Redistribution of heart failure as the cause of death: the Atherosclerosis Risk in Communities Study
Why the study?
Does statistical redistribution of heart failure as an underlying cause of death change coronary heart disease mortality statistics in decedents ≥55 years old?
Population
Decedents ≥55 years old from 1999 to 2010 from Maryland, Minnesota, Mississippi, and North Carolina with…
Comparison
Statistical redistribution of underlying cause… vs Original death certificate underlying cause of…
Design
Cross-sectional
Authors
Discussion
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Member takes
Implication
May refine state-level CHD mortality estimates; leaves open standardization of redistribution methods for surveillance.
Structured PICO
Does statistical redistribution of heart failure as an underlying cause of death change coronary heart disease mortality statistics in decedents ≥55 years old?
P
Population
Decedents ≥55 years old from 1999 to 2010 from Maryland, Minnesota, Mississippi, and North Carolina with heart failure listed as the underlying cause of death or among multiple causes of death.
I
Intervention
Statistical redistribution of underlying cause of death using coarsened exact matching
C
Comparator
Original death certificate underlying cause of death classification
O
Outcome
Change in proportion of deaths attributed to coronary heart disease and other causes
Statistical redistribution of heart failure as an underlying cause of death significantly increases the reported mortality rates for coronary heart disease and other conditions, improving the accuracy of mortality statistics.
Cite This Study
Snyder et al. (2014) studied this question.