Evidence map›Paper›PMID 29995474›Full record

ArticleAmerican journal of public health2018

Austerity Policies and Mortality in Spain After the Financial Crisis of 2008.

Antonio Cabrera de León, Itahisa Marcelino Rodríguez, Fadoua Gannar, Arturo J Pedrero García, Delia Almeida González, M Del Cristo Rodríguez Pérez, Buenaventura Brito Díaz, José Juan Alemán Sánchez, Armando Aguirre-Jaime

RetractedAbstract readRetracted Publication
In one paragraph

Article in American journal of public health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Austerity, healthcare provision, and health outcomes in Spain.The European journal of health economics : HEPAC : health economics in prevention and care · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Antonio Cabrera de LeónAll authors are with Unidad de Investigación de Atención Primaria y del Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Canary Islands, Spain. Antonio Cabrera de León is also with Área de Medicina Preventiva y Salud Pública, Universidad de La Laguna, La Laguna, Spain.
Itahisa Marcelino RodríguezAll authors are with Unidad de Investigación de Atención Primaria y del Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Canary Islands, Spain. Antonio Cabrera de León is also with Área de Medicina Preventiva y Salud Pública, Universidad de La Laguna, La Laguna, Spain.
Fadoua GannarAll authors are with Unidad de Investigación de Atención Primaria y del Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Canary Islands, Spain. Antonio Cabrera de León is also with Área de Medicina Preventiva y Salud Pública, Universidad de La Laguna, La Laguna, Spain.
Arturo J Pedrero GarcíaAll authors are with Unidad de Investigación de Atención Primaria y del Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Canary Islands, Spain. Antonio Cabrera de León is also with Área de Medicina Preventiva y Salud Pública, Universidad de La Laguna, La Laguna, Spain.
Delia Almeida GonzálezAll authors are with Unidad de Investigación de Atención Primaria y del Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Canary Islands, Spain. Antonio Cabrera de León is also with Área de Medicina Preventiva y Salud Pública, Universidad de La Laguna, La Laguna, Spain.
M Del Cristo Rodríguez PérezAll authors are with Unidad de Investigación de Atención Primaria y del Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Canary Islands, Spain. Antonio Cabrera de León is also with Área de Medicina Preventiva y Salud Pública, Universidad de La Laguna, La Laguna, Spain.
Buenaventura Brito DíazAll authors are with Unidad de Investigación de Atención Primaria y del Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Canary Islands, Spain. Antonio Cabrera de León is also with Área de Medicina Preventiva y Salud Pública, Universidad de La Laguna, La Laguna, Spain.
José Juan Alemán SánchezAll authors are with Unidad de Investigación de Atención Primaria y del Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Canary Islands, Spain. Antonio Cabrera de León is also with Área de Medicina Preventiva y Salud Pública, Universidad de La Laguna, La Laguna, Spain.
Armando Aguirre-JaimeAll authors are with Unidad de Investigación de Atención Primaria y del Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Canary Islands, Spain. Antonio Cabrera de León is also with Área de Medicina Preventiva y Salud Pública, Universidad de La Laguna, La Laguna, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyze mortality in Spain and the United States before and after these countries implemented divergent policies in response to the financial crisis of 2008.

methodsWe examined mortality statistics in both countries in the years 2000 to 2015. Spain started austerity policies in 2010. We compared differences in mortality ratios, on the basis of trends and effect size analysis.

resultsDuring 2000 to 2010, overall mortality rates (r = 0.98; P < .001; Cohen's d = -0.228) decreased in both countries. In 2011, this trend changed abruptly in Spain, where observed mortality surpassed expected mortality by 29% in 2011 and by 41% in 2015. By contrast, observed mortality surpassed expected mortality in the United States by only 8% in 2015. As the mortality statistics diverged, the effect size greatly increased (d = 7.531). During this 5-year period, there were 505 559 more deaths in Spain than the expected number, while in the United States the difference was 431 501 more deaths despite the 7-fold larger population in the United States compared with Spain.

conclusionsThe marked excess mortality in 2011 to 2015 in Spain is attributable to austerity policies.

Identifiers

PMID29995474
PMCPMC6050863

What OpenQuestion holds

Textmetadata
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Registered trials

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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.