Trend analysis of cardiovascular disease mortality, incidence, and mortality-to-incidence ratio: results from global burden of disease study 2017
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Open Access
- 25 February 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in BMC Public Health
- Vol. 21 (1), 1-12
- https://doi.org/10.1186/s12889-021-10429-0
Abstract
Cardiovascular diseases (CVDs) are one of the global leading causes of concern due to the rising prevalence and consequence of mortality and disability with a heavy economic burden. The objective of the current study was to analyze the trend in CVD incidence, mortality, and mortality-to-incidence ratio (MIR) across the world over 28 years. The age-standardized CVD mortality and incidence rates were retrieved from the Global Burden of Disease (GBD) Study 2017 for both genders and different world super regions with available data every year during the period 1990–2017. Additionally, the Human Development Index was sourced from the United Nations Development Programme (UNDP) database for all countries at the same time interval. The marginal modeling approach was implemented to evaluate the mean trend of CVD incidence, mortality, and MIR for 195 countries and separately for developing and developed countries and also clarify the relationship between the indices and Human Development Index (HDI) from 1990 to 2017. The obtained estimates identified that the global mean trend of CVD incidence had an ascending trend until 1996 followed by a descending trend after this year. Nearly all of the countries experienced a significant declining mortality trend from 1990 to 2017. Likewise, the global mean MIR rate had a significant trivial decrement trend with a gentle slope of 0.004 over the time interval. As such, the reduction in incidence and mortality rates for developed countries was significantly faster than developing counterparts in the period 1990–2017 (p < 0.05). Nevertheless, the developing nations had a more rather shallow decrease in MIR compared to developed ones. Generally, the findings of this study revealed that there was an overall downward trend in CVD incidence and mortality rates, while the survival rate of CVD patients was rather stable. These results send a satisfactory message that global effort for controlling the CVD burden was quite successful. Nonetheless, there is an urgent need for more efforts to improve the survival rate of patients and lower the burden of this disease in some areas with an increasing trend of either incidence or mortality.Keywords
This publication has 46 references indexed in Scilit:
- Estimating Cardiovascular Risk in Spain by the European Guidelines on Cardiovascular Disease Prevention in Clinical PracticeRevista Española de Cardiología (English Edition), 2015
- Generalized Estimating Equations in Longitudinal Data Analysis: A Review and Recent DevelopmentsAdvances in Statistics, 2014
- Major and Minor Electrocardiographic Abnormalities and Their Association With Underlying Cardiovascular Disease and Risk Factors in Hispanics/Latinos (from the Hispanic Community Health Study/Study of Latinos)The American Journal of Cardiology, 2013
- Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010The Lancet, 2012
- Combined effects of exposure to occupational noise and mixed organic solvents on blood pressure in car manufacturing company workersAmerican Journal of Industrial Medicine, 2012
- Determinants of the decline in mortality from acute myocardial infarction in England between 2002 and 2010: linked national database studyBMJ, 2012
- The validity of the mortality to incidence ratio as a proxy for site-specific cancer survivalEuropean Journal of Public Health, 2010
- Impact of socioeconomic status on cancer incidence and stage at diagnosis: selected findings from the surveillance, epidemiology, and end results: National Longitudinal Mortality StudyCancer Causes & Control, 2008
- Lead Exposure and Cardiovascular Disease—A Systematic ReviewEnvironmental Health Perspectives, 2007
- Mortality from cardiovascular diseases and exposure to inorganic mercuryOccupational and Environmental Medicine, 2001