Evidence map›Paper›PMID 31122996›Full record

ArticleBMJ open2019

Patterns of amenable child mortality over time in 34 member countries of the Organisation for Economic Co-operation and Development (OECD): evidence from a 15-year time trend analysis (2001-2015).

Maria Michela Gianino, Jacopo Lenzi, Marco Bonaudo, Maria Pia Fantini, Roberta Siliquini, Walter Ricciardi, Gianfranco Damiani

Abstract read
In one paragraph

Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. 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

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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.

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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

7 authors.

Maria Michela GianinoDepartment of Public Health Sciences and Pediatrics, Università degli Studi di Torino, Torino, Italy.
Jacopo LenziDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.ORCID 0000-0003-2882-4223
Marco BonaudoDepartment of Public Health Sciences and Pediatrics, Università degli Studi di Torino, Torino, Italy.ORCID 0000-0001-9278-8998
Maria Pia FantiniDepartment of Biomedical and Neuromotor Sciences, Alma Mater Studiorum - University of Bologna, Bologna, Italy.ORCID 0000-0002-3257-6552
Roberta SiliquiniDepartment of Public Health Sciences and Pediatrics, Università degli Studi di Torino, Torino, Italy.
Walter RicciardiIstituto di Sanità Pubblica, Universita Cattolica del Sacro Cuore Sede di Roma, Roma, Lazio, Italy.
Gianfranco DamianiIstituto di Sanità Pubblica, Universita Cattolica del Sacro Cuore Sede di Roma, Roma, Lazio, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo analyse the trends of amenable mortality rates (AMRs) in children over the period 2001-2015.

designTime trend analysis.

settingThirty-four member countries of the Organisation for Economic Co-operation and Development (OECD).

participantsMidyear estimates of the resident population aged ≤14 years. PRIMARY AND SECONDARY OUTCOME MEASURES: Using data from the WHO Mortality Database and Nolte and McKee's list, AMRs were calculated as the annual number of deaths over the population/100 000 inhabitants. The rates were stratified by age groups (<1, 1-4, 5-9 and 10-14 years). All data were summarised by presenting the average rates for the years 2001/2005, 2006/2010 and 2011/2015.

resultsThere was a significant decline in children's AMRs in the <1 year group in all 34 OECD countries from 2001/2005 to 2006/2010 (332.78 to 295.17/100 000; %Δ -11.30%; 95% CI -18.75% to -3.85%) and from 2006/2010 to 2011/2015 (295.17 to 240.22/100 000; %Δ -18.62%; 95% CI -26.53% to -10.70%) and a slow decline in the other age classes. The only cause of death that was significantly reduced was conditions originating in the early neonatal period for the <1 year group. The age-specific distribution of causes of death did not vary significantly over the study period.

conclusionsThe low decline in amenable mortality rates for children aged ≥1 year, the large variation in amenable mortality rates across countries and the insufficient success in reducing mortality from all causes suggest that the heath system should increase its efforts to enhance child survival. Promoting models of comanagement between primary care and subspecialty services, encouraging high-quality healthcare and knowledge, financing universal access to healthcare and adopting best practice guidelines might help reduce amenable child mortality.

Indexed as

AdolescentCause of DeathChildChild MortalityChild, PreschoolFemaleHealth Services AccessibilityHumansInfantInfant, NewbornMaleMortalityOrganisation for Economic Co-Operation and DevelopmentQuality of Health Careamenable mortalitychildchildhoohhealthcareinternational health servicesoecd countries

Identifiers

PMID31122996
PMCPMC6538061

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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.