Evidence map›Paper›PMID 33800097›Full record

ArticleJournal of clinical medicine2021

Four Decades of COPD Mortality Trends: Analysis of Trends and Multiple Causes of Death.

Alberto Fernández-García, Mónica Pérez-Ríos, Alberto Fernández-Villar, Gael Naveira, Cristina Candal-Pedreira, María Isolina Santiago-Pérez, Cristina Represas-Represas, Alberto Malvar-Pintos, Sara Cerdeira-Caramés, Alberto Ruano-Raviña

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 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

10 authors.

Alberto Fernández-GarcíaDepartment of Preventive Medicine and Public Health, School of Medicine, University of Santiago de Compostela, 15772 Santiago de Compostela, Spain.ORCID 0000-0003-4993-4616
Mónica Pérez-RíosDepartment of Preventive Medicine and Public Health, School of Medicine, University of Santiago de Compostela, 15772 Santiago de Compostela, Spain.ORCID 0000-0003-4456-6631
Alberto Fernández-VillarPulmonology Department, Alvaro Cunqueiro University Hospital, 36312 Vigo, Spain.ORCID 0000-0001-7407-5249
Gael NaveiraEpidemiology Unit, Galician Health Authority, Xunta de Galicia, 15701 Santiago de Compostela, Spain.
Cristina Candal-PedreiraDepartment of Preventive Medicine and Public Health, School of Medicine, University of Santiago de Compostela, 15772 Santiago de Compostela, Spain.
María Isolina Santiago-PérezDepartment of Preventive Medicine and Public Health, School of Medicine, University of Santiago de Compostela, 15772 Santiago de Compostela, Spain.
Cristina Represas-RepresasPulmonology Department, Alvaro Cunqueiro University Hospital, 36312 Vigo, Spain.ORCID 0000-0002-5908-6684
Alberto Malvar-PintosEpidemiology Unit, Galician Health Authority, Xunta de Galicia, 15701 Santiago de Compostela, Spain.
Sara Cerdeira-CaramésEpidemiology Unit, Galician Health Authority, Xunta de Galicia, 15701 Santiago de Compostela, Spain.
Alberto Ruano-RaviñaDepartment of Preventive Medicine and Public Health, School of Medicine, University of Santiago de Compostela, 15772 Santiago de Compostela, Spain.ORCID 0000-0001-9927-7453

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is little information on chronic obstructive pulmonary disease (COPD) mortality trends, age of death, or male:female ratio. This study therefore sought to analyze time trends in mortality with COPD recorded as the underlying cause of death from 1980 through 2017, and with COPD recorded other than as the underlying cause of death. We conducted an analysis of COPD deaths in Galicia (Spain) from 1980 through 2017, including those in which COPD was recorded other than as the underlying cause of death from 2015 through 2017. We calculated the crude and standardized rates, and analyzed mortality trends using joinpoint regression models. There were 43,234 COPD deaths, with a male:female ratio of 2.4. Median age of death was 82 years. A change point in the mortality trend was detected in 1996 with a significant decrease across the sexes, reflected by an annual percentage change of -3.8%. Taking deaths into account in which COPD participated or contributed without being the underlying cause led to an overall 42% increase in the mortality burden. The most frequent causes of death when COPD was not considered to be the underlying cause were bronchopulmonary neoplasms and cardiovascular diseases. COPD mortality has decreased steadily across the sexes in Galicia since 1996, and age of death has also gradually increased. Multiple-cause death analysis may help prevent the underestimation of COPD mortality.

Indexed as

COPDmortalitymultiple causestrends

Identifiers

PMID33800097
PMCPMC7962201

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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.