Evidence map›Paper›PMID 33099492›Full record

ArticleBMJ open2020

Non-communicable diseases are the leading cause of mortality in rural Birbhum, West Bengal, India: a sex-stratified analysis of verbal autopsies from a prospective cohort, 2012-2017.

Rajesh Kumar Rai, Anamitra Barik, Saibal Mazumdar, Kajal Chatterjee, Yogeshwar V Kalkonde, Prashant Mathur, Abhijit Chowdhury, Wafaie W Fawzi

Abstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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3 · Its place in the literature

Who cites it

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

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4 · The record

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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

8 authors.

Rajesh Kumar RaiSociety for Health and Demographic Surveillance, Suri, West Bengal, India rajesh.iips28@gmail.com.ORCID 0000-0002-5249-9937
Anamitra BarikSociety for Health and Demographic Surveillance, Suri, West Bengal, India.
Saibal MazumdarSociety for Health and Demographic Surveillance, Suri, West Bengal, India.
Kajal ChatterjeeSociety for Health and Demographic Surveillance, Suri, West Bengal, India.
Yogeshwar V KalkondeRural NCDs and Tribal Health Programme, Society for Education Action and Research in Community Health, Gadchiroli, Maharashtra, India.ORCID 0000-0003-3543-3618
Prashant MathurIndian Council of Medical Research-National Centre for Disease Informatics and Research, Bengaluru, Karnataka, India.
Abhijit ChowdhurySociety for Health and Demographic Surveillance, Suri, West Bengal, India.
Wafaie W FawziDepartment of Global Health and Population, Harvard T H Chan School of Public Health, Boston, Massachusetts, United States.ORCID 0000-0002-2908-600X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThere is a dearth of data on causes of death in rural India, which impedes identification of public health priorities to guide health interventions. This study aims to offer insights from verbal autopsies, to understand the pattern and distribution of causes of death in a rural area of Birbhum District, West Bengal, India.

designCauses of death data were retrieved from a prospective vital event surveillance system.

settingThe Birbhum Population Project, a Health and Demographic Surveillance System, West Bengal, India.

participantsBetween January 2012 and December 2017, all deaths were recorded.

main outcome measuresTrained Surveyors tracked all deaths prospectively and used a previously validated verbal autopsy (VA) tool to record causes of death. Experienced physicians reviewed completed VA forms, and assigned cause of death using the 10th version of International Classification of Diseases. In addition to cause-specific mortality fraction, cause-specific crude death rate (CDR) among males and females were estimated.

resultsA total of 2320 deaths (1348 males and 972 females) were recorded. An estimated CDR was 708/100 000. Over half of all deaths (1176 deaths, 50.7%) were attributed to non-communicable diseases (NCDs), with nearly 30% of all deaths attributed to circulatory system disorders; whereas 24.2% and 3.9% deaths were due to cerebrovascular diseases and ischaemic heart disease, respectively. Equal percent (13%) of males died from external causes and from infectious and parasitic diseases, and 11% died from respiratory system-related diseases. Among females, 12% died from infectious and parasitic diseases. Among children aged 0-4 years, 50% of all male deaths and 45% of all female deaths were attributed to conditions in the perinatal period.

conclusionsNCDs are the leading cause of death among adults in a select population of rural Birbhum, India. Health programmes for rural India should prioritise plans to mitigate deaths due to NCDs.

Indexed as

Noncommunicable DiseasesAdultAutopsyCause of DeathChildChild, PreschoolFemaleHumansIndiaInfantInfant, NewbornMaleMortalityPregnancyProspective StudiesRural Populationcardiac epidemiologyepidemiologypublic health

Identifiers

PMID33099492
PMCPMC7590361

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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.