Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos Brasileiros de Cardiologia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016000100004 |
Resumo: | Abstract Background: A significant variation in pulmonary embolism (PE) mortality trends have been documented around the world. We investigated the trends in mortality rate from PE in Brazil over a period of 21 years and its regional and gender differences. Methods: Using a nationwide database of death certificate information we searched for all cases with PE as the underlying cause of death between 1989 and 2010. Population data were obtained from the Brazilian Institute of Geography and Statistics (IBGE). We calculated age-, gender- and region-specific mortality rates for each year, using the 2000 Brazilian population for direct standardization. Results: Over 21 years the age-standardized mortality rate (ASMR) fell 31% from 3.04/100,000 to 2.09/100,000. In every year between 1989 and 2010, the ASMR was higher in women than in men, but both showed a significant declining trend, from 3.10/100,000 to 2.36/100,000 and from 2.94/100,000 to 1.80/100,000, respectively. Although all country regions showed a decline in their ASMR, the largest fall in death rates was concentrated in the highest income regions of the South and Southeast Brazil. The North and Northeast regions, the lowest income areas, showed a less marked fall in death rates and no distinct change in the PE mortality rate in women. Conclusions: Our study showed a reduction in the PE mortality rate over two decades in Brazil. However, significant variation in this trend was observed amongst the five country regions and between genders, pointing to possible disparities in health care access and quality in these groups. |
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Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional DisparitiesPulmonary Embolism / epidemiologyQuality of Health CareBrazil / epidemiologyAge FactorsRegional Medical ProgramsAbstract Background: A significant variation in pulmonary embolism (PE) mortality trends have been documented around the world. We investigated the trends in mortality rate from PE in Brazil over a period of 21 years and its regional and gender differences. Methods: Using a nationwide database of death certificate information we searched for all cases with PE as the underlying cause of death between 1989 and 2010. Population data were obtained from the Brazilian Institute of Geography and Statistics (IBGE). We calculated age-, gender- and region-specific mortality rates for each year, using the 2000 Brazilian population for direct standardization. Results: Over 21 years the age-standardized mortality rate (ASMR) fell 31% from 3.04/100,000 to 2.09/100,000. In every year between 1989 and 2010, the ASMR was higher in women than in men, but both showed a significant declining trend, from 3.10/100,000 to 2.36/100,000 and from 2.94/100,000 to 1.80/100,000, respectively. Although all country regions showed a decline in their ASMR, the largest fall in death rates was concentrated in the highest income regions of the South and Southeast Brazil. The North and Northeast regions, the lowest income areas, showed a less marked fall in death rates and no distinct change in the PE mortality rate in women. Conclusions: Our study showed a reduction in the PE mortality rate over two decades in Brazil. However, significant variation in this trend was observed amongst the five country regions and between genders, pointing to possible disparities in health care access and quality in these groups.Sociedade Brasileira de Cardiologia - SBC2016-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016000100004Arquivos Brasileiros de Cardiologia v.106 n.1 2016reponame:Arquivos Brasileiros de Cardiologia (Online)instname:Sociedade Brasileira de Cardiologia (SBC)instacron:SBC10.5935/abc.20160001info:eu-repo/semantics/openAccessDarze,Eduardo SahadeCasqueiro,Juliana BorgesCiuffo,Luisa AllenSantos,Jessica MendesMagalhães,Iuri ResedáLatado,Adriana Lopeseng2016-01-22T00:00:00Zoai:scielo:S0066-782X2016000100004Revistahttp://www.arquivosonline.com.br/https://old.scielo.br/oai/scielo-oai.php||arquivos@cardiol.br1678-41700066-782Xopendoar:2016-01-22T00:00Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC)false |
dc.title.none.fl_str_mv |
Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities |
title |
Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities |
spellingShingle |
Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities Darze,Eduardo Sahade Pulmonary Embolism / epidemiology Quality of Health Care Brazil / epidemiology Age Factors Regional Medical Programs |
title_short |
Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities |
title_full |
Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities |
title_fullStr |
Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities |
title_full_unstemmed |
Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities |
title_sort |
Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities |
author |
Darze,Eduardo Sahade |
author_facet |
Darze,Eduardo Sahade Casqueiro,Juliana Borges Ciuffo,Luisa Allen Santos,Jessica Mendes Magalhães,Iuri Resedá Latado,Adriana Lopes |
author_role |
author |
author2 |
Casqueiro,Juliana Borges Ciuffo,Luisa Allen Santos,Jessica Mendes Magalhães,Iuri Resedá Latado,Adriana Lopes |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Darze,Eduardo Sahade Casqueiro,Juliana Borges Ciuffo,Luisa Allen Santos,Jessica Mendes Magalhães,Iuri Resedá Latado,Adriana Lopes |
dc.subject.por.fl_str_mv |
Pulmonary Embolism / epidemiology Quality of Health Care Brazil / epidemiology Age Factors Regional Medical Programs |
topic |
Pulmonary Embolism / epidemiology Quality of Health Care Brazil / epidemiology Age Factors Regional Medical Programs |
description |
Abstract Background: A significant variation in pulmonary embolism (PE) mortality trends have been documented around the world. We investigated the trends in mortality rate from PE in Brazil over a period of 21 years and its regional and gender differences. Methods: Using a nationwide database of death certificate information we searched for all cases with PE as the underlying cause of death between 1989 and 2010. Population data were obtained from the Brazilian Institute of Geography and Statistics (IBGE). We calculated age-, gender- and region-specific mortality rates for each year, using the 2000 Brazilian population for direct standardization. Results: Over 21 years the age-standardized mortality rate (ASMR) fell 31% from 3.04/100,000 to 2.09/100,000. In every year between 1989 and 2010, the ASMR was higher in women than in men, but both showed a significant declining trend, from 3.10/100,000 to 2.36/100,000 and from 2.94/100,000 to 1.80/100,000, respectively. Although all country regions showed a decline in their ASMR, the largest fall in death rates was concentrated in the highest income regions of the South and Southeast Brazil. The North and Northeast regions, the lowest income areas, showed a less marked fall in death rates and no distinct change in the PE mortality rate in women. Conclusions: Our study showed a reduction in the PE mortality rate over two decades in Brazil. However, significant variation in this trend was observed amongst the five country regions and between genders, pointing to possible disparities in health care access and quality in these groups. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016000100004 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0066-782X2016000100004 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/abc.20160001 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
publisher.none.fl_str_mv |
Sociedade Brasileira de Cardiologia - SBC |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Cardiologia v.106 n.1 2016 reponame:Arquivos Brasileiros de Cardiologia (Online) instname:Sociedade Brasileira de Cardiologia (SBC) instacron:SBC |
instname_str |
Sociedade Brasileira de Cardiologia (SBC) |
instacron_str |
SBC |
institution |
SBC |
reponame_str |
Arquivos Brasileiros de Cardiologia (Online) |
collection |
Arquivos Brasileiros de Cardiologia (Online) |
repository.name.fl_str_mv |
Arquivos Brasileiros de Cardiologia (Online) - Sociedade Brasileira de Cardiologia (SBC) |
repository.mail.fl_str_mv |
||arquivos@cardiol.br |
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1752126565744902144 |