Evidence map›Paper›PMID 37671611›Full record

ArticleJournal of the American Heart Association2023

Racial Disparities in Obesity-Related Cardiovascular Mortality in the United States: Temporal Trends From 1999 to 2020.

Zahra Raisi-Estabragh, Ofer Kobo, Jennifer H Mieres, Renee P Bullock-Palmer, Harriette G C Van Spall, Khadijah Breathett, Mamas A Mamas

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
17.7field-weighted citation impact, top 1% of its field
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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 61 citations in OpenAlex.

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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

7 authors at 7 institutions in 4 countries.

Zahra Raisi-EstabraghWilliam Harvey Research Institute, NIHR Barts Biomedical Research Centre, Centre for Advanced Cardiovascular Imaging Queen Mary University London United Kingdom.ORCID 0000-0002-7757-5465
Ofer KoboKeele Cardiovascular Research Group Keele University Keele United Kingdom.
Jennifer H MieresDepartment of Cardiology, Hofstra Northwell School of Medicine Hofstra University, Lake Success New York NY USA.
Renee P Bullock-PalmerDepartment of Cardiology Deborah Heart and Lung Center Brown Mills NJ USA.ORCID 0000-0001-8167-5760
Harriette G C Van SpallDepartment of Medicine, Department of Health Research Methods, Evidence, and Impact, Population Health Research Institute Research Institute of St. Joe's, McMaster University Hamilton Ontario Canada.ORCID 0000-0002-8370-4569
Khadijah BreathettDivision of Cardiovascular Medicine, Department of Medicine Indiana University Indianapolis IN USA.ORCID 0000-0001-5397-6419
Mamas A MamasKeele Cardiovascular Research Group Keele University Keele United Kingdom.ORCID 0000-0001-9241-8890
Deborah Heart and Lung Center · USHillel Yaffe Medical Center · ILHofstra University · USIndiana University – Purdue University Indianapolis · USPopulation Health Research Institute · CASt Bartholomew's Hospital · GBUniversity of Manchester · GB

Funding

Seeking Objectivity in Allocation of Advanced Heart Failure (SOCIAL HF) Therapies TrialR01HL159216 · NHLBI · INDIANA UNIVERSITY INDIANAPOLIS · PI BREATHETT, KHADIJAH · 2022 to 2025
$2.6M
Seeking Objectivity in Allocation of Advanced Heart Failure (SOCIAL HF) Therapies TrialR56HL159216 · NHLBI · UNIVERSITY OF ARIZONA · PI BREATHETT, KHADIJAH · 2021 to 2021
$906k
Addressing Individual Provider Bias and Group Decision-Making in Selection of Advanced Heart Failure Therapies in Racial/Ethnic MinoritiesK01HL142848 · NHLBI · UNIVERSITY OF ARIZONA · PI BREATHETT, KHADIJAH · 2018 to 2021
$858k
British Heart Foundation FS/17/81/33318Department of HealthNHLBI NIH HHS K01 HL142848NHLBI NIH HHS L30 HL148881NHLBI NIH HHS R01 HL159216NHLBI NIH HHS R56 HL159216
6 · The paper itself

Abstract

Background Obesity is a major risk factor for cardiovascular disease, with differential impact across populations. This descriptive epidemiologic study outlines trends and disparities in obesity-related cardiovascular mortality in the US population between 1999 and 2020. Methods and Results The Multiple Cause of Death database was used to identify adults with primary cardiovascular death and obesity recorded as a contributing cause of death. Cardiovascular deaths were grouped into ischemic heart disease, heart failure, hypertensive disease, cerebrovascular disease, and other. Absolute, crude, and age-adjusted mortality rates (AAMRs) were calculated by racial group, considering temporal trends and variation by sex, age, and residence (urban versus rural). Analysis of 281 135 obesity-related cardiovascular deaths demonstrated a 3-fold increase in AAMRs from 1999 to 2020 (2.2-6.6 per 100 000 population). Black individuals had the highest AAMRs. American Indian or Alaska Native individuals had the greatest temporal increase in AAMRs (+415%). Ischemic heart disease was the most common primary cause of death. The second most common cause of death was hypertensive disease, which was most common in the Black racial group (31%). Among Black individuals, women had higher AAMRs than men; across all other racial groups, men had a greater proportion of obesity-related cardiovascular mortality cases and higher AAMRs. Black individuals had greater AAMRs in urban compared with rural settings; the reverse was observed for all other races. Conclusions Obesity-related cardiovascular mortality is increasing with differential trends by race, sex, and place of residence.

Indexed as

Cardiovascular DiseasesCardiovascular SystemHeart FailureHypertensionMyocardial IschemiaAdultFemaleHumansMaleObesityUnited Statesbody mass indexcardiovascular diseaseepidemiologyethnicityhealth inequalitiespublic health

Identifiers

PMID37671611
PMCPMC10547286
OpenAlexW4386466742

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.