Evidence map›Paper›PMID 26720826›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2015

A Surveillance System to Monitor Excess Mortality of People With Mental Illness in Canada.

Alain Lesage, Louis Rochette, Valérie Émond, Éric Pelletier, Danielle St-Laurent, Fatoumata Binta Diallo, Stephen Kisely

Open access · bronzeAbstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Surveillance of Child and Youth Mental Disorders and Associated Service Use in Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023
    Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. The Evolution of Psychiatric Epidemiology: Where to Next?Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 2 countries.

Alain LesageProfessor, Department of Psychiatry, University of Montreal, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montreal, Quebec; Invited Psychiatric Expert, Bureau d'information et d'études en santé des populations, Institut national de santé publique du Québec, Quebec, Quebec.
Louis RochetteStatistician, Bureau d'information et d'études en santé des populations, Institut national de santé publique du Québec, Quebec, Quebec.
Valérie ÉmondHead, Chronic Disease Surveillance Unit, Bureau d'information et d'études en santé des populations, Institut national de santé publique du Québec, Quebec, Quebec.
Éric PelletierEpidemiologist, Bureau d'information et d'études en santé des populations, Institut national de santé publique du Québec, Quebec, Quebec.
Danielle St-LaurentScientific Director, Bureau d'information et d'études en santé des populations, Institut national de santé publique du Québec, Quebec, Quebec.
Fatoumata Binta DialloResearch Coordinator, Centre de recherche de l'Institut universitaire en santé mentale de Montréal, Montreal, Quebec.
Stephen KiselyProfessor, Queensland Centre for Health Data Services, University of Queensland, Brisbane, Australia.
Institut National de Santé Publique du Québec · CAHôpital Louis-H Lafontaine · CAUniversité de Montréal · CAUniversity of Queensland · AU

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

objectiveOutcome measures are rarely available for surveillance and system performance monitoring for mental disorders and addictions. Our study aims to demonstrate the feasibility and face validity of routinely measuring the mortality gap in the Canadian context at the provincial and regional levels using the methods and data available to the Canadian Chronic Disease Surveillance System (CCDSS) of the Public Health Agency of Canada.

methodsWe used longitudinal data from the Quebec Integrated Chronic Disease Surveillance System, which also provides aggregated data to the CCDSS. This includes data from the health insurance registry physician claims and the hospital discharge abstract for all mental disorder diagnoses (International Classification of Diseases [ICD]-9 290-319 or ICD-10 F00-F99). Patients were defined as having had received a mental disorder diagnosis at least once during the year. Life expectancy was measured using Chiang's method for abridged life tables, complemented by the Hsieh method for adjustment of the last age interval.

resultsWe found a lower life expectancy among psychiatric patients of 8 years for men and 5 years for women. For patients with schizophrenia, life expectancy was lowered by 12 years for men and 8 years for women. Cardiovascular disease and cancer were the most common causes of premature death. Findings were consistent across time and regions of the province. Lower estimates of the mortality gap, compared with literature, could be explained by the inclusion of primary care patients and methods.

conclusionsOur study demonstrates the feasibility of using administrative data to measure the impact of current and future mental health plans in Canada provided the techniques can be replicated in other Canadian provinces.

Indexed as

Epidemiological MonitoringLife ExpectancyMortalityAdolescentAdultAgedAged, 80 and overAnxiety DisordersCanadaCardiovascular DiseasesCause of DeathChildChild, PreschoolDepressive DisorderFeasibility StudiesFemale

Identifiers

PMID26720826
PMCPMC4679166
OpenAlexW2309767692

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.