yll- Why should I use it?
The purpose of the package
yll is to easily compute the standard expected years of life lost (YLL), as developed by the Global Burden of Disease Study (Murray, C.J., Lopez, A.D. and World Health Organization, 1996). The YLL is based on comparing the age of death to an external standard life expectancy curve. The goal of the package
yll is also to easily compute the average YLL, which highlights premature causes of death and brings attention to preventable deaths (Aragon et al., 2008).
You can install the released version of
yll from CRAN with:
and load the package with:
To compute the YLL or the average YLL, you need at least:
Other arguments (i.e.,
adjustment) have default values and are thus not obligatory. However, you can still always modify them by specifying the argument and the desired value. See also the help documentation of the package by calling
?avg_yll in R.
Below examples of both functions included in the package.
For instance, imagine there are 100 deaths with an average age of death of 60 years and an expected remaining number of years to live of 20 years, the
yll() function included in the
yll package would look like this:
res <- yll(100, 60, 20) res #>  1503.961
The standard expected years of life lost in our case is thus 1503.96 years. This includes a discounting rate of 0.03 (default rate). To perform the same computation without discounting rate, you specify
discount.rate = 0 in the argument of the
res <- yll(100, 60, 20, discount.rate = 0) res #>  2000
The standard expected years of life lost without discounting is now 2000 years.
It is also possible to compute the average years of life lost, thanks to the function
avg_yll() included in the
yll package. Compared to the standard YLL, the average YLL highlights premature causes of death and brings attention to preventable deaths. Mathematically, it is found by dividing the standard YLL by the number of deaths. It can, however, be easily computed via the function
res <- avg_yll(100, 60, 20) res #>  15.03961
Again, this includes a discount rate of 0.03. To remove the discount rate, set it to 0:
res <- avg_yll(100, 60, 20, discount.rate = 0) res #>  20
Aragon, T. J., Lichtensztajn, D. Y., Katcher, B. S., Reiter, R., & Katz, M. H. (2008). Calculating expected years of life lost for assessing local ethnic disparities in causes of premature death. BMC public health, 8(1), 116.
Murray, C. J., Lopez, A. D., & World Health Organization. (1996). The global burden of disease: a comprehensive assessment of mortality and disability from diseases, injuries, and risk factors in 1990 and projected to 2020: summary.
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