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57, P ≤ 0.001; 2017 rho 0.41, P = 0.001) and HAQ index was observed (HICs; 1990 rho 0.50, P 0.001; 2016 rho 0.35, P = 0.006); in comparison with low- and middle-income countries where correlation trends were weak and mixed. At a global level, higher HAQ index was related with lower aortic aneurysm mortality and YLLs [mortality, coef -0.05, 95% confidence interval (CI) -0.06, -0.04; YLLs, coef -0.94, 95% CI -1.17, -0.71]. Age-standardized aortic aneurysm mortality declined globally between 1990 and 2017. Globally, age-standardized aor