General questions

How satisfied have you been with the activities of the COST Action to date?

50 responses

What were in your experience the positive aspects of the COST Action?

40 responses

Group work and online delivery has went well.
networking
Collaboration, access to other BOD experts and expertise
networking, learning new methodologies, new resoureces
Being a partner on the successful unCOVer project
ONLINE SEMINARS/WORKSHOPS
Networking
meetings, abstract submission, newsletter
Learning about BoD experiences from other countries; Meeting with various experts; opportunity to undertake own research while being supported
I think it has been well organized and inclusive, taking into account the needs of the members.
A single workshop
sharing experience
Web, information by email, first conference in Denmark, open to many other researchers and organizations, adaptation to covid situation
The chair has informed us well by sending updates of the Action regularly.
the training programs and webinars
networking on the same subjects
  • good sessions and workshops in the WCPH congress
  • active and straightforward style of Brecht to run the COST Action
Learning more about all things burden of disease (including other areas). Getting to know experts in the field, the networking. The webinars and resources published.
networking, facilitating exchange of knowledge and experiences
sharing the standard protocol to evaluate GBD for Covid-19
Meeting expert academicians, improving myself on GBD
Sharing knowledge
Operational approach to implement/initiate BoD studies, scientific collaborations without any cost, friendly behaviour to guide for BoD approaches
The individuals the network and their competences
The possibility of engagement in a network dedicated to BoD and also to acquire extenxive knowledge on this area (stsm, workshops,etc).
Very interesting publications
Management and communication are the best
The networking, the presentations… and the covid-19 protocol
Chance to collaborate with scientists from all over Europe, to interact and meet experts on the field
Webinars on very actual topiks
  1. Extrovert profile in social media, 2) collaboration with IHME and GBD project
the possibility to start new collaborations
Updates on ongoing BoD activities in european countries
International interaction with top researchers and collateral, new activities
Networking with other countries and joint work to present some of the BD issues, but also methodological instructions how to conduct relevant BoD studies. Then, already published articles resulted from this COST that we can use to try applying to our data..
The chance to learn about what others were working on and to set up collaborations
Connecting professionals involved in the action
Good communication
Great methodological discussions and boosted collaboration for scientific outcomes.
The Copenhagen meeting

How could we improve our COST Action to better suit your needs?

33 responses

Maybe just simplification of what each member should be doing between meetings - sometimes I struggle to know where I fit.
As far as I can judge, continuous cooperation in the WGs has not really started or may have suffered due to the pandemic.
More information on knowledge translation tips, although appreciate this will come.
more interactive sessions, bringing methodological questions
Very hard to answer. The Action has been EXTREMELY well managed, but I have found the ongoing COVID situation and thus lack of contacts within the COST action have made it quite difficult to truely engage with other members, or put forward ideas. Moreover, when I have responded to group mails (e.g. a BoD literature review) regarding potential sources of information, or assistance I could provide, I received no response
TO WORK CLOSER WITH SOME GROUPS (E.G. BEING INVOLVED WITH SOME WORKS, ANALYSES)
More opportunities to do research as a network

Up to now the collaboration with other COST action participants has not been established, because it is not very easy to understand who occupied with similiar diseases or have an access to administrative databases. The access to administrative databases even more important since they could provide data on many conditions, even if a person doesn’t work exactly with the concrete disease on my interest. Thus, the table with the Action expertise would be implemented with the column “access to administrative databases” with a specification (regional, state-level, etc) to easy match the search in case of grant and project opportunities.

It would be useful to have a “requirements” feature that could be used to find a professional for joint work on article, project, etc. The idea could be demonstrated with the following example: one researcher would like to make an analysis of his/her data but has no biostatistician, thus s/he could post a “requirement” on the Action web-site and in the newsletter for searching a biostatistician for analysis, ith some specifications like cancer mortality on a dataset with 1 million persons and follow-up 10 years. Similarly, a biostatistician who is looking for new opportunities would post a “requirement” that s/he is proficient with survival (or economic, etc) analysis and looking for a project that match his/her interests.

The outcome of abstracts submission is not very clear, since they were planned to be published in a supplementary issue, but no information about it is avilable.
Pursue the activities as planned within the COST ACTION and even after as an society
I really like working in groups at the meetings, perhaps it would be possible for the specific subgroups to meet regularly?
training, focus on methods
up-to-date topics for discussion
so far is good. maybe try to get a special issue in a journal, or a book, or something similar?
implementing education programs for the members would help me the most
joining research topics
Organize more webinars.
given the covid situation, implement country specific web pages in which to share experiences and contacts.
May be by providing a live forum for discussion, in case of need
By increasing the seminars/webinars, organizing summer schools
Creating smaller groups to facilitate the work of all members
Under Corona crisis, need more webinars/teaching sessions/lectures on various aspects of methodology and risk factors.
Nothing to suggest
This year has been very difficult but I think the major need are trainings, even as webinars.
Provide equal opportunities for participation in different projects to all action members (old and new)
I hope the situation with COVID pandemic will improve soon
Start producing some collaborative publications
Seminars/webinars on methodology
Help to finish the ongoing COVID-19 pandemic, so we can meet in person and return to some sort of normality
More concrete methodological support to our national studies and in the light of the upcoming WG meeting on COVID19 disease burden
Nothing can be improved; already a high level
The most important think is that situation with coronavirus improve and that we get opportunity to meet and discuss in real not virtual world
It would be important to set specific and clear milestones and deliverables
Easier and clearer communication with GBD; more methodological workshops.

COVID-19 disease burden

Are you currently (considering) calculating COVID-19 disease burden for your country?

50 responses

Are you currently considering calculating the indirect effects of COVID-19 on the burden of disease of non-communicable diseases?

50 responses

Are you currently considering calculating the indirect effects of COVID-19 on the burden of injuries?

50 responses

Do you have any suggestions on how our COST Action could support COVID-19 disease burden activities?

18 responses

methodological discussions
Continued sharing of country-specific experiences
comparative aspects, practical discussions
IN MY OPINION, THE PROJECT UNCOVER (WHERE DIFFERENT MEMBERS OF THE COST ACTIONS ARE INVOLVED) CAN REPRESENT AN INPUT TO SUPPRT COVID 19 DISEASE BURDEN ACTIVITIES
Organize a series of workshops for joint (all interested countries) calculation of COVID-19 BoD step by step according to the recently developed protocol. This could be a multi-country approach to testing the Protocol among COST ACTION partners.
Perhaps creating a group that would regularly meet and collaborate on this?
sharing the examples of covid burden studies and in-depth analysis for them would help
sharing data
Open line for support. Encourage collaboration and communication by email at different steps of the study.
found the last seminar quite interesting, and would implement the sharing of country experiences regarding calculation of covid burden
Considering our heavy involvement in COVID-19 monitoring and limited time and human resources, it would be difficult to achieve these goals at a short term. but, it would be interesting to perform such studies at national level, once it’s possible.
Encouraging everyone to take part in the process
Thanks for sharing the protocol for covid-19 country studies, it is very comprehensive. Maybe some guiding sessions on choices of various methodological approaches such as disease models, disability weights and uncertainity analysis, would be helpful. Especially, in-depth discussions are important with experts.
Access to groups that have already gone through the exercise
Publish a step by step procedure in calculations, commonly agreed and accepted, in order to have common and comparable results among different countries
Much is done in countries, would be nice to get an overview. In particular methodological issues re covid related deaths and YLL is challenging and needs discussion
Identify analyst
to change experience and good practices how to improve COVID-19 disease burden activities

COVID-19 disease burden - considering calculations

Which steps have you taken to proceed with COVID-19 disease burden calculation?

30 responses

Which challenges have you encountered so far or do you foresee?

29 responses

late COVID
Knowledge translation related i.e. what does this tell us about the COVID-19 burden, issues against it being highly mitigated against etc.
mainly methodological, also sometime access to data, linking databases
Data and ethical approvals have been extremely slow
NOT READY TO ANSWER TO THIS QUESTION (I AM INTERESTED IN EVALUATING THE PANDEMIC FATIGUE, SPECIFICALLY)
Not getting all the required data
lack of funds
Data collection
Lack of time, lack of access to data
lack of data looks like the biggest obstacle and of course my lack of experience
Defining data requirements and requesting data through official routes.
many things happened during lockdowns. some effects are direct covid, some others are indirect, some are positive and some negative and they overlap. difficult to disentangle. less injuries? more anxiety? less pollution? less physical activity? increased bmi? smoke and alcohol? reduced access to services for non-covid needs? it seems for example that diagnoses for melanoma were done on larger size melanomas, due to the increased time to outpatient visits.
lack of time and ressources
Our group has only access to local (subregional) data
Lack of will to initiate the study, lack of a statistician to handel the data
none
Lack of data
Actually in my country there is luck of reliable data in every step of the calculattions
I’m from the Danish SSI - and working with Sara, so have benefited from Sara’s work.
Difficulty in accessing national data
Less experience in working with GBD
Access to data
Lack of national/regional data of 2020; Time commitments and conflicts with other urgent priorities
Lack of evidence on long term complications
COVID-19 is currently unpredictable. It is necessary to find a way to successfully limit it.
lack of possibility to meet
Data input and calculation
Data and their interpretation have political implications
Time

What would you benefit more from support from burden-eu?

30 responses

COVID-19 disease burden - not considering calculations

Why are not you (yet) considering quantifying COVID-19 disease burden

20 responses

not my realm of study (only a PhD student)
Not sure
colleagues do calculate the burden due to covid19
it is still in discussion
I have had another urgent activities in research and, mainly, in teaching. But I would like to quantify the effect in life expectancy and mortality, and, eventually, in burden of disease.
Due to other research tasks.
I am not working in the area of infectious diseases.
My work is mainly focused on NCD
no data available
  1. Because of other current duties. 2) Maybe it is good to wait a while to gather more data as the data on COVID cases was not very covering last spring but with more testing has become more reliable during the autumn.
I have no time right now, I have to give online-courses for my students at the moment until the end of this year.
Not involved in a research group dedicated to COVID-19
Not my topic
Transparency of data in Serbia is on a very low level
We have not had time to do it yet
Lack of time
Have other projects
Done in the GBD system and various national bodies
probably not enough resources and capacities, but also because of organizational issues
Others in my country are doing this

How could our COST Action help you to start quantifying COVID-19 disease burden, if you would wish to do so?

6 responses

Supplying some of the specific tools needed and a clear guide of exactly how this would be carried out, would be helpful.
Learning a bit more, especially when data available is still not accurate.
sharing data and methodology
By sharing information on recommended methods (which is being done) so that the different studies would be somewhat comparable.
Don’t know
to propose methodology and required data

GBD 2019

Which questions do you have on the GBD 2019 study or GBD in general, that we could discuss during the meeting?

46 responses

How to improve collaboration between national efforts and IHME
Publicly available resources on 2019 reference life table use
priorities, projections
None
NOT SPECIFIC QUESTIONS
N/a
Robustness of disability weights for certain conditions
discussion about GBD in low-middle income countries
What are the top 3 priority diseases (risk factors) at global and regional based on GBD 2019 study estimates for the future?
No specific questions
attributable burden of disease
generally, health-related factor change during COVID-19
Effect of smoking, alcohol and other behaviors and risk factors
No questions.
Where are the details of disability weights and severity distributions available?
how work around the missing data
Methods to assess the overlap of risk factors and comorbidities?
none
The disability weights are quite complicated for some diseases such as diabetes. How have these DWs been applied in GBD or how they should be applied in other studies to different types of data not including all the details described in connection to the DWs? For diseases with DWs for three or four severity levels and published severity distributions the case is somewhat less challenging.
challenges in considering impact of covid pandemic on GBD for the year 2020, given that most countries will not have data available to share, not even VR, before the closure of the cycle.
probably to talk about anti-covid vaccine efficacy
How to calculate BoD of Covid
Sharing data and code templates
As mentioned in the article “GBD 2019 includes subnational analyses for Italy, Nigeria, Pakistan, the Philippines, and Poland”, my question is how do you take into account the quality of data despite there is no reliable health information system existing, for example Pakistan and Nigeria? and how these estimates could reflect the real-time situation (extent of uncertainity)?
Main differences from previous rounds - both methods and results
methodology
How do they perform data integration
Calculation of Disability weight
CO-morbidity adjustment
Not yet
Lots of general questions - which I’m sure will be covered.
I woudl like to have elucidations on how overlap between different risk factors is managed when computing the attributable burden
Highlight differences in European data. Discuss the effect of COVID-19
No questions
Expected changes in the future due to COVID-19
Specific info on the risk factors
None
Mental disorders, in particular how YLL is counted, currently not adequate in GBD
What sort of data will be used to infer cause of death and impact on use of health services in GBD2020?
how to use properly the results of this study in order to inform health policy and how reliable are this data, considering that we have some articles comparing real and estimated data
Does the GBD method offer any advantages over other methods for COVID-19 disease burden calculation?
COVID-19 impact on chronic diseases.
.
Impact of COVID-19 on mortality
Data quality assessment of GBD. Next steps on adjusting disability weights for different sets of countries.
What are the main differences compared to the earlier GBD study

If you are interested in the GBD methods for quantifying risk factor burden, which risk factors would you be most interested in?

25 responses

PSYCHOLOGICAL ASPECTS
NCDs
Impaired kidney function, fasting plasma glucose
environmental and behavioral risk factors
Behavioral risk factors
nutrition and diet related
Smoking, alcohol
Behavioral
would the lockdowns quantify as a risk factor?
Tobacco, alcohol, diet, physical incativity
fasting plasma glucose, overweight and obesity
Smoking (and its definition in GBD), blood pressure, high cholesterol
not only the overlap on the concomitant occurrence, but also the chain: high BMI, high blood pressure, high LDL, high fasting plasma glucose, are metabolic risk factors, but are also the consequence of behavioural risk factors: malnutrition, dietary risks, alcohol use, low physical activity. how can we consider both? what measures have been taken not to consider these twice? have metabolic risks been “cleaned” by the effect on them of behavioural risks?
Diabetes, COVID-19
Climate change and infections
Behavioural risk factors especially dietary; metabolic risk factors with focus on mediation.
Metabolic risk factors
Dietary risk factor, physical activity, smoking
Air pollution, suboptimal temperature
Safe water, air pollution
CVDs
Alcohol, physical activity, education
All sorts of smoking to start with
.
TBI as a risk factor to develop neurodegenerative diseases

Do you have any final suggestions on how our COST Action could support GBD activities?

11 responses

Sharing of developments, continued exchanges over any differences in methods impact. GBD need to have more honest conversations around where limitations of using country-specific, and sub-national, estimates lie.
If it is in the common interest, can our COST action create the conditions for piloting GBD research activities, model evaluation?
nothing so far
knowing how cost action members are feeding GBD estimations
Continue the excellent work
support the creation of a network of countries for which GBD subnational estimates are available (UK, Norway, Poland, Italy, Sweden), to stimulate other countries to follow.
Thank you for your efforts
More comparisons between GBD methods and BoD approaches
Sharing experience, technical support
Could it be the other way around?
Support assessment of Excess Deaths From COVID-19 and Other Causes

Knowledge translation

How are national COVID-19 epidemiological data made available in your country?

50 responses

How important would it be to develop a knowledge translation toolkit for burden of disease studies?

50 responses

How can the knowledge translation process be improved for burden of disease studies

44 responses

lay language, highlighting key results, explanatory videos
By understanding the clear uses, and misuses of the data
engaging stakeholders, policy makers
Don’t currently know
USING A COMMON FRAMEWORK OF ANALYSIS (E.G. THE USE OF ICF)
Having a toolkit and a guide
more articles a policy briefs should be published for each country
Collaboration between countries
Need to be delivered at the right time and by the right people
Not sure
educational videos
to use evidence-based tools
Not sure.
Clear instructions
more webinars
By presenting it to national and EU decision makers in forums like the Assembly of Members from InfAct
passing trought scientific literature to newpapers
DN
don’t know
via improved communication
Organizing ad hoc workshops
With more interactions with policy makers to understand their needs on understanding BoD results
?
Development of an harmonized approach for communication
Provide specific figures that can be used to better understand DALYs (eg the concept of DALY might be difficult to understand for policy makers)
By organizing a live MC/WG meeting as soon as possible
To have a clear structured guideline
I really do not know
Not sure
Feedback after being used
Meetings, conferences, internet resources
Use of a proper toolkit
Don’t know
On country level: How to translate findings to policy
Don’t understand this question
with tools or techniques to properly use and present results of the studies
Not sure
The process could be improved by using the already existing experience in different countries to not to repeat the same actions and mistakes.
.
developing of toolkit
Organizing meetings and training programs
Nothing to add.

Final remarks

Are there any specific topics for which you could need help from our COST Action?

19 responses

I think you are doing a good job
Collaboration with other participants, joint application for grants
for the moment no
Help in knowing exactly how to quantify COVID 19 specific disease burden
Calculation of prevalences of diseases which have sequelaes, e.g. diabetes.
nothing
diabetes morbidity and mortality
possibility of transforming training schools and short term scientific missions into activities that can be carried out during the pandemic?
Would like to know, if it is possible to focus as well on studies to evaluate anti-covid vaccine efficacy, in the frame of eu-Burden?
Methodology
Yes, for the BoD methodology and the interpretation of BoD results
Methodological approaches to model overlap between risk factors incl mediation
Burden of infectious diseases
Not yet
Help with administrative chores; website easier-friendly
how to organize and improve national data especially mortality to better serve to BD studies and what alternative sources can be used
None
.
Help to assess Excess Deaths From COVID-19 and Other Causes in my country

Do you have any other suggestions or questions that you could not yet raise in the survey?

7 responses

nothing
nothing else.
Please see above answer, many thanks
Not yet
Perhaps this survey was too long. But hope it helps. I am ready to start working
None
.