Evidence map›Paper›PMID 34038514›Full record

ArticleAge and ageing2021

The rate by which mortality increase with age is the same for those who experienced chronic disease as for the general population.

Marcus Ebeling, Roland Rau, Håkan Malmström, Anders Ahlbom, Karin Modig

Abstract read
In one paragraph

Article in Age and ageing, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing 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

22 citing papers in PubMed.

  1. Observational
  2. Global under- and overprescribing of drugs-a scoping review.Naunyn-Schmiedeberg's archives of pharmacology · 2026
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  8. bioRxiv : the preprint server for biology · 2025
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  10. The impact of knowledge of hospitalization on mortality predictions.Health services & outcomes research methodology · 2025
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  11. Article
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  14. Article
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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

5 authors.

Marcus EbelingResearch Group Mathematical and Actuarial Demography, Max Planck Institute for Demographic Research, Rostock, Germany.
Roland RauResearch Group Mathematical and Actuarial Demography, Max Planck Institute for Demographic Research, Rostock, Germany.
Håkan MalmströmC6 Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Anders AhlbomC6 Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.
Karin ModigC6 Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMortality doubles approximately every 6-7 years during adulthood. This exponential increase in death risk with chronological age is the population-level manifestation of ageing, and often referred to as the rate-of-ageing.

objectiveWe explore whether the onset of severe chronic disease alters the rate-of-ageing.

methodsUsing Swedish register data covering the entire population of the birth cohorts 1927-30, we analyse whether being diagnosed with myocardial infarction, diabetes or cancer results in a deviation of the rate-of-ageing from those of the total population. We also quantify the long-term mortality effects of these diseases, using ages with equivalent mortality levels for those with disease and the total population.

resultsNone of the diseases revealed a sustained effect on the rate-of-ageing. After an initial switch upwards in the level of mortality, the rate-of-ageing returned to the same pace as for the total population. The time it takes for the rate to return depends on the disease. The long-term effects of diabetes and myocardial infarction amount to mortality levels that are equivalent to those aged 5-7 years older in the total population. For cancer, the level of mortality returns to that of the total population.

conclusionOur results suggest an underlying process of ageing that causes mortality to increase at a set pace, with every year older we become. This process is not affected by disease history. The persistence of the rate-of-ageing motivates a critical discussion of what role disease prevention can play in altering the progression of ageing.

Indexed as

AgingMyocardial InfarctionAdultChronic DiseaseHumansSwedencancerchronic diseasediabetesmyocardial infarctionolder peoplerate-of-ageing

Identifiers

PMID34038514
PMCPMC8437060

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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.