scholarly journals Long-term trends of potential years of life lost due to main causes of death in the Slovak population, 2004-2013

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Martin Samohyl ◽  
Lubica Argalasova ◽  
Katarina Hirosova ◽  
Jana Jurkovicova

The aim of this study was to evaluate trends of potential years of life lost (PYLL) rates in the Slovak population and analyze the average annual percent change (AAPC) of PYLL rates regarding the most common causes of death between 2004 and 2013. National mortality and demographic data were obtained from the Statistical Office of the Slovak Republic, and 378,535 causes of death within the period were analyzed. The PYLL values in both genders and each disease category were added up across all age groups to form annual values. For the trend analysis, the AAPC indicator was proposed. The PYLL rate is age-standardized and expressed as a sum of all deaths per 100,000. In the period 2004-2013, the highest mean PYLL rates were observed in neoplasms in the whole population (2,103 per 100,000), as well as in females (2,088 per 100,000), with a permanent high significant increase of AAPC of PYLL in both genders. The second highest mean PYLL rate in the ten-year period was related to circulatory system diseases in total (1,922 per 100,000) as well as in females (1,449 per 100,000). In males, circulatory system diseases had the highest PYLL rate (2,397 per 100,000). The PYLL rates trend regarding external causes of morbidity and mortality showed the most notable decrease in the assessed period and the AAPC of PYLL showed significant negative values both in males (-2.5%; p < 0.001) and females (-4%; p < 0.001). Our results should contribute in developing intervention programs aimed at reducing the burden of premature mortality since the main causes of premature death are associated to well-known and preventable risk factors.

2020 ◽  
Vol 5 (2) ◽  
pp. 99-104
Author(s):  
Evgenii L. Borschuk ◽  
Dmitrii N. Begun ◽  
Tatyana V. Begun

Objectives - to study the mortality indicators, their dynamics and structure, in the population of the Orenburg region in the period of 2011-2017. Material and methods. The study was conducted using the data from the territorial authority of statistics in the Orenburg region in the period from 2011 to 2017. The analytical, demographic and statistical methods were implemented for the study of the demographic indicators. Results. Cities and municipal settlements of the Orenburg region with high mortality indicators were included in the second and fourth clusters during the cluster analysis. The first and third clusters included cities and municipal settlements with an average mortality. The most favorable position has the Orenburg area with the lowest mortality rate in the region in 2017 - 8.4%. The dynamics of mortality rates among the male and female population tends to decrease, more pronounced dynamics is in men. Though, the male population is characterized by higher mortality rates in all age groups. The leading position among the causes of death is taken by diseases of the circulatory system (46.3% of the total mortality). The second position is occupied by tumors (17.2%), the third - by external causes (8.4%). Mortality from circulatory system diseases and from external causes has reduced. The dynamics of mortality from tumors does not change significantly. The rank of leading causes of death is not identical in the clusters: in the third and fourth clusters, the other causes occupy the second place in the structure of mortality, while tumors occupy the third. Conclusion. In the Orenburg region, the mortality rate is higher than overage in the Russian Federation by 0.9 per 1000 people. The study revealed significant territorial differences in the mortality rates. In general, the mortality among men in all age groups is higher than the mortality of women. The mortality rate from diseases of the circulatory system plays the leading role in the structure of mortality, but has the tendency for decline. Until 2006, the mortality from external causes ranked the second place, now the second place is taken by death from tumors The mortality from external causes is decreasing; mortality from tumors does not change significantly. The obtained results could be used by local authorities in developing the program of public health protection and assessing its effectiveness.


Author(s):  
Katarína Vilinová ◽  
Jozef Kudlej

Interest in the health of the population is intensifying today. The main reasons include social, political and economic changes, but also the ongoing pandemic related to the spread of the COVID-19 virus. Due to many demographic changes in recent years, the study of the health status of the population emphasizes one of the demographic processes, which is mortality. The structure of the causes of death is very often monitored. After the stabilization of mortality and morbidity from infectious diseases in the eighties, civilization diseases such as circulatory system diseases and tumors came to the forefront of social interest in Slovakia. This indicator is also important in terms of the right direction in the field of regional development in relation to health care in individual regions. The aim of the paper is to characterize the structure of causes of death in regional cities of Slovakia. This paper will be based on data from the Statistical Office of the Slovak Republic for the period 1996-2017. The main methods used in the work will be methods of analysis, synthesis, as well as graphic and cartographic methods. In all regional cities of Slovakia, diseases of the circulatory system clearly dominated in men and women during the entire period under review. They were followed by cancer and external causes. The group of five most common causes was supplemented by diseases of the respiratory and digestive system.


Author(s):  
Zhenzhen Rao ◽  
Junjie Hua ◽  
Ruotong Li ◽  
Yanhong Fu ◽  
Jie Li ◽  
...  

Recent changes in population-based prevalence for circulatory system diseases (CSDs) remain unreported either nationally or locally for China. Data were from the two-round health service household interview survey of Hunan Province, China, in 2013 and 2018. A Rao–Scott chi-square test was performed to examine prevalence differences across socio-demographic variables. The overall age-standardized prevalence of CSDs increased substantially between 2013 and 2018 for inhabitants aged 20 years and older (14.25% vs. 21.25%; adjusted odds ratio (OR) = 1.59, 95% CI: 1.24–2.04). Hypertensive disease was the most prevalent type of CSD, accounting for 87.24% and 83.83% of all CSDs in 2013 and in 2018, respectively. After controlling for other socio-demographic factors, the prevalence of CSDs was significantly higher in 2018 (adjusted OR = 1.40), urban residents (adjusted OR = 1.43), females (adjusted OR = 1.12) and older age groups (adjusted OR = 5.36 for 50–59 years, 9.51 for 60–69 years, 15.19 for 70–79 years, and 12.90 for 80 years and older) than in 2013, rural residents, males and the youngest age group (20–49 years). The recent increase in the overall age-standardized CSD prevalence and the large prevalence disparities across urban/rural residents, sex and age groups merit the attention of policymakers and researchers. Further prevention efforts are needed to curb the increasing tendency and to reduce the prevalence of disparities across socio-demographic groups.


Atmosphere ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 159
Author(s):  
Mónica Rodrigues ◽  
Paula Santana ◽  
Alfredo Rocha

Several studies emphasize that temperature-related mortality can be expected to have differential effects on different subpopulations, particularly in the context of climate change. This study aims to evaluate and quantify the future temperature-attributable mortality due to circulatory system diseases by age groups (under 65 and 65+ years), in Lisbon metropolitan area (LMA) and Porto metropolitan area (PMA), over the 2051–2065 and 2085–2099 time horizons, considering the greenhouse gas emissions scenario RCP8.5, in relation to a historical period (1991–2005). We found a decrease in extreme cold-related deaths of 0.55% and 0.45% in LMA, for 2051–2065 and 2085–2099, respectively. In PMA, there was a decrease in cold-related deaths of 0.31% and 0.49% for 2051–2065 and 2085–2099, respectively, compared to 1991–2005. In LMA, the burden of extreme heat-related mortality in age group 65+ years is slightly higher than in age group <65 years, at 2.22% vs. 1.38%, for 2085–2099. In PMA, only people aged 65+ years showed significant temperature-related burden of deaths that can be attributable to hot temperatures. The heat-related excess deaths increased from 0.23% for 2051–2065 to 1.37% for 2085–2099, compared to the historical period.


2012 ◽  
Vol 39 (3) ◽  
pp. 496-503 ◽  
Author(s):  
DEBORAH C.C. SOUZA ◽  
AUGUSTO H. SANTO ◽  
EMILIA I. SATO

Objective.To analyze the mortality profile related to systemic lupus erythematosus (SLE) in the state of São Paulo, Brazil.Methods.For the 1985–2007 period, we analyzed all death certificates (n = 4815) on which SLE was listed as an underlying (n = 3133) or non-underlying (n = 1682) cause of death. We evaluated sex, age, and the causes of death, comparing the first and last 5 years of the period, as well as determining the observed/expected death ratio (O/E ratio).Results.For SLE as an underlying cause, the mean age at death was 35.77 years (SD 15.12) and the main non-underlying causes of death were renal failure, circulatory system diseases, pneumonia, and septicemia. Over the period, the proportional mention of infectious causes and circulatory system diseases increased, whereas renal diseases decreased. For SLE as a non-underlying cause of death, the most common underlying causes of death were circulatory, respiratory, genitourinary, and digestive system diseases, and certain infections. The overall death O/E ratio was > 1 for renal failure, tuberculosis, septicemia, pneumonia, and digestive system diseases, as well as for circulatory system diseases at < 50 years of age, particularly acute myocardial infarct.Conclusion.Unlike in developed countries, renal failure and infectious diseases are still the most frequent causes of death. The increase in SLE deaths associated with infection, especially pneumonia and septicemia, is worrisome. The judicious use of immunosuppressive therapy together with vigorous treatment of cardiovascular comorbidities is crucial to the successful management of SLE and to improving survival of patients with SLE.


2020 ◽  
Vol 38 (15_suppl) ◽  
pp. e13610-e13610
Author(s):  
Joao Paulo Reis Neto ◽  
Juliana Martinho Busch ◽  
Stephen D. Stefani

e13610 Background: Cancer is the second leading cause of death worldwide. From 2014 to 2015 Brazil estimated more than 500,000 new cases of cancer, which placed the country among those with the highest cancer incidence. This study evaluates the 10-year evolution of mortality rates due to all causes and cancer and to estimate the potential years of life lost (PYLL) in beneficiaries of health plan, according to sex, age and geographic region. Methods: Retrospective cross-sectional, descriptive study evaluated the causes of death, between 2008 and 2017, by sex and age groups, for all causes (AC) and cancer (CA) data from the health insurance system. The information on the death certificates (DC) was coded according to the ICD-10. Age was stratified into groups: up to 49 years, 50–59 years, 60–69 years, 70–79 years and 80 years or more. Data were analyzed by checking the proportions and mortality rates (MR), grouped into two five-year periods, 2008-2012 (P1) e 2013-2017 (P2). Annual MR per 100,000 population was estimated using the direct method and proportional mortality rates (PMR). To calculate the potential years of life lost (PYLL) the upper limit was 76 years old. The avoidable MR was also analyzed for individuals up to 75 years and cancer. Microsoft Excel v2010 and Qlik Sense v13.21 were used to analyze data and statistics. Results: 5,779 deaths were analyzed, 4,447 in men (77.0%, average 70.1 years) and 1,332 women (33%, 75.9 years). Cancer was the second leading cause of death (n = 953, PMR 16.5%), behind cardiovascular disease (n = 1,662 PMR 28.8%). The major crude death rate per 100,000 was due circulatory system diseases (347), followed by cancer (199) and respiratory system diseases (110). The highest cancer MR were in men, elderly and Brazilian regions with the lowest Human Development Index (HDI). Greatest number of deaths in men at P1 were from cancers of lung (CMP 19.8%), prostate (14.2%) and pancreas (8.0%). At P2, prostate (18.2%), lung (16.8%) and stomach (7.6%). In women, during P1, breast (20.2%), lung (13.1%) and pancreas (83%), and during P2, the same order, 22.5%, 14.6% and 9.3%, respectively. Cancer accounted for a total of 6,335 PYLL and 40.9% of causes of death were classified as avoidable. Conclusions: Cancer was one of the leading causes of mortality during the study. High pancreatic cancer MR differs from national statistics, requiring more analysis that involves possible occupational exposure. Although preventive actions for healthy life habits, early screening and diagnosis, Brazil presents high cancer mortality rates as showed in this analysis.


2020 ◽  
Vol 5 (1) ◽  
pp. 955-959
Author(s):  
Santosh Upadhyaya Kafle ◽  
Dilip Chaudhary ◽  
Sabrina Yamu Sabrina Yamu ◽  
Krishna Jha

Introduction: Wide spectrums of skin disorders exist in the world. Skin biopsy is a proven method for allying the dermatologist in overcoming the diagnostic dilemmas that occur in consultations. The different level of clinicopathological concordance, either full or partial and discordant study may reflect the agreement between the clinicians and pathologists for diagnosing spectrum of skin disorders. Objectives: To analyze the histopathological spectrum of skin diseases emphasizing on the diagnostic significance of its clinicopathological concordance. Methodology: This is a prospective cross sectional hospital based study of skin biopsies obtained in the Department of Pathology, at Birat Medical College and Teaching Hospital from Dec 2016 to Jan 2020. Demographic data, nature of lesions, correlation between clinicopathological concordance and histopathological diagnosis were analyzed using SPSS version 16. Result: Among 111 skin biopsies, female gender of 19-39 years age groups was predominant. The commonest histopathological diagnosis of skin biopsies was under infectious and bacterial origin category (24.3%) reflecting non-neoplastic nature mostly. The overall clinicopathological concordant was 78.38% (fully concordant 27.93% and partially concordant 50.45%) and discordant 21.62%. Nature of lesions was strongly correlated (p<0.05) with age group, while it was weak with gender. However, the relationship was very strong between histopathological diagnosis and clinicopathological concordance (p<0.05%). Conclusion: Findings suggest that the clinicopathological concordance correlated well in histopathologically diagnosed disease category of skin disorders. This reflects the high diagnostic value of histopathological examinations for diagnosing different spectrum of skin disorders.


2021 ◽  
Vol 11 ◽  
Author(s):  
Bahar Ataeinia ◽  
Sahar Saeedi Moghaddam ◽  
Mahsima Shabani ◽  
Kimiya Gohari ◽  
Ali Sheidaei ◽  
...  

Breast cancer is the most common cancer among women, causing considerable burden and mortality. Demographic and lifestyle transitions in low and low-middle income countries have given rise to its increased incidence. The successful management of cancer relies on evidence-based policies taking into account national epidemiologic settings. We aimed to report the national and subnational trends of breast cancer incidence, mortality, years of life lost (YLL) and mortality to incidence ratio (MIR) since 1990. As part of the National and Subnational Burden of Diseases project, we estimated incidence, mortality and YLL of breast cancer by sex, age, province, and year using a two-stage spatio-temporal model, based on the primary dataset of national cancer and death registry. MIR was calculated as a quality of care indicator. Age-period-cohort analysis was used to distinguish the effects of these three collinear factors. A significant threefold increase in age-specific incidence at national and subnational levels along with a twofold extension of provincial disparity was observed. Although mortality has slightly decreased since 2000, a positive mortality annual percent change was detected in patients aged 25–34 years, leading to raised YLLs. A significant declining pattern of MIR and lower provincial MIR disparity was observed. We observed a secular increase of breast cancer incidence. Further evaluation of risk factors and developing national screening policies is recommended. A descending pattern of mortality, YLL and MIR at national and subnational levels reflects improved quality of care, even though mortality among younger age groups should be specifically addressed.


2016 ◽  
Vol 97 (4) ◽  
pp. 611-618
Author(s):  
I V Samorodskaya ◽  
E V Bolotova ◽  
F Y Bidzhieva

Aim. To study mortality rates due to diseases of the circulatory system and certain nosological forms in Karachay-Cherkess Republic in 2006 and 2014.Methods. The data of the Russian Federation Federal State Statistics Service on the number of deaths according to a short nomenclature of causes of deaths were analyzed. The nosological structure was studied, proportion of each of the causes of death in the total number of deaths from circulatory system diseases was defined. The names of groups of short nomenclature of causes of deaths in 2006 and 2014 were compared. Non-standardized and standardized mortality rates were calculated.Results. Standardized mortality rate due to circulatory diseases decreased by 29.3% in 2014 in comparison with 2006. The decline in mortality due to circulatory system diseases was noted in all age groups, except for the age group 25-29 years (+18.5%) and 60-64 years (+4.2%). Deaths due to primary and recurrent myocardial infarction decreased (by 46.2%) in all age groups except the age of 40-44 years and 80-84 years, in which the mortality rate due to primary and recurrent myocardial infarction increased by 12.5 and 49.4%, respectively. The mortality from ischemic heart disease increased in age 35-39 years (by 11.3%) and 40-44 years (39.4%). In other age groups, the mortality from ischemic heart disease decreased, the maximum reduction was reported in age 65-69 years (54.8%). Standardized mortality rate due to cerebrovascular diseases decreased by 44.06% in 2014 in comparison with 2006.Conclusion. Taking into account significant contribution to the mortality structure due to circulatory system diseases number of deaths, causes of which are not clearly classified and cause problems with clinical interpretation, this issue requires attention of cardiologists, in terms of both health care delivery and specification of the patients’ health status.


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