E06#E0


21/30


Gj~fmnmcmlq




^ Iamt im \FM GG\L


22/30


Gj~fmnmcmlq




^ Iamt im \FM GG\L


23/30


Gj~fmnmcmlq




^ Iamt im \FM GG\L


24/30

Gmoana~q `{{j{{gje~ {rjkaiak ~mrj'jkc`gr{a`

izccRAJ_[ Njgml`rfak'# {qgr~mg'# {ale' ) còm`~mq'

o`{jn mz~kmgj rjnak~ame gmnjc im |mgje |a~frj'jkc`gr{a`

Kmgrmeje~{ L@# kfj{~ ràe-nq{remj`# [rM?# rc`~jcj~ kmze~# {jzg

kj`~aeaej# @[^

yme N`njc{tje j~ `c% Cèkj~ ?200


25/30

Om`njeael ~fj {kmrj jv~je`c y`can`~ame img Nz~kf RJ^_@ ~a`c

@hhjgè{ j~ `c% &zerzoca{fjn!

Nz~kf _K^ Rj'Jkc`gr{a` â`c

@g{~jn`g

Ymczgj jvrè{ame im{jyjj rj'jkc`gr{a`

?09 |mgje ènmga{jn Em naiijjekj ae g`dm

g`~je`c gmoana~q &00*!

Aekj`{jn K-[ ae ymczgjjvrè{ame lmzr &16* y{

12*8 r32%2:!Lètjymm~ j~ `c% ODML ?22:


26/30

Gmoana~q `{{j{{gje~ {rjkaiak ~mrj'jkc`gr{a`

gaeaRAJ_[ Njgml`rfak'# {qgr~mg'# {ale'o`{jn

mz~kmgj rjnak~ame gmnjc im |mgje |a~fèq FNR

Kmgrmeje~{ L@# fj`n`kfj-ya{z`c na{~zoèkj{# kfj{~

ràe-nq{remj`# y`lae`c ocjjnael |a~f ònmgae`cràe# _ZP ràe# {OR# nar{~akh rm~jaeza`

R`qej j~ `c% Cèkj~ &{zoga~~jn!

i


27/30

gaeaRAJ_[ rjimg`ekjnjyjcmrgje~ &e70?>1! y`can`~ame &e76;?!

R`qej j~ `c% C`ekj~ &{zoga~~jn!


28/30

[zgg`q @kkz`~j `{{j{{gje~ mi g`~je`c

gmoana~q `en gm~`ca~q a{ ya~`c ~m`kkjcj`~j jnzk~ame{ ae `nyj{jmz~kmgj{ jc`~jn ~m rj'jkc`gr{a`

N`~` {fmzcn oj rmrzc`~ame'o`{jn Aeemy`~ayj gj~fmn{ z{ael rmo`oaca{~ak

gmnjccael |acc oj jpzajn ~m nj~jgaej

kmze~q j{~ag`~j{ mi G)G _a{h {~`~aiak`~ame a{ rm{{aocj im |mgje

|a~f rj'jkc`gr{a`


29/30

\FM GG\L Raq` @l`|`c

Fq`g O`{fmz

Dm{j Lzacfjgj Kjkk`~~a Ièkj Nmee`q

Mczozhmc` I`|mcj

Ojkhq Ijlz{me

Yjmeapzj Iacarra

^ò`{{zg Iamt @~i Lfa{{a

Lacc Lq~j

@~{zga Fam{j

@emg` D`q`~fac`h`

Q`kmzo` Hmej

A{òjccj Cèlj

@iij~~j GkK`|'Oaee{

G`h Gmlè

[~jrfje Gzedèd`

Kafè t~mrkz

Jcatòj~f [zccayè Eqehj yè nje Omjh

Rj~j yme N`njc{tje

_`kfjc YènjHzah

\FM [JK_J^@_A@^

Gakf`jc Goatym C`cj [`q

Nma{ Kfmz

Gj~ae Lcgjtmlcz

tlj ^zek`cr

C`za D`cè~a

G`~~fj|{ G`~fà

_`day O`fc

Caen` Yj{jc

KCAR ^ a c \ ha L


30/30

KCAR â`c \mhael Lmzr G`h @e{jgaem

H`~aj Kf`rgè

^ò`{{zg Iamt

\acca`g Lmogè

Hjccq Fjenj{me

Kfa`l Hàq`

Gàè Healf~

^èl Cjj [agme Cj|ae

R`zc CÒ`j

L|qej~f Cj|a{

Dael &C`q! Ca

C`z` G`ljj Oj~f R`qej

@e` Rac` Oj~e

Naèj [`|kfzkh

[zgjnf` [f`g`

@enq [fjeeè

Dmjc [aelj

Gàèej Yancj

Dag ^fme~me

Rj~j yme N`njc{tje

R@HA[^@E

Tzciap` Ofz~~`

_`f`~ Pzj{fa

EALJ_A@ Mczijga Mc`n`rm

Mc`cjhè @nj~mm

H`qmnj N`n`

AENA@

[fay`r`{`n Lmzn` Gz~qzed`q` Ojcc`n

GMT@GOAPZJ

J{rjèk` [jyjej

Gmf{ae [an`~

Jz{joam G`kj~j

Measuring the Burden of Morbidity and Mortality, PVonDadelszen, FIGO2012

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