Association between Socioeconomic Status and 30-Day and One-Year All-Cause Mortality after Surgery in South Korea

Abstract Background: Little is known about the survival of patients with esophageal squamous cell cancer in resource limited settings.Objectives: We sought to determine the incidence of one-year all-cause mortality and age-standardized mortality rates for esophageal squamous cell carcinoma in Uganda.Methods: Prospective cohort of 92 participants with histologically confirmed esophageal squamous cell cancer at Mbarara Regional Referral Hospital, southwestern Uganda. Participants were enrolled between January 2018 and March 2020 and followed until death. We used Kaplan-Meier methods to determine all-cause mortality and median survival time; Cox regression to determine predictors of survival; and determined age-standardized mortality rates (SMR) using the WHO standard population. Results: All 92 participants contributed a total 353.8 months at risk, 89 (96.7%) died representing an incidence rate of 251.5 (95% CI 204.3, 309.6) per 1000 person-months. The difference in the one-year risk of all-cause mortality among men and women was negative 6.4 percentage points. The overall SMR was 9.96 (95%CI 7.63, 12.29) per 100,000 and median survival time was 3.03 (95% CI 2.60, 3.47), shortest (1.77 months) among men younger than 45 and longest (7.77 months) among women aged 75 years or greater. In a fully adjusted model, high socioeconomic status predicted longer survival while increasing age and low socioeconomic status predicted shorter survival.Conclusion: After diagnosis, the one-year incidence rates of all-cause mortality and age-standardized mortality rates among ESCC patients in rural Uganda are high. Initiatives to improve access to oncology care for diagnosis and treatment should be prioritized to improve overall survival.

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Aspartate aminotransferase to alanine aminotransferase ratio is associated with frailty and mortality in older patients with heart failure

Scientific Reports ◽

10.1038/s41598-021-91368-z ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Daichi Maeda ◽

Nobuyuki Kagiyama ◽

Kentaro Jujo ◽

Kazuya Saito ◽

Kentaro Kamiya ◽

...

Keyword(s):

Heart Failure ◽

Older Patients ◽

Early Recognition ◽

Walk Distance ◽

Failure Data ◽

Patients With Heart Failure ◽

All Cause Mortality ◽

One Year ◽

Independent Marker

AbstractFrailty is a common comorbidity associated with adverse events in patients with heart failure, and early recognition is key to improving its management. We hypothesized that the AST to ALT ratio (AAR) could be a marker of frailty in patients with heart failure. Data from the FRAGILE-HF study were analyzed. A total of 1327 patients aged ≥ 65 years hospitalized with heart failure were categorized into three groups based on their AAR at discharge: low AAR (AAR < 1.16, n = 434); middle AAR (1.16 ≤ AAR < 1.70, n = 487); high AAR (AAR ≥ 1.70, n = 406). The primary endpoint was one-year mortality. The association between AAR and physical function was also assessed. High AAR was associated with lower short physical performance battery and shorter 6-min walk distance, and these associations were independent of age and sex. Logistic regression analysis revealed that high AAR was an independent marker of physical frailty after adjustment for age, sex and body mass index. During follow-up, all-cause death occurred in 161 patients. After adjusting for confounding factors, high AAR was associated with all-cause death (low AAR vs. high AAR, hazard ratio: 1.57, 95% confidence interval, 1.02–2.42; P = 0.040). In conclusion, AAR is a marker of frailty and prognostic for all-cause mortality in older patients with heart failure.

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Treatment and Prognosis of Myocardial Infarction Outside Cardiology Departments

Journal of Clinical Medicine ◽

10.3390/jcm10010106 ◽

2020 ◽

Vol 10 (1) ◽

pp. 106

Author(s):

Anton Gard ◽

Bertil Lindahl ◽

Nermin Hadziosmanovic ◽

Tomasz Baron

Keyword(s):

Myocardial Infarction ◽

Coronary Intervention ◽

Cardiology Department ◽

Percutaneous Coronary ◽

All Cause Mortality ◽

Short And Long Term ◽

Long Term Prognosis ◽

One Year

Aim: Our aim was to investigate the characteristics, treatment and prognosis of patients with myocardial infarction (MI) treated outside a cardiology department (CD), compared with MI patients treated at a CD. Methods: A cohort of 1310 patients diagnosed with MI at eight Swedish hospitals in 2011 were included in this observational study. Patients were followed regarding all-cause mortality until 2018. Results: A total of 235 patients, exclusively treated outside CDs, were identified. These patients had more non-cardiac comorbidities, were older (mean age 83.7 vs. 73.1 years) and had less often type 1 MIs (33.2% vs. 74.2%), in comparison with the CD patients. Advanced age and an absence of chest pain were the strongest predictors of non-CD care. Only 3.8% of non-CD patients were investigated with coronary angiography and they were also prescribed secondary preventive pharmacological treatments to a lesser degree, with only 32.3% having statin therapy at discharge. The all-cause mortality was higher in non-CD patients, also after adjustment for baseline parameters, both at 30 days (hazard ratio (HR) 2.28; 95% confidence interval (CI) 1.62–3.22), one year (HR 1.82; 95% CI 1.39–2.36) and five years (HR 1.62; 95% CI 1.32–1.98). Conclusions: MI treatment outside CDs is associated with an adverse short- and long-term prognosis. An improved use of percutaneous coronary intervention (PCI) and secondary preventive pharmacological treatment might improve the long-term prognosis in these patients.

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The Combined Association of Psychological Distress and Socioeconomic Status With All-Cause Mortality

JAMA Internal Medicine ◽

10.1001/2013.jamainternmed.951 ◽

2013 ◽

Vol 173 (1) ◽

pp. 22 ◽

Cited By ~ 44

Author(s):

Antonio Ivan Lazzarino ◽

Mark Hamer ◽

Emmanuel Stamatakis ◽

Andrew Steptoe

Keyword(s):

Socioeconomic Status ◽

Psychological Distress ◽

All Cause Mortality

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Personality, Socioeconomic Status, and All-Cause Mortality in the United States

American Journal of Epidemiology ◽

10.1093/aje/kwp323 ◽

2009 ◽

Vol 171 (1) ◽

pp. 83-92 ◽

Cited By ~ 100

Author(s):

Benjamin P. Chapman ◽

Kevin Fiscella ◽

Ichiro Kawachi ◽

Paul R. Duberstein

Keyword(s):

United States ◽

Socioeconomic Status ◽

The United States ◽

All Cause Mortality

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Links between socioeconomic status, daily depressive affect, diurnal cortisol patterns, and all-cause mortality

Psychosomatic Medicine ◽

10.1097/psy.0000000000001004 ◽

2021 ◽

Vol Publish Ahead of Print ◽

Author(s):

Ledina Imami ◽

Yanping Jiang ◽

Kyle W. Murdock ◽

Samuele Zilioli

Keyword(s):

Socioeconomic Status ◽

Depressive Affect ◽

Diurnal Cortisol ◽

All Cause Mortality

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Abstract TP165: Cardiac Screening Does not Improve One-year Mortality Among Patients With Cerebrovascular Disease

Stroke ◽

10.1161/str.47.suppl_1.tp165 ◽

2016 ◽

Vol 47 (suppl_1) ◽

Author(s):

Jason J Sico ◽

Fitsum Baye ◽

Laura J Myers ◽

John Concato ◽

Linda S Williams ◽

...

Keyword(s):

High Risk ◽

Cerebrovascular Disease ◽

Stress Testing ◽

Cerebrovascular Event ◽

Mortality Benefit ◽

Cardiac Stress ◽

Cardiac Screening ◽

All Cause Mortality ◽

Cardiac Stress Testing ◽

One Year

Introduction: Guidelines recommend the use of cardiac stress testing to screen for occult coronary heart disease (CHD) among patients with ischemic stroke/TIA who have a ‘high risk’ Framingham Cardiac Risk score (FCRS). It is unclear whether implementation of this guideline confers a mortality benefit among patients with cerebrovascular disease. Hypothesis: We assessed the hypothesis that cardiac stress testing would be associated with lower odds of one-year all-cause mortality. Methods: Administrative data from a sample of 11,306 Veterans admitted to 134 Veterans Health Administration (VHA) facilities with a stroke or TIA in fiscal year 2011 were analyzed. Patients were excluded (n=6915) on the basis of: prior CHD history, receipt of cardiac stress testing within 18-months prior to cerebrovascular event, death within 90 days of discharge, being discharged to hospice, transferred to a non-VHA acute care facility, or missing/unknown race. A FCRS was calculated for each patient; a score of ≥ 20% was classified as ‘high risk’ of having CHD. Administrative data were used to identify whether cardiac stress testing was performed within 90-days after the cerebrovascular event. Logistic regression was used to assess whether cardiac stress testing was associated with one-year all-cause mortality. Results: Of the 4391 eligible patients, 62.8% (2759) had FCRS ≥ 20%, with 4.5% (n=123) of these patients receiving cardiac stress testing within 90 days of discharge. After adjusting for sociodemographic characteristics and medical comorbidities, FCRS ≥ 20% was associated with one-year mortality (aOR=2.18; CI 95 :1.59, 3.00), however, receipt of stress testing was not (aOR=0.59; CI 95 :0.26, 1.30). Conclusion: Cardiac screening did not confer a one-year all-cause mortality benefit among patients with cerebrovascular disease. Additional work is needed to assess outcomes among patients with cerebrovascular disease who are at ‘high risk’ for CHD.

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Demographic Profile Associated With Malnutrition

Pakistan BioMedical Journal ◽

10.52229/pbmj.v3i2.11 ◽

2021 ◽

Vol 3 (2) ◽

Author(s):

Adnan Khalil ◽

Shahid Bashir ◽

Morad Yaser Al Mostafa

Keyword(s):

Socioeconomic Status ◽

Low Socioeconomic Status ◽

Health Problem ◽

Rural Areas ◽

Sampling Technique ◽

Questionnaire Data ◽

Low Socioeconomic ◽

Demographic Profile ◽

Malnourished Children ◽

One Year

Worldwide, malnutrition is the severe most health problem leading to the highest rate of disease andmortality among children less than 5 years of age. Objective: To find out the association betweenmalnutrition and demographic profile. Methods: 350 malnourished children were chosen by nonprobabilityconvenient sampling technique from Sir Ganga Ram Hospital, Lahore. Children wereassessed through pre-tested questionnaire. Data were analyzed by SPSS version 21.0. Results: 45%malnourished children were 1-3 years of age, majority of the children were females (52%), 89% childrenwere from rural areas, 82.6% children were from low socioeconomic status, 54.6% mothers wereuneducated, 50% malnourished children were not having their own house, 115 malnourished childrenwere having 3 or more siblings and 89 mothers were having less than one year of pregnancy gap.Conclusions: Low socioeconomic status, illiteracy of mothers, rural area, gap between pregnancy andfemale gender has been found to be linked with malnutrition in children below 5 years of age.

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One-Year All-Cause Mortality After Stroke: A Prediction Model

PM&R ◽

10.1016/j.pmrj.2013.11.006 ◽

2013 ◽

Vol 6 (6) ◽

pp. 473-483 ◽

Cited By ~ 14

Author(s):

Barbara E. Bates ◽

Dawei Xie ◽

Pui L. Kwong ◽

Jibby E. Kurichi ◽

Diane Cowper Ripley ◽

...

Keyword(s):

Prediction Model ◽

All Cause Mortality ◽

One Year

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Mortality in Edentulous Patients: A Registry-Based Cohort Study in Sweden Comparing 8463 Patients Treated with Removable Dentures or Implant-Supported Dental Prostheses

International Journal of Dentistry ◽

10.1155/2021/9919732 ◽

2021 ◽

Vol 2021 ◽

pp. 1-9

Author(s):

Jan Kowar ◽

Victoria Stenport ◽

Mats Nilsson ◽

Torsten Jemt

Keyword(s):

Socioeconomic Status ◽

Dental Implants ◽

Low Socioeconomic Status ◽

Social Insurance ◽

Survival Rates ◽

Reference Population ◽

Logistic Analysis ◽

Dental Prostheses ◽

All Cause Mortality ◽

Edentulous Patients

Objectives. The purpose of this study was to investigate if edentulism is associated with all-cause mortality. The aims were to analyze the association between age, socioeconomic factors, and mortality in edentulous patients treated with either removable dentures or implant-supported prostheses. Methods. All patients who became edentulous according to the Swedish Social Insurance Agency (SSIA) between 2009 and 2013 (N = 8463) were analyzed regarding prosthetic treatment, age, gender, and socioeconomic status. The patients were divided into two groups, depending on whether they were treated with dental implants (implant group; IG) or with conventional removable dentures (denture group; DG). Data on mortality for all included individuals were obtained from the Swedish National Cause of Death Register and compared to a reference population. Cumulative survival rates were calculated, and a multivariable regression analysis for the included variables was performed. Results. Between 2009 and 2018, 2192 of the patients (25.9%) were treated with implant-supported dental prostheses (IG) and 6271 patients (74.1%) were treated with removable dentures without support of dental implants (DG). Altogether 2526 patients (30%) died until December 31, 2019, and the overall mortality was significantly higher for the DG compared to the IG during follow-up ( p < 0.001 ). Younger edentulous patients (≤59 years) presented a higher mortality than the reference population, while implant patients over 79 years of age demonstrated a lower mortality. The final results from the multivariable logistic analysis showed that lower equalized disposable income (EDI) and the choice of conventional removable dentures are the most important factors for increased patient mortality ( p < 0.001 ). Conclusions. Edentulous patients have an overall higher mortality compared to a reference population. Low socioeconomic status increases all-cause mortality. Individuals treated with dental implants show statistically significant lower 10-year mortality compared to patients treated with conventional removable dentures, regardless of socioeconomic status.

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