Mortality rates for common respiratory diseases in an English population 1979-1998: artefact and substantive trends.

We analysed a mortality database in which all causes of death on each death certificate were coded, as well as underlying cause, to study trends from 1979 to 1998. Multiple-cause-coded death rates for pneumonia and acute bronchitis fell steadily and consistently. There were complementary rises and f...

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Main Authors: Goldacre, M, Duncan, M, Cook-Mozaffari, P, Griffith, M
Format: Journal article
Language:English
Published: 2004
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author Goldacre, M
Duncan, M
Cook-Mozaffari, P
Griffith, M
author_facet Goldacre, M
Duncan, M
Cook-Mozaffari, P
Griffith, M
author_sort Goldacre, M
collection OXFORD
description We analysed a mortality database in which all causes of death on each death certificate were coded, as well as underlying cause, to study trends from 1979 to 1998. Multiple-cause-coded death rates for pneumonia and acute bronchitis fell steadily and consistently. There were complementary rises and falls in death rates for individual chronic obstructive pulmonary diseases (COPD)--chronic bronchitis, emphysema, chronic obstructive airways disease--attributable to changes in clinical terminology. Judged by underlying cause, death rates for COPD were lower than those for lung cancer; but, judged by all mentions, death rates for COPD were appreciably higher than for lung cancer. Death rates for COPD, like lung cancer, fell over time in women under 65 years of age and in men; and increased in older women. For all respiratory diseases studied, except lung cancer, the underlying cause of death alone considerably underestimated the extent of their certification on death certificates.
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spelling oxford-uuid:f48d9224-ae43-4977-8796-80a4236d95522022-03-27T12:20:39ZMortality rates for common respiratory diseases in an English population 1979-1998: artefact and substantive trends.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:f48d9224-ae43-4977-8796-80a4236d9552EnglishSymplectic Elements at Oxford2004Goldacre, MDuncan, MCook-Mozaffari, PGriffith, MWe analysed a mortality database in which all causes of death on each death certificate were coded, as well as underlying cause, to study trends from 1979 to 1998. Multiple-cause-coded death rates for pneumonia and acute bronchitis fell steadily and consistently. There were complementary rises and falls in death rates for individual chronic obstructive pulmonary diseases (COPD)--chronic bronchitis, emphysema, chronic obstructive airways disease--attributable to changes in clinical terminology. Judged by underlying cause, death rates for COPD were lower than those for lung cancer; but, judged by all mentions, death rates for COPD were appreciably higher than for lung cancer. Death rates for COPD, like lung cancer, fell over time in women under 65 years of age and in men; and increased in older women. For all respiratory diseases studied, except lung cancer, the underlying cause of death alone considerably underestimated the extent of their certification on death certificates.
spellingShingle Goldacre, M
Duncan, M
Cook-Mozaffari, P
Griffith, M
Mortality rates for common respiratory diseases in an English population 1979-1998: artefact and substantive trends.
title Mortality rates for common respiratory diseases in an English population 1979-1998: artefact and substantive trends.
title_full Mortality rates for common respiratory diseases in an English population 1979-1998: artefact and substantive trends.
title_fullStr Mortality rates for common respiratory diseases in an English population 1979-1998: artefact and substantive trends.
title_full_unstemmed Mortality rates for common respiratory diseases in an English population 1979-1998: artefact and substantive trends.
title_short Mortality rates for common respiratory diseases in an English population 1979-1998: artefact and substantive trends.
title_sort mortality rates for common respiratory diseases in an english population 1979 1998 artefact and substantive trends
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