Evidence map›Paper›PMID 23968629›Full record

ArticleHealthcare policy = Politiques de sante2013

What, if anything, does amenable mortality tell us about regional health system performance?

M Ruth Lavergne, Kimberlyn McGrail

Abstract read
In one paragraph

Article in Healthcare policy = Politiques de sante, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

M Ruth LavergneCentre for Health Services and Policy Research, School of Population and Public Health, University of British Columbia, Vancouver, BC, Canada. rlavergne@chspr.ubc.ca
Kimberlyn McGrail

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesAmenable mortality is proposed as a health system performance measure, and has been used in comparisons across countries and socio-economic strata. We assess its utility as a health region–level indicator in Canada. APPROACH: We classified all deaths in British Columbia from 2002 to 2009 using two common definitions of amenable mortality. Counts and standardized rates were calculated for 16 health regions. To assess reliability, sensitivity and validity, we compared rates across regions and over time, and examined correlations with premature and all-cause mortality.

resultsOf the 238,849 deaths in the study period, 6.6% or 13.7% were classified as amenable (depending on the definition used). Rates were stable or falling in more populated regions, but unstable with large confidence intervals elsewhere. Correlation with overall mortality was strong.

conclusionThough amenable mortality is appealing as a feasible, understandable indicator, we question whether it is appropriate for comparisons at a subprovincial level.

Indexed as

MortalityQuality Indicators, Health CareAdolescentAdultAgedAge FactorsBritish ColumbiaCause of DeathFemaleHumansMaleMiddle AgedRegional Medical ProgramsYoung Adult

Identifiers

PMID23968629
PMCPMC3999562

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.