Evidence map›Paper›PMID 31540904›Full record

ArticleHeart (British Cardiac Society)2020

Do age, period or cohort effects explain circulatory disease mortality trends, Scotland 1974-2015?

Jane Parkinson, Jon Minton, Janet Bouttell, James Lewsey, Anoop Shah, Gerry McCartney

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Heart (British Cardiac Society), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Cardiovascular Mortality Gap Between the United States and Other High Life Expectancy Countries in 2000-2016.The journals of gerontology. Series B, Psychological sciences and social sciences · 2022
    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

6 authors at 3 institutions in 1 country.

Jane ParkinsonPublic Health Observatory, NHS Health Scotland, Glasgow, UK jane.parkinson@nhs.net.ORCID 0000-0002-5697-1645
Jon MintonPublic Health Observatory, NHS Health Scotland, Glasgow, UK.
Janet BouttellHealth Economics and Health Technology Assessment, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
James LewseyHealth Economics and Health Technology Assessment, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Anoop ShahCentre for Cardiovascular Science, Queens Medical Research Institute, University of Edinburgh, Edinburgh, UK.
Gerry McCartneyPublic Health Observatory, NHS Health Scotland, Glasgow, UK.
Public Health Scotland · GBUniversity of Glasgow · GBThe Queen's Medical Research Institute · GB

Funding

British Heart Foundation FS/19/17/34172
6 · The paper itself

Abstract

objectiveWe aimed to explore whether age, period or cohort effects explain the trends and inequalities in ischaemic heart disease (IHD) and cerebrovascular disease (CeVD) mortality in Scotland.

methodsWe analysed IHD and CeVD deaths for 1974-2015 by sex, age and area deprivation, visually explored the data using heatmaps and dotplots and built regression models.

resultsCeVD mortality improved steadily over time while IHD mortality improved more rapidly from the late 1980s. Age effects were evident; both outcomes showed an exponential relationship with age for all except males for IHD in the 1980s and 1990s. The mortality profiles by age became older, although improvement was slower for those aged <50 years for IHD, especially for males, and faster for CeVD in females aged <65 years. Rates were higher, and inequalities greater, among males, especially for IHD. For IHD, increased risk for males over females reduced with age (incidence rate ratio for 41-50 year old males=4.28 (95% CI 4.12 to 4.44) and 1.17 (95% CI 1.16 to 1.18) for 71-80 year olds). Inequalities in IHD mortality by area deprivation persisted over time, increasing from around 10% to around 25% higher risk in the most deprived areas between 1974 and 1986 before declining in absolute terms from around 2000. Inequalities for CeVD increased after the late 1980s.

conclusionsIHD and CeVD mortality in Scotland exhibit age but not recent distinct period or cohort effects. The improvements in mortality rates have been more sustained for CeVD and inequalities greater for IHD.

Indexed as

AdolescentAdultAgedAged, 80 and overAge DistributionAge FactorsCause of DeathCerebrovascular DisordersChildChild, PreschoolFemaleFollow-Up StudiesHumansInfantInfant, NewbornMaleEpidemiologyHeart DiseaseStroke

Identifiers

PMID31540904
PMCPMC7146945
OpenAlexW2971901427

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.