Sensibility analysis
The final estimations, with their confidence intervals, of YLD and YLL,
were made by performing 10 000 iterations in a Monte Carlo simulation of
each parameter using the bootstrapped technique of DALYs calculator
package in R program (18). All estimates are performed using a discount
rate of 3% and weighting by age (C = 0.1658, β = 0.04). Subgroup
analyzes were performed according to age group and sex. The
probabilistic sensitivity analysis was performed using the entire range
of initial values of each of the parameters used to calculate the
DALYs using the standardized regression coefficient method. The
simulated overall DALY estimates were regressed against the simulated
values for the stochastic input parameters. To facilitate comparison,
the independent terms are standardized such that they were normally
distributed with mean zero and standard deviation one. The resulting
regression coefficients were therefore referred to as standardized
regression coefficients. The regression coefficients correspond to the
number of standard deviations change in overall DALY given one standard
deviation change in the corresponding input parameter. The internal
consistency of each parameter was evaluated using the DISMOD II program
(19) following the recommendations and methodology described in the
manual for national studies of the WHO disease burden (8).