Cause-specific mortality for 240 causes in China during 1990–2013: a systematic subnational analysis for the Global Burden of Disease Study 2013

Zhou, Maigeng; Wang, Haidong; Zhu, Jun; Chen, Wanqing; Wang, Lınhong; Liu, Shiwei; Li, Yichong; Wang, Lijun; Liu, Yunning; Yin, Peng; Liu, Jiangmei; Yu, Shicheng; Tan, Feng; Barber, Ryan M; Coates, Matthew M; Dicker, Daniel; Fraser, Maya; González-Medina, Diego; Hamavid, Hannah; Hao, Yuantao; Hu, Guoqing; Jiang, Guohong; Kan, Haidong; López, Alan D.; Phillips, Michael R.; She, Jun; Vos, Theo; Wan, Xia; Xu, Gelin; Yan, Lijing L.; Yu, Chuanhua; Zhao, Yong; Zheng, Yingfeng; Zou, Xin; Naghavi, Mohsen; Wang, Yu; Murray, Christopher J L; Yang, Gonghuan; Liang, Xiaofeng

doi:10.1016/s0140-6736(15)00551-6

Cited by 1,236 publications

(937 citation statements)

References 49 publications

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“…China has experienced a dramatic transition in disease profile from infectious to noncommunicable diseases, accompanied by rapid economic growth over the past few decades 1, 2. Acute myocardial infarction (AMI) is an acute and often fatal form of ischemic heart disease, which is the second leading cause of death; 1 in every 6 deaths is caused by ischemic heart disease 3.…”

Section: Introductionmentioning

confidence: 99%

Geographic Variations in In‐Hospital Mortality and Use of Percutaneous Coronary Intervention Following Acute Myocardial Infarction in China: A Nationwide Cross‐Sectional Analysis

Chen

Shi

Xue

et al. 2018

JAHA

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BackgroundPrevalence of acute myocardial infarction (AMI) is increasing in China, and AMI has become a major cause of mortality; however, information is very limited about the nationwide geographic and hospital variation in in‐hospital mortality (IHM) and the use of percutaneous coronary intervention (PCI) after AMI.Methods and ResultsFrom the Nationwide Hospital Discharge Database of China, we identified 242 866 adult admissions with AMI in 2015 from 1055 tertiary hospitals. We used multivariable logistic regressions to analyze the associations between geographic or hospital characteristics with IHM or PCI use. The national IHM rate was 4.71% (95% confidence interval, 4.62–4.79%). There was a greater risk of mortality in the Northeast (odds ratio [OR]: 1.86), West (OR: 1.73), South (OR: 1.32), and North (OR: 1.14) regions than in the East region of China. Non–teaching hospitals (OR: 1.18) and tertiary level B hospitals (OR: 1.06) were associated with higher IHM rates. The national PCI use rate was 45.3% (95% confidence interval, 45.1–45.5%). Compared with the East region of China, PCI use was lower in the Northeast (OR: 0.50), West (OR: 0.64), North (OR: 0.84), and South (OR: 0.88) regions. Non–teaching hospitals (OR: 0.83) and tertiary level B hospitals (OR: 0.55) were also associated with lower usage rates. There was a significant negative correlation between IHM and PCI use (r=−0.955), and IHM rates for patients with and without PCI both differed by geographic regions.ConclusionsThere were significant differences in IHM and PCI use among China's tertiary hospitals, linked to both geographic and hospital characteristics. More targeted intervention at national and regional levels is needed to improve access to effective health technologies and, eventually, outcomes following AMI.

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Section: Introductionmentioning

confidence: 99%

Geographic Variations in In‐Hospital Mortality and Use of Percutaneous Coronary Intervention Following Acute Myocardial Infarction in China: A Nationwide Cross‐Sectional Analysis

Chen

Shi

Xue

et al. 2018

JAHA

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“…Despite a decrease in age‐standardized mortality of fatal and nonfatal IHD in high‐income countries since 1990, IHD remained as a leading cause of death between 1990 and 2013 in China 2. A total of 230 million adults suffered from IHD3 and 1.4 million people died from IHD in China in 2013 4. Demographic and social transitions including rural‐to‐urban migration, population growth, and aging were projected to further increase IHD incidence in China 5.…”

Section: Introductionmentioning

confidence: 99%

Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study

Dong

Pan

Yu³

et al. 2017

JAHA

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BackgroundSelf‐rated health (SRH) is a strong predictor of mortality in different populations. However, the associations between SRH measures and risk of ischemic heart disease (IHD) have not been extensively explored, especially in a Chinese population.Methods and ResultsMore than 500 000 adults from 10 cities in China were followed from baseline (2004–2008) through December 31, 2013. Global and age‐comparative SRH were reported from baseline questionnaires. Incident IHD cases were identified through links to well‐established disease registry systems and the national health insurance system. During 3 423 542 person‐years of follow‐up, we identified 24 705 incident cases of IHD. In multivariable‐adjusted models, both global and age‐comparative SRH was significantly associated with incident IHD. Compared with excellent SRH, the hazard ratios for good, fair, and poor SRH were 1.02 (95% confidence interval [CI], 0.98–1.07), 1.32 (95% CI, 1.27–1.37), and 1.76 (95% CI, 1.68–1.85), respectively. Compared with better age‐comparative SRH, the hazard ratios for same and worse age‐comparative SRH were 1.23 (95% CI, 1.19–1.27) and 1.78 (95% CI, 1.70–1.86), respectively. The associations persisted in all subgroup analyses, although they were slightly modified by study location, education, and income levels.ConclusionsA simple questionnaire for self‐assessment of health status was significantly associated with incident IHD in Chinese adults. Individuals and healthcare providers can use SRH measures as a convenient tool for assessing future IHD risk.

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“…It has been shown that death cases related to cerebrovascular and circulatory diseases are the highest in Tibet compared with other regions. Particularly, the rate of hypertensive heart disease is more than twice higher in Tibet than in the province with the second highest rate [6].…”

mentioning

confidence: 95%

Hypoxia potentially promotes Tibetan longevity

Wang

Otecko

et al. 2016

Cell Res

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Cause-specific mortality for 240 causes in China during 1990–2013: a systematic subnational analysis for the Global Burden of Disease Study 2013

Cited by 1,236 publications

References 49 publications

Geographic Variations in In‐Hospital Mortality and Use of Percutaneous Coronary Intervention Following Acute Myocardial Infarction in China: A Nationwide Cross‐Sectional Analysis

Geographic Variations in In‐Hospital Mortality and Use of Percutaneous Coronary Intervention Following Acute Myocardial Infarction in China: A Nationwide Cross‐Sectional Analysis

Self‐Rated Health Status and Risk of Ischemic Heart Disease in the China Kadoorie Biobank Study: A Population‐Based Cohort Study

Hypoxia potentially promotes Tibetan longevity

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