Table 2

Calculation strategy for cause-specific attribution of overall anemia envelope

Causes for which allocation of the anemia envelope was based on prevalence results from GBD 2010* 
 Malaria 
 Hookworm 
 Schistosomiasis 
 Peptic ulcer disease 
 Gastritis and duodenitis 
 Maternal hemorrhage 
Sickle cell disorders 
 Homozygous sickle cell disease (HbS-HbS) 
 Heterozygous sickle cell disease (HbS-HbA) 
 Compound heterozygous sickle cell disease 
 Compound heterozygous sickle cell disease-thalassemia (HbS-Hbβ) 
G6PD deficiency 
 Homozygous class I 
 Homozygous class II 
 Heterozygous (female only) 
Thalassemias 
 β thalassemia major (Hbβ-Hbβ) 
 Heterozygous β thalassemia (Hbβ-HbA) 
 Compound heterozygous “E-β” thalassemia l (HbE-Hbβ) 
 Heterozygous hemoglobin E (HbE-normal) 
 Hemoglobin H disease (genotype = [- - / - alpha]) 
CKD 
 Due to diabetes mellitus 
 Due to hypertension 
 Other and unspecified 
Causes for which allocation of anemia envelope was based on systematic redistribution methods* 
 IDA 
 Other infectious diseases 
 Other neglected tropical diseases 
 Other hemoglobinopathies and hemolytic anemias 
 Uterine fibroids 
 Other gynecologic disorders 
 Other endocrine, nutrition, blood, and immune disorders 
Causes for which allocation of the anemia envelope was based on prevalence results from GBD 2010* 
 Malaria 
 Hookworm 
 Schistosomiasis 
 Peptic ulcer disease 
 Gastritis and duodenitis 
 Maternal hemorrhage 
Sickle cell disorders 
 Homozygous sickle cell disease (HbS-HbS) 
 Heterozygous sickle cell disease (HbS-HbA) 
 Compound heterozygous sickle cell disease 
 Compound heterozygous sickle cell disease-thalassemia (HbS-Hbβ) 
G6PD deficiency 
 Homozygous class I 
 Homozygous class II 
 Heterozygous (female only) 
Thalassemias 
 β thalassemia major (Hbβ-Hbβ) 
 Heterozygous β thalassemia (Hbβ-HbA) 
 Compound heterozygous “E-β” thalassemia l (HbE-Hbβ) 
 Heterozygous hemoglobin E (HbE-normal) 
 Hemoglobin H disease (genotype = [- - / - alpha]) 
CKD 
 Due to diabetes mellitus 
 Due to hypertension 
 Other and unspecified 
Causes for which allocation of anemia envelope was based on systematic redistribution methods* 
 IDA 
 Other infectious diseases 
 Other neglected tropical diseases 
 Other hemoglobinopathies and hemolytic anemias 
 Uterine fibroids 
 Other gynecologic disorders 
 Other endocrine, nutrition, blood, and immune disorders 

For all subtypes of hemoglobinopathies, genotype is specified in parentheses.

*

Corresponding International Classification of Diseases, 9th Revision (ICD-9) and ICD-10 diagnoses for each cause category are listed in supplemental Table 3. Distribution of the anemia envelope was completed by finding the proportion of total hemoglobin shift attributable to each condition in each population group. For 10 of 17 underlying etiologies, we multiplied prevalence results from GBD 2010 by cause-specific hemoglobin shifts determined via systematic literature review and/or simulation. Attribution to the other 7 causes was performed via systematic redistribution methods. The conditions included in each of the “other” categories are listed in supplemental Table 3.

Hb, hemoglobin.

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