Pulmonary Embolism Mortality in Brazil from 1989 to 2010: Gender and Regional Disparities

Detalhes bibliográficos
Autor(a) principal: Darze,Eduardo Sahade
Data de Publicação: 2016
Outros Autores: Casqueiro,Juliana Borges, Ciuffo,Luisa Allen, Santos,Jessica Mendes, Magalhães,Iuri Resedá, Latado,Adriana Lopes
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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spelling 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
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.5935/abc.20160001
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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)
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instname_str Sociedade Brasileira de Cardiologia (SBC)
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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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