Evidence map›Paper›PMID 32179670›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2020

US life expectancy stalls due to cardiovascular disease, not drug deaths.

Neil K Mehta, Leah R Abrams, Mikko Myrskylä

Registry-linked trialAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06263452 (Beta-Blocker Influences on Inflammatory and Neural Responses to Stress), which is not on this map. Cited by 112 papers.

0numbers the graph read from it
0cells of the map it votes in
112citing 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.

NCT06263452 phase4recruitingnot on this mapstarted 2024, after this paper: background citation

Beta-Blocker Influences on Inflammatory and Neural Responses to Stress

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2024 to 2026Enrolled120ConditionsCardiovascular DiseaseArmsPropranolol, Placebo
3 · Its place in the literature

Who cites it

112 citing papers in PubMed.

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  10. A Double Decomposition of Standard Deviation Below the Modal Age at Death and the Role of Causes of Death.European journal of population = Revue europeenne de demographie · 2026
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  11. Insights into US life expectancy stagnation from birth cohort mortality dynamics.Proceedings of the National Academy of Sciences of the United States of America · 2026
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52 more citing papers are in PubMed but not listed here.

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

3 authors.

Neil K MehtaDepartment of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI 48109.
Leah R AbramsDepartment of Health Management and Policy, University of Michigan School of Public Health, Ann Arbor, MI 48109.ORCID 0000-0002-8766-0903
Mikko MyrskyläMax Planck Institute for Demographic Research, Rostock 18057, Germany; myrskyla@mpidr.de.ORCID 0000-0003-4995-027X

Funding

Contribution of Behavioral Factors and Chronic Diseases to International Differences in Healthy Life ExpectancyR03AG060404 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MEHTA, NEIL · 2018 to 2019
$156k
6 · The paper itself

Abstract

After decades of robust growth, the rise in US life expectancy stalled after 2010. Explanations for the stall have focused on rising drug-related deaths. Here we show that a stagnating decline in cardiovascular disease (CVD) mortality was the main culprit, outpacing and overshadowing the effects of all other causes of death. The CVD stagnation held back the increase of US life expectancy at age 25 y by 1.14 y in women and men, between 2010 and 2017. Rising drug-related deaths had a much smaller effect: 0.1 y in women and 0.4 y in men. Comparisons with other high-income countries reveal that the US CVD stagnation is unusually strong, contributing to a stark mortality divergence between the US and peer nations. Without the aid of CVD mortality declines, future US life expectancy gains must come from other causes-a monumental task given the enormity of earlier declines in CVD death rates. Reversal of the drug overdose epidemic will be beneficial, but insufficient for achieving pre-2010 pace of life expectancy growth.

Indexed as

Cardiovascular DiseasesCause of DeathDrug OverdoseFemaleHumansLife ExpectancyMaleUnited Statescardiovascular diseasedrug-related mortalitylife expectancymortalityopioid epidemic

Identifiers

PMID32179670
PMCPMC7132127

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LicenceCC BY-NC-ND
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Registered trials

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.