Causes of Death of Inhabitants of Greenland: Age and Gender Dimension

2017 ◽  
Vol 2 (1) ◽  
2004 ◽  
pp. 149-152 ◽  
Author(s):  
H Kaji ◽  
K Chihara

OBJECTIVES: The direct causes of death in Japanese patients with hypopituitarism remain unclear. In this study, the direct causes of death were investigated and compared between Japanese patients with hypopituitarism from a nation-wide autopsy database and an age- and gender-matched control population from national reports. SUBJECTS: Three hundred and ninety-one subjects with hypopituitarism who had died were selected from a nation-wide autopsy database (1984-1993). The ratios of each cause of death among the age- and gender-matched control population were derived from national reports. RESULTS: In subjects with hypopituitarism, an increased relative frequency of death from cerebrovascular diseases (male; 2.02 (95% confidence interval (CI) 1.45-2.82), female; 1.73 (95% CI 1.18-2.52)) was found. In particular, the relative frequency of death from cerebral hemorrhage was 4.60 (95% CI 2.95-7.17) in male and 4.80 (95% CI 2.90-7.94) in female subjects with hypopituitarism. Unexpectedly, a decreased relative frequency of death from all heart diseases (male; 0.439 (95% CI 0.277-0.696), female; 0.267 (95% CI 0.149-0.478)) was found in subjects with hypopituitarism, although there was no difference between subjects with hypopituitarism and controls in the frequency of death from ischemic heart disease. CONCLUSIONS: These results provide useful information for the long-term care of Japanese patients with hypopituitarism.


2021 ◽  
Vol 18 (3) ◽  
pp. 27-45
Author(s):  
A. V. Korolenko

The continuation and deepening of regional studies of the nosological and age and gender structure of mortality and its temporal dynamics is due both to the need for scientific monitoring of the implementation of regional programs and projects of the Vologda Oblast dedicated to the protection and promotion of public health, and the need to update the trends in mortality of the region residents in the context of modern socio-demographic challenges (population aging, depopulation, a complex epidemiological situation against the background of the spread of coronavirus infection).The purpose of the study was the analysis of the nosological and age and gender profile of mortality in the Vologda Oblast and the resulting demographic losses, including their transformation over the period from 2015 to 2019. The choice of the analyzed period is not accidental: if in 2015 the region was characterized by the most positive indicators of natural population movement (the total coefficient of natural loss since the beginning of the 2000s reached a minimum of -1.1 per mille), then by 2019 the situation changed dramatically — the indicator of natural loss increased and amounted to - 4.5 per mille.Materials and methods. The study was based on both general scientific and special statistical and demographic methods of research — structural and dynamic analysis of mortality indicators of the Vologda oblast population; assessment of demographic losses due to premature mortality by calculating lost years of potential life; calculation of mortality rates. The information base was the data of the territorial body of the Federal state statistics service for the Vologda Oblast, in particular, the annual data on the distribution of the deceased by sex, age groups and causes of death for 2015-2019.Results. The conducted study allowed us to establish that, in general, the structure of mortality in the region shows signs of its gradual modernization: the level of mortality from diseases of the circulatory system, external causes of death and their share in the total number of deaths are reduced, while increasing the proportion of neoplasms, symptoms, signs, deviations from the norm detected in clinical and laboratory tests, which is quite natural due to the shift in mortality to older age groups. At the same time, its features “slow down” the evolution of the mortality structure, such as a high proportion of young age groups (under 45 years old), especially categories 30-44 years old, in mortality from external causes, infectious and parasitic diseases, endocrine diseases, nutritional disorders, metabolic disorders and, as a result, the large scale of premature mortality of the region's population; male premature super-mortality, as well as the high contribution of the child population (0-14 years old) to premature mortality from diseases of the nervous system and sensory organs.Conclusion. Against the background of the coronavirus pandemic, the fact of a high contribution of young age groups (up to 45 years) to mortality from infectious and parasitic diseases is of great concern due to the likelihood of a sharp increase in the scale of human losses as a result of the layering of new premature deaths due to the consequences of COVID-19. It is considered necessary to include additional indicators of mortality reflecting its gender, age and nosological profile in the regional comprehensive program “Public health — in the center of attention”.


1993 ◽  
Vol 26 (1) ◽  
pp. 61-70 ◽  
Author(s):  
Karin E. Thompson ◽  
Lillian M. Range

To assess perceptions both of bereaved individuals and of potential comforters across five causes of death, 400 undergraduate volunteers were screened in order to find 112 who either were bereaved in the past two years, or were not but matched a bereaved individual in age and gender. Non-bereaved individuals imagined that they knew and had to talk to someone bereaved under the same circumstances as their yoked bereaved person. Bereaved individuals reported experiencing more unhelpfulness and blame and less interpersonal contact than potential comforters thought they would give, but also reported more recovery and acceptance, more helpful support, and less need for active avoidance, than potential comforters imagined. People apparently view bereaved individuals as extremely vulnerable. Across all types of death, suicide involved most variability in social support, accidents involved most blame, and homicide involved most loss of belonging support and feeling that the death was not real. Perhaps because of these misconceptions, nonbereaved comforters may hypothetically be able to provide helpful support, but in reality be unable to carry these out.


Author(s):  
Joan Lop ◽  
María del Prado Venegas ◽  
Albert Pujol ◽  
Blanca Sauter ◽  
Rosselin Vásquez ◽  
...  

Abstract Purpose After treatment of a head and neck squamous cell carcinoma (HNSCC), patients with an adequate control of the tumor have a decreased overall survival when compared to age- and gender-matched controls in the general population. The aim of our study was to analyze the causes of long-term mortality in patients with HNSCC. Methods We carried out a retrospective study of 5122 patients with an index HNSCC treated at our center between 1985 and 2018. We analyzed the survival considering three causes of death: mortality associated with the HNSCC index tumor, mortality associated with a second or successive neoplasm, and mortality associated with a non-cancer cause. Results After the diagnosis of an HNSCC the most frequent cause of death is the head and neck tumor itself during the first 3.5 years of follow-up. Thereafter, mortality is more frequently associated with competing causes of death, such as second malignancies and non-cancer causes. Mortality associated with second and successive neoplasms was 2.3% per year, a percentage that was maintained constant throughout the follow-up. Likewise, mortality attributable to non-cancer causes was 1.6% per year, which also remained constant. There were differences in the mortality patterns according to the characteristics of the patients. Conclusion There are differences in the mortality patterns of patients with HNSCC depending on their characteristics. Knowledge of these patterns can help in the design of guidelines to improve the follow-up protocols of this group of patients to optimize the clinical cost-effectiveness.


2017 ◽  
Vol 107 (2) ◽  
pp. 145-151 ◽  
Author(s):  
J. A. Khan ◽  
A. I. Lehtomäki ◽  
V. J. Toikkanen ◽  
M. T. Ukkonen ◽  
R. M. Nevalainen ◽  
...  

Background and Aims: The development of pleural infection may imply a worse state of health and prognosis. The objective of this study was to ascertain the long-term survival and causes of death after pleural infections and to compare them to those of matched controls. Material and Methods: Altogether 191 patients treated for pleural infections at a single University Hospital between January 2000 and December 2008 and 1910 age- and gender-matched controls were included. Survival data and the causes of death for non-survivors were obtained from national databases and compared between the groups. Results: The etiology of pleural infection was pulmonary infection in 70%, procedural complication in 9%, trauma in 5%, malignancy in 4%, other in 7%, and unknown in 5% of patients. The course of treatment was surgical in 82%, drainage only in 12%, and conservative in 5% of included patients. The median follow-up time was 11 years. Mortality rates were 8.4% versus 0.8% during the first 90 days, p < 0.001, and 46.6% versus 24.5% overall, p < 0.001, in patients and controls, respectively. Mortality was significantly higher in patients with pulmonary infection, procedural complication, or malignancy as the etiology of pleural infection. In multivariable analysis, advanced age, previous malignancies, institutional care, alcoholism, and malignant etiology for the infection were associated with inferior survival. Deaths caused by malignancies, respiratory diseases, and digestive diseases were significantly more common in patients than in controls. Conclusion: Long-term survival in patients with pleural infections is significantly inferior to that of age and gender-matched controls.


2016 ◽  
Vol 23 (6) ◽  
pp. 469-480 ◽  
Author(s):  
Elina Ritvonen ◽  
Eliisa Löyttyniemi ◽  
Pia Jaatinen ◽  
Tapani Ebeling ◽  
Leena Moilanen ◽  
...  

Objective It is unclear whether mortality still is increased in acromegaly and whether there are gender-related differences. We dynamically assessed outcome during long-term follow-up in our nationwide cohort. Patients and methods We studied standardized mortality ratios (SMRs) relative to the general population and causes of death in acromegaly (n=333) compared with age- and gender-matched controls (n=4995). Results During 20 (0–33) years follow-up, 113 (34%) patients (n=333, 52% women) and 1334 (27%) controls (n=4995) died (P=0.004). SMR (1.9, 95% CI: 1.53–2.34, P<0.001) and all-cause mortality (OR 1.6, 95% CI: 1.2–2.2, P<0.001) were increased in acromegaly. Overall distribution of causes of death (P<0.001) differed between patients and controls but not cardiovascular (34% vs 33%) or cancer deaths (27% vs 27%). In acromegaly, but not in controls, causes of deaths shifted from 44% cardiovascular and 28% cancer deaths during the first decade, to 23% cardiovascular and 35% cancer deaths during the next two decades. In acromegaly, cancer deaths were mostly attributed to pancreatic adenocarcinoma (n=5), breast (n=4), lung (n=3) and colon (n=3) carcinoma. In acromegaly, men were younger than women at diagnosis (median 44.5 vs 50 years, P<0.001) and death (67 vs 76 years, P=0.0015). Compared with controls, women (36% vs 25%, P<0.01), but not men (31% vs 28%, P=0.44), had increased mortality. Conclusions In acromegaly, men are younger at diagnosis and death than women. Compared with controls, mortality is increased during 20 years of follow-up, especially in women. Causes of deaths shift from predominantly cardiovascular to cancer deaths.


2000 ◽  
Author(s):  
Erika Felix ◽  
Anjali T. Naik-Polan ◽  
Christine Sloss ◽  
Lashaunda Poindexter ◽  
Karen S. Budd

1999 ◽  
Author(s):  
Kirby Gilliland ◽  
Robert E. Schlegel ◽  
Thomas E. Nesthus

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