Age-specific trends in cardiovascular mortality rates in the Netherlands between 1980 and 2009

Peeters, Anna; Nusselder, Wilma; Stevenson, Christopher; Moon, Lynelle; Tonkin, Andrew

doi:10.1007/s10654-011-9546-9

Cited by 23 publications

(20 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The significance of changes in trends was examined by joinpoint regression. Similar studies were also conducted elsewhere (19)(20)(21)(22). Our analysis of trends indicates several interesting points that, in the broader context, can be understood as indirect indicators of efficiency of activities focused on the reduction of CVD burden in the Slovak population.…”

Section: Discussionsupporting

confidence: 74%

Trends in Age-Adjusted Coronary Heart Disease Mortality Rates in Slovakia between 1993 and 2009

Psota

Pekarcikova²,

O'Mullane³

et al. 2013

Cent Eur J Public Health

View full text Add to dashboard Cite

SUMMARYCardiovascular diseases (CVD) and especially coronary heart disease (CHD) are the main causes of death in the Slovak Republic (SR). The aim of this study is to explore trends in age-adjusted coronary heart disease mortality rates in the whole Slovak population and in the population of working age between the years 1993 and 2009. A related indicator -potential years of life lost (PYLL) due to CHD -was calculated in the same period for males and females. Crude CHD mortality rates were age-adjusted using European standard population. The joinpoint Poisson regression was performed in order to find out the annual percentage change in trends. The age-adjusted CHD mortality rates decreased in the Slovak population and also in the population of working age. The change was significant only within the working-age sub-group. We found that partial diagnoses (myocardial infarction and chronic ischaemic heart disease) developed in the mirror-like manner. PYLL per 100,000 decreased during the observed period and the decline was more prominent in males. For further research we recommend to focus on several other issues, namely, to examine the validity of cause of death codes, to examine the development of mortality rates in selected age groups, to find out the cause of differential development of mortality rates in the Slovak Republic in comparison with the Czech Republic and Poland, and to explain the causes of decrease of the age-adjusted CHD mortality rates in younger age groups in Slovakia.

show abstract

Section: Discussionsupporting

confidence: 74%

Trends in Age-Adjusted Coronary Heart Disease Mortality Rates in Slovakia between 1993 and 2009

Psota

Pekarcikova²,

O'Mullane³

et al. 2013

Cent Eur J Public Health

View full text Add to dashboard Cite

show abstract

“…There is a concerted effort to reduce this disease burden, particularly that of coronary heart disease (CHD) and cerebrovascular disease in developed countries [3][4][5] . These range from primary preventive strategies targeted at risk factors through acute management and secondary prevention strategies [6][7][8] .…”

Section: Introductionmentioning

confidence: 99%

Implications of discoveries from genome-wide association studies in current cardiovascular practice

Jeemon

Pettigrew²,

Sainsbury³

et al. 2011

WJC

View full text Add to dashboard Cite

show abstract

“…2,3 This decline was even greater in the new millennium in the Netherlands. 4 However, whether these mortality trends mainly reflect favorable changes in risk factors or improvement of acute treatment and secondary prevention is unclear.…”

mentioning

confidence: 99%

Remarkable Decline in Ischemic Stroke Mortality is Not Matched by Changes in Incidence

Vaartjes

O’Flaherty²,

Capewell³

et al. 2013

Stroke

View full text Add to dashboard Cite

To determine 30-day case fatality and 1-year mortality after hospital admission, a cohort of incident hospitalized IS patients for the period 1997-2005 was constructed. This period was selected because good quality data were available for these years and include surrounding Background and Purpose-In Western Europe, mortality from ischemic stroke (IS) has declined over several decades. Agesex-specific IS mortality, IS incidence, 30-day case fatality, and 1-year mortality after hospital admission are essential for explaining recent trends in IS mortality in the new millennium. Methods-Data for all IS deaths in the Netherlands were grouped by year, sex, and age. A joinpoint regression was fitted to detect points in time at which significant changes in the trends occur. By linking nationwide registers, a cohort of patients first admitted for IS between 1997 and 2005 was constructed and age-sex-specific 30-day case fatality and 1-year mortality were computed. IS incidence (admitted IS patients and out-of-hospital IS deaths) was computed by age and sex. Mann-Kendall tests were used for trend evaluation. Results-IS mortality declined continuously between1980 and 2000 with an attenuation of decline in the 1990s in some of the age-sex groups. A remarkable decline in IS mortality after 2000 was observed in all age-sex groups, except for young men. An improved decline in 30-day case fatality and in 1-year mortality was also observed in almost all age-sex groups.In contrast, IS incidence remained stable between 1997 and 2005 or even increased slightly. Conclusions-The recent remarkable decline in IS mortality was not matched by a decline in the number of incident nonfatal IS events. This is worrying, because IS is already a leading cause of adult disability, claiming a heavy human and economic burden. Prevention of IS is therefore now of the greatest importance. IS IncidenceThe incidence of IS was defined as the sum of patients with first hospitalization for IS and patients who died from first IS before hospitalization.The number of patients with an incident hospitalization for IS between 1997 and 2007 was determined by constructing a cohort as was described above. The risk of IS does not depend on whether a unique combination of linking variables is present or not. Therefore we increased the observed number of IS in the constructed cohort using the age-sex-specific uniquity percentage (% of uniqueness ranges from 79.3% in age group 35-44 years to 99.8% in age group >95 years) allowing us to calculate an absolute number of first IS events in the Netherlands.To construct a cohort of patients who died from an incident IS before hospitalization, information from the cause of death register, the population registry, and hospital discharge registry were linked. All out-of-hospital deaths attributable to IS (ICD-10 code I63 and I64) between January 1, 1997 and December 31, 2005 were selected from the cause of death register. Information was subsequently collected on hospital admissions that may have occurred previously for the ...

show abstract

Age-specific trends in cardiovascular mortality rates in the Netherlands between 1980 and 2009

Cited by 23 publications

References 10 publications

Trends in Age-Adjusted Coronary Heart Disease Mortality Rates in Slovakia between 1993 and 2009

Trends in Age-Adjusted Coronary Heart Disease Mortality Rates in Slovakia between 1993 and 2009

Implications of discoveries from genome-wide association studies in current cardiovascular practice

Remarkable Decline in Ischemic Stroke Mortality is Not Matched by Changes in Incidence

Contact Info

Product

Resources

About