ArticleJournal of epidemiology and community health2006
Explaining the recent decrease in coronary heart disease mortality rates in Ireland, 1985-2000.
Article in Journal of epidemiology and community health, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The impact of clinical and population strategies on coronary heart disease mortality: an assessment of Rose's big idea.BMC public health · 2022Pooled it
- Effect of tailored practice and patient care plans on secondary prevention of heart disease in general practice: cluster randomised controlled trial.BMJ (Clinical research ed.) · 2009Trial
- Cardiac rehabilitation adapted to transient ischaemic attack and stroke (CRAFTS): a randomised controlled trial.BMC neurology · 2009Trial
- Cause-of-death distributions and mortality trends in Turkey between 2009 and 2017.Balkan medical journal · 2021Article
- Explaining the increment in coronary heart disease mortality in Mexico between 2000 and 2012.PloS one · 2020Article
- Article
- Explaining the decline in coronary heart disease mortality rates in the Slovak Republic between 1993-2008.PloS one · 2018Article
- Temporal Associations Between Smoking and Cardiovascular Disease, 1971 to 2006 (from the Framingham Heart Study).The American journal of cardiology · 2017Article
- Addition of estimated cardiorespiratory fitness to the clinical assessment of 10-year coronary heart disease risk in asymptomatic men.Preventive medicine reports · 2017Article
- Decline in Cardiovascular Mortality: Possible Causes and Implications.Circulation research · 2017Review
- Exploring potential mortality reductions in 9 European countries by improving diet and lifestyle: A modelling approach.International journal of cardiology · 2016Article
- Explaining the Decline in Coronary Heart Disease Mortality in the Netherlands between 1997 and 2007.PloS one · 2016Article
- Assessment of Risk Factors in Patients With Myocardial Infarction.Global journal of health science · 2015Article
- Relationship between the total length of the stents and patients' quality of life after percutaneous coronary intervention.International journal of clinical and experimental medicine · 2015Article
- Factors related to coronary heart disease risk among men: validation of the Framingham Risk Score.Preventing chronic disease · 2014Article
- Global perspective on acute coronary syndrome: a burden on the young and poor.Circulation research · 2014Article
- Article
- Explaining the decline in coronary heart disease mortality in Turkey between 1995 and 2008.BMC public health · 2013Article
- The contribution of health policy and care to income differences in life expectancy--a register based cohort study.BMC public health · 2013Article
- Cardiovascular disease burden in acute public hospitals in Ireland: estimates for 2021 and 2031.Irish journal of medical science · 2013Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
STUDY
objectivesTo examine the proportion of the recent decline in coronary heart disease (CHD) deaths in Ireland attributable to (a) "evidence based" medical and surgical treatments, and (b) changes in major cardiovascular risk factors. DESIGN
settingIMPACT, a previously validated model, was used to combine and analyse data on the use and effectiveness of specific cardiology treatments and risk factor trends, stratified by age and sex. The main data sources were published trials and meta-analyses, official statistics, clinical audits, and observational studies.
resultsBetween 1985 and 2000, CHD mortality rates in Ireland fell by 47% in those aged 25-84. Some 43.6% of the observed decrease in mortality was attributed to treatment effects and 48.1% to favourable population risk factor trends; specifically declining smoking prevalence (25.6%), mean cholesterol concentrations (30.2%), and blood pressure levels (6.0%), but offset by increases in adverse population trends related to obesity, diabetes, and inactivity (-13.8%).
conclusionsThe results emphasise the importance of a comprehensive strategy that maximises population coverage of effective treatments, and that actively promotes primary prevention, particularly tobacco control and a cardioprotective diet.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.