Evidence map›Paper›PMID 35273060›Full record

SynthesisBMJ open2022

Excess all-cause deaths stratified by sex and age in Peru: a time series analysis during the COVID-19 pandemic.

Max Carlos Ramírez-Soto, Gutia Ortega-Cáceres, Hugo Arroyo-Hernández

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. The role of mortality surveillance in pandemic preparedness and response.Bulletin of the World Health Organization · 2025
    Article
  2. Article
  3. Article
  4. An analytical approach to evaluate the impact of age demographics in a pandemic.Stochastic environmental research and risk assessment : research journal · 2023
    Article
  5. Monkeypox Outbreak in Peru.Medicina (Kaunas, Lithuania) · 2023
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
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.

Max Carlos Ramírez-SotoCentro de Investigación en Salud Publica, Facultad de Medicina Humana, Universidad San Martin de Porres, Lima, Peru maxcrs22@gmail.com.ORCID 0000-0003-0471-6746
Gutia Ortega-CáceresEscuela de Posgrado, Universidad Ricardo Palma, Lima, Peru.
Hugo Arroyo-HernándezOficina General de Información y Sistemas, Instituto Nacional de Salud, Lima, Peru.ORCID 0000-0001-5128-7820

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this study, we estimated excess all-cause deaths and excess death rates during the COVID-19 pandemic in 25 Peruvian regions, stratified by sex and age group.

designCross-sectional study.

settingTwenty-five Peruvian regions with complete mortality data.

participantsAnnual all-cause official mortality data set from SINADEF (Sistema Informático Nacional de Defunciones) at the Ministry of Health of Peru for 2017-2020, disaggregated by age and sex.

main outcome measuresExcess deaths and excess death rates (observed deaths vs expected deaths) in 2020 by sex and age (0-29, 30-39, 40-49, 50-59, 60-69, 70-79 and ≥80 years) were estimated using P-score. The ORs for excess mortality were summarised with a random-effects meta-analysis.

resultsIn the period between January and December 2020, we estimated an excess of 68 608 (117%) deaths in men and 34 742 (69%) deaths in women, corresponding to an excess death rate of 424 per 100 000 men and 211 per 100 000 women compared with the expected mortality rate. The number of excess deaths increased with age and was higher in men aged 60-69 years (217%) compared with women (121%). Men between the ages of 40 and 79 years experienced twice the rate of excess deaths compared with the expected rate. In eight regions, excess deaths were higher than 100% in men, and in seven regions excess deaths were higher than 70% in women. Men in eight regions and women in one region had two times increased odds of excess death than the expected mortality. There were differences in excess mortality according to temporal distribution by epidemiological week.

conclusionApproximately 100 000 excess all-cause deaths occurred in 2020 in Peru. Age-stratified excess death rates were higher in men than in women. There was strong excess in geographical and temporal mortality patterns according to region.

Indexed as

COVID-19PandemicsAdultAgedCause of DeathCross-Sectional StudiesFemaleHumansMaleMiddle AgedPeruSARS-CoV-2Time FactorsCOVID-19epidemiologyinfectious diseasespublic health

Identifiers

PMID35273060
PMCPMC8914408

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.