Evidence map›Paper›PMID 36877692›Full record

ArticlePloS one2023

Associations between mortality from COVID-19 and other causes: A state-level analysis.

Anneliese N Luck, Andrew C Stokes, Katherine Hempstead, Eugenio Paglino, Samuel H Preston

Abstract read
In one paragraph

Article in PloS one, 2023. 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.

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  10. Excess natural-cause mortality in US counties and its association with reported COVID-19 deaths.Proceedings of the National Academy of Sciences of the United States of America · 2024
    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.

Anneliese N LuckDepartment of Sociology and Population Studies Center, University of Pennsylvania, Philadelphia, PA, United States of America.ORCID 0000-0003-3224-2090
Andrew C StokesDepartment of Global Health, Boston University School of Public Health, Boston, MA, United States of America.ORCID 0000-0002-8502-3636
Katherine HempsteadRobert Wood Johnson Foundation, Princeton, NJ, United States of America.
Eugenio PaglinoDepartment of Sociology and Population Studies Center, University of Pennsylvania, Philadelphia, PA, United States of America.ORCID 0000-0001-8733-6460
Samuel H PrestonDepartment of Sociology and Population Studies Center, University of Pennsylvania, Philadelphia, PA, United States of America.

Funding

GRADUATE TRAINING IN DEMOGRAPHYT32HD007242 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI MICHEL GUILLOT · 1985 to 2026
$6.6M
Causes of Geographic Divergence in American Mortality Between 1990 and 2015: Health Behaviors, Health Care Access and MigrationR01AG060115 · NIA · UNIVERSITY OF PENNSYLVANIA · PI ELO, IRMA T. · 2018 to 2022
$1.9M
NIA NIH HHS R01 AG060115NICHD NIH HHS T32 HD007242
6 · The paper itself

Abstract

backgroundDuring the COVID-19 pandemic, the high death toll from COVID-19 was accompanied by a rise in mortality from other causes of death. The objective of this study was to identify the relationship between mortality from COVID-19 and changes in mortality from specific causes of death by exploiting spatial variation in these relationships across US states.

methodsWe use cause-specific mortality data from CDC Wonder and population estimates from the US Census Bureau to examine relationships at the state level between mortality from COVID-19 and changes in mortality from other causes of death. We calculate age-standardized death rates (ASDR) for three age groups, nine underlying causes of death, and all 50 states and the District of Columbia between the first full year of the pandemic (March 2020-February 2021) and the year prior (March 2019-February 2020). We then estimate the relationship between changes in cause-specific ASDR and COVID-19 ASDR using linear regression analysis weighted by the size of the state's population.

resultsWe estimate that causes of death other than COVID-19 represent 19.6% of the total mortality burden associated with COVID-19 during the first year of the COVID-19 pandemic. At ages 25+, circulatory disease accounted for 51.3% of this burden while dementia (16.4%), other respiratory diseases (12.4%), influenza/pneumonia (8.7%) and diabetes (8.6%) also contribute. In contrast, there was an inverse association across states between COVID-19 death rates and changes in death rates from cancer. We found no state-level association between COVID-19 mortality and rising mortality from external causes.

conclusionsStates with unusually high death rates from COVID-19 experienced an even larger mortality burden than implied by those rates alone. Circulatory disease served as the most important route through which COVID-19 mortality affected death rates from other causes of death. Dementia and other respiratory diseases made the second and third largest contributions. In contrast, mortality from neoplasms tended to decline in states with the highest death rates from COVID-19. Such information may help to inform state-level responses aimed at easing the full mortality burden of the COVID-19 pandemic.

Indexed as

Cardiovascular DiseasesCOVID-19DementiaAdultCausalityHumansPandemics

Identifiers

PMID36877692
PMCPMC9987806

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LicenceCC BY
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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.