ArticleDeutsches Arzteblatt international2014
An inter-state comparison of cardiovascular risk factors in Germany: towards an explanation of high ischemic heart disease mortality in Saxony-Anhalt.
Article in Deutsches Arzteblatt international, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed.
- Trial
- Retrospective analysis of the diagnostic spectrum of histological nephropathies from the Magdeburg kidney biopsy cohort (MD-KBC).BMC nephrology · 2025Article
- Adverse socioeconomic factors are associated with a widening gap in one-year health-related quality of life after acute myocardial infarction.Scientific reports · 2025Article
- Bypassing Emergency Service: Decoding the Drivers of Self-Referral During Acute Myocardial Infarction on Rural Areas in Sachsen-Anhalt, Germany.Healthcare (Basel, Switzerland) · 2024Article
- Sex differences in cardiologic medication provision for adults with coronary heart disease: an analysis of health claims data from 2018 to 2020 in Saxony-Anhalt, Germany.BMC health services research · 2024Article
- Lipoprotein(a) as a risk factor for atherosclerotic cardiovascular disease in patients in non-metropolitan areas of Brandenburg, Germany.Frontiers in cardiovascular medicine · 2024Article
- [Access to cardiological care infrastructure in the federal state of Brandenburg considering the local care needs].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2023Article
- Comparison between In-Hospital and Out-of-Hospital Acute Myocardial Infarctions: Results from the Regional Myocardial Infarction Registry of Saxony-Anhalt (RHESA) Study.Journal of clinical medicine · 2023Article
- Article
- Knowledge of Symptoms of Acute Myocardial Infarction, Reaction to the Symptoms, and Ability to Perform Cardiopulmonary Resuscitation: Results From a Cross-sectional Survey in Four Regions in Germany.Frontiers in cardiovascular medicine · 2022Article
- Rural patients' experience of education, surveillance, and self-care support after heart disease related hospitalisation: a qualitative study.International journal of circumpolar health · 2021Article
- Participation in disease management programs and major adverse cardiac events in patients after acute myocardial infarction: a longitudinal study based on registry data.BMC cardiovascular disorders · 2021Article
- Decline of coronary heart disease mortality is strongly effected by changing patterns of underlying causes of death: an analysis of mortality data from 27 countries of the WHO European region 2000 and 2013.European journal of epidemiology · 2021Article
- Risk Factor Management in Non-Metropolitan Patients with Coronary and Peripheral Artery Disease - A Protocol of a Prospective, Multi-Center, Quality Improvement Strategy.Vascular health and risk management · 2021Article
- Determinants of persistent smoking after acute myocardial infarction: an observational study.BMC cardiovascular disorders · 2020Observational
- Interactive patient education via an audience response system in cardiac rehabilitation.SAGE open medicine · 2020Article
- Adherence To Lipid-Lowering Therapy In Patients With Coronary Heart Disease From The State Of Saxony-Anhalt, Germany.Vascular health and risk management · 2019Article
- Regional differences of macrovascular disease in Northeast and South Germany: the population-based SHIP-TREND and KORA-F4 studies.BMC public health · 2018Article
- Prevalence of Cardiac Disease in Breast Cancer Patients at Time of Diagnosis Compared to the General Female Population in Germany.Breast care (Basel, Switzerland) · 2018Article
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Abstract
backgroundFor years, the state of Saxony-Anhalt has had one of the highest mortality rates from ischemic heart disease among all federal states in Germany. In this article, we provide an overview of the prevalence of known risk factors for ischemic heart disease across the German states and discuss possible artefacts in mortality statistics.
methodsOn the basis of data from a selective literature review and from official statistics, we compare, if available, age-standardized prevalences of diabetes, obesity, increased waist circumference, metabolic syndrome, and cigarette smoking across the German states. We also present statistics on completion of schooling, dropping out of school, and unemployment.
resultsSaxony-Anhalt was in first or second place among German states for all of the risk factors considered. It was also among the leaders in the percentage of school dropouts (14.1%), and, in 2011, it had the lowest percentage of persons educated to matriculation level (19.2%). The unemployment rate in Saxony-Anhalt was 11.5% in 2012, one of the highest rates in Germany. Even after unclear and unknown causes of death are taken into account, the high mortality from ischemic heart disease in Saxony-Anhalt (153.3 per 100 000 person years cannot be attributed completely to an artefact.
conclusionThe high prevalence of risk factors and the unfavorable profile of social factors are consistent with the observed high mortality from ischemic heart disease in Saxony-Anhalt. There is an urgent need for lasting prevention strategies on all levels—societal, behavioral, and clinical.
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