Evidence map›Paper›PMID 29482553›Full record

ArticleMalaria journal2018

Pattern of all-causes and cause-specific mortality in an area with progressively declining malaria burden in Korogwe district, north-eastern Tanzania.

Daniel P Challe, Mathias L Kamugisha, Bruno P Mmbando, Filbert Francis, Mercy G Chiduo, Celine I Mandara, Samuel Gesase, Omari Abdul, Martha M Lemnge, Deus S Ishengoma

Abstract read
In one paragraph

Article in Malaria journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–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

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

Daniel P ChalleNational Institute for Medical Research, Tanga Centre, P.O Box 5004, Tanga, Tanzania. danielchalle77@yahoo.co.uk.
Mathias L KamugishaNational Institute for Medical Research, Tanga Centre, P.O Box 5004, Tanga, Tanzania.
Bruno P MmbandoNational Institute for Medical Research, Tanga Centre, P.O Box 5004, Tanga, Tanzania.
Filbert FrancisNational Institute for Medical Research, Tanga Centre, P.O Box 5004, Tanga, Tanzania.
Mercy G ChiduoNational Institute for Medical Research, Tanga Centre, P.O Box 5004, Tanga, Tanzania.
Celine I MandaraNational Institute for Medical Research, Tanga Centre, P.O Box 5004, Tanga, Tanzania.
Samuel GesaseNational Institute for Medical Research, Tanga Centre, P.O Box 5004, Tanga, Tanzania.
Omari AbdulNational Institute for Medical Research, Tanga Centre, P.O Box 5004, Tanga, Tanzania.
Martha M LemngeNational Institute for Medical Research, Tanga Centre, P.O Box 5004, Tanga, Tanzania.
Deus S IshengomaNational Institute for Medical Research, Tanga Centre, P.O Box 5004, Tanga, Tanzania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough death records are useful for planning and monitoring health interventions, such information is limited in most developing countries. Verbal autopsy (VA) interviews are alternatively used to determine causes of death in places without or with incomplete hospital records. This study was conducted to determine all causes and cause-specific mortality in Korogwe health and demographic surveillance system (HDSS) undertaken in Korogwe district, northeastern Tanzania.

methodsThe study was conducted from January 2006 to December 2012 in 14 villages under Korogwe HDSS. Vital events such as births, deaths and migrations were routinely updated quarterly. A standard VA questionnaire was administered to parents/close relatives of the deceased to determine cause of death.

resultsOverall, 1325 deaths of individuals with median age of 46 years were recorded in a population with 170,471.4 person years observed (PY). Crude mortality rate was 7.8 per 1000 PY (95% CI 7.2-8.4) and the highest rate was observed in infants (77.9 per 1000 PY; 95% CI 67.4-90.0). The overall mortality increased between 2006 and 2007, followed by a slight decline up to 2011, with the highest decrease observed in 2012. Causes of deaths were established in 942 (71.1%) deaths and malaria (198 deaths, 21.0%) was the leading cause of death in all age groups except adults (15-59 years). HIV/AIDS (17.6%, n = 365) was the leading cause of death in individuals aged 15-59 years followed by malaria (13.9%) and tuberculosis. Non-communicable diseases (NCDs) including stroke, hypertension, cancer, and cardiac failure caused majority of deaths in elderly (60 years and above) accounting for 37.1% (n = 348) of all deaths, although malaria was the single leading cause of death in this group (16.6%).

conclusionThe study showed a significant decline of deaths in the Korogwe HDSS site and malaria was the main cause of death in all age groups (except adults, aged 15-59 years) while HIV/AIDS and NCDs were the main causes in adults and elderly, respectively. Further surveillance is required to monitor and document changes in cause-specific mortality as malaria transmission continues to decline in this and other parts of Tanzania.

Indexed as

MortalitySurvival AnalysisAdolescentAdultAgedAged, 80 and overCause of DeathChildChild, PreschoolFemaleHumansInfantInfant, NewbornMaleMiddle AgedRural PopulationAll-causesCause-specific mortalityDecliningMalariaPattern

Identifiers

PMID29482553
PMCPMC5828081

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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.