Evidence map›Paper›PMID 34891099›Full record

ArticlePublic health2022

Mortality comparisons of COVID-19 with all-cause and non-communicable diseases in Cyprus, Iceland and Malta: lessons learned and forward planning.

S Cuschieri, E Pallari, A Hatziyianni, R Sigurvinsdottir, I D Sigfusdottir, Á K Sigurðardóttir

Abstract read
In one paragraph

Article in Public health, 2022. 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.

  1. Article
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  9. The fastest national COVID vaccination in Europe - Malta's strategies.Health sciences review (Oxford, England) · 2021
    Review
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.

S CuschieriDepartment of Anatomy, Faculty of Medicine and Surgery, University of Malta, Msida, Malta. Electronic address: sarah.cuschieri@um.edu.mt.
E PallariUniversity College London, MRC Clinical Trials and Methodology Unit, London, England. Electronic address: e.pallari@ucl.ac.uk.
A HatziyianniAmmochostos General Hospital, 25 Christou Kkeli, Paralimni, 5310, Cyprus. Electronic address: hatziyianniamalia@gmail.com.
R SigurvinsdottirDepartment of Psychology, Reykjavik University, Reykjavik, Iceland. Electronic address: rannveigs@ru.is.
I D SigfusdottirDepartment of Psychology, Reykjavik University, Reykjavik, Iceland; Teacher's College, Columbia University, New York, NY, USA. Electronic address: ingadora@ru.is.
Á K SigurðardóttirSchool of Health Science, University of Akureyri, Sólborg, Iceland; Akureyri Hospital, Akureyri, Iceland. Electronic address: arun@unak.is.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe COVID-19 pandemic has spread throughout the world, including Cyprus, Iceland and Malta. Considering the small population sizes of these three island countries, it was anticipated that COVID-19 would be adequately contained and mortality would be low. This study aims to compare and contrast COVID-19 mortality with mortality from all causes and common non-communicable diseases (NCDs) over 8 months between these three islands.

methodsData were obtained from the Ministry of Health websites and COVID dashboards from Cyprus, Iceland and Malta. The case-to-fatality ratio (CFR) and years of life lost (YLLs) were calculated. Comparisons were made between the reported cases, deaths, CFR, YLLs, swabbing rates, restrictions and mitigation measures.

resultsLow COVID-19 case numbers and mortality rates were observed during the first wave and transition period in Cyprus, Iceland and Malta. The second wave saw a drastic increase in the number of confirmed cases and mortality rates, especially for Malta, with high CFR and YLLs. Similar restrictions and measures were evident across the three island countries. Results show that COVID-19 mortality was generally lower than mortality from NCDs.

conclusionsThe study highlights that small geographical and population size, along with similar restrictive measures, did not appear to have an advantage against the spread and mortality rate of COVID-19, especially during the second wave. Population density, an ageing population and social behaviours may play a role in the burden of COVID-19. It is recommended that a country-specific syndemic approach is used to deal with the local COVID-19 spread based on the population's characteristics, behaviours and the presence of other pre-existing epidemics.

Indexed as

COVID-19Noncommunicable DiseasesCyprusHumansIcelandMaltaPandemicsSARS-CoV-2Case fatality rateCoronavirusCyprusIcelandIslandsMaltaMortalityNon-communicable diseaseSyndemic

Identifiers

PMID34891099
PMCPMC8059981

What OpenQuestion holds

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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.