Evidence map›Paper›PMID 39198769›Full record

ArticleBMC pulmonary medicine2024

Mortality from pulmonary hypertension in Europe 2001-2019.

Adam Hartley, Harpreet Singh, Chinmay Jani, Justin D Salciccioli, Joseph Shalhoub, Luke S Howard, Dominic C Marshall

Abstract read
In one paragraph

Article in BMC pulmonary medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. 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

7 authors.

Adam HartleyNational Heart and Lung Institute, Imperial College, Hammersmith Hospital, London, UK. adam.hartley12@imperial.ac.uk.
Harpreet SinghMedical Data Research Collaborative, London, UK.
Chinmay JaniMedical Data Research Collaborative, London, UK.
Justin D SalciccioliMedical Data Research Collaborative, London, UK.
Joseph ShalhoubMedical Data Research Collaborative, London, UK.
Luke S HowardNational Heart and Lung Institute, Imperial College, Hammersmith Hospital, London, UK.
Dominic C MarshallNational Heart and Lung Institute, Imperial College, Hammersmith Hospital, London, UK.

Funding

Wellcome TrustWellcome Trust 220572/Z/20/Z
6 · The paper itself

Abstract

backgroundThe incidence of Pulmonary Hypertension (PH) and Pulmonary Arterial Hypertension (PAH) is believed to be on the rise and is associated with poor outcomes.

methodsWe extracted age-standardized mortality rates (ASMRs) for decedents ≥ 18 years of age from the World Health Organization Mortality Database, using International Classification of Diseases 10th edition codes for PH and PAH, covering the period from 2001 to 2019. The UK and European Union countries with at least 1,000,000 inhabitants and at least 75% of available data points over the study period were included.

resultsBetween 2001 and 2019, in countries with available data, the median ASMR for PH increased by + 1.19 per 1,000,000 (+ 22.51%) in females and + 0.36 per 1,000,000 (+ 6.06%) in males. Out of 19 countries, 13 demonstrate an increase in female PH ASMR, and 12 reported an increase in male PH ASMR. In contrast, median PAH ASMR decreased by -0.29 per 1,000,000 (-28.74%) in females and remained relatively unchanged in males, with a minor increase of + 0.01 per 1,000,000 (+ 1.07%). Notably, there was significant inter-country heterogeneity, with countries such as Hungary, Romania, and Poland displaying results incongruous with the rest of Europe.

conclusionsWhile publicly available mortality statistics for PH may be unreliable, these data suggest an overall increase in mortality across Europe from 2001 to 2019. However, mortality from PAH has shown a decrease in females and a modest increase in males. This underscores the urgent need for robust and high-quality mortality reporting, including international registries, for both PH and PAH.

Indexed as

Hypertension, PulmonaryAdultAgedAged, 80 and overDatabases, FactualEuropeFemaleHumansIncidenceMaleMiddle AgedSex DistributionEuropeMortalityPulmonary arterial hypertensionPulmonary hypertension

Identifiers

PMID39198769
PMCPMC11351198

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.