ArticleNeurological research and practice2023
The impact of regional deprivation on stroke incidence, treatment, and mortality in Germany.
Article in Neurological research and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 10 citations in OpenAlex.
- Sex and gender effects on incidence of migraine and stroke: a longitudinal observational study based on the german socio-economic panel.Biology of sex differences · 2026Observational
- Higher allostatic load at hospitalization is linked to worse outcome 90 days after stroke.Frontiers in stroke · 2026Article
- The PopGrouper as a tool for morbidity adjustment in regional comparisons of health care: an analytical framework.Research in health services & regions · 2025Article
- Trends in acute care of cerebrovascular events- a joinpoint analysis with German hospital data from 2000 to 2021.Neurological research and practice · 2025Article
- Stroke mortality negatively associated with health, education, and safety: an ecological study, Minas Gerais, 2014-2022.Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil · 2025Article
- Material and social deprivation associated with public health actual causes of death among older people in Europe: longitudinal and multilevel results from the Survey of Health, Ageing and Retirement in Europe (SHARE).Frontiers in public health · 2024Article
- Large-vessel-occlusion in patients with previous ischemic stroke: an analysis of adherence to secondary preventive medication for different etiologies.Neurological research and practice · 2023Article
- Correction to Competing Interests.Neurological research and practice · 2023Article
- Article
Corrections and comments
- Erratum issued
Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRegional deprivation has been shown to be an influential factor in stroke incidence risk. However, there is a paucity of knowledge on regional differences in stroke incidence and mortality in Germany.
methodsWe assessed data from the Diagnosis Related Groups statistics (2016-2019) and the German Federal Registry of Physicians (2019). Negative binomial regression analysis was used to examine the association between the German Index of Multiple Deprivation 2015 covering 401 districts and district-free cities in Germany and stroke incidence, treatment, and mortality.
resultsThe adjusted rate ratios of stroke incidence and mortality with the highest deprivation level compared with the least deprived area were 1.161 (95% CI [1.143, 1.179]) and 1.193 (95% CI [1.148, 1.239]), respectively. Moreover, this study revealed that physician density was higher in district-free cities compared to districts.
conclusionsOur results indicate that regional deprivation is associated with incident and mortality cases of stroke, necessitating a more targeted approach to stroke prevention in deprived regions.
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