Cardiovascular disease in Europe - epidemiological update 2015

Cardiovascular disease in Europe - epidemiological update 2015
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DOI:
10.1093/eurheartj/ehv428
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发表时间:
2015-10-21
影响因子:
39.3
通讯作者:
Rayner, Mike
Rayner, Mike
中科院分区:
医学1区
文献类型:
--
作者:
Townsend, Nick;Nichols, Melanie;Rayner, Mike

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本文提供了2015年欧洲各国心血管疾病(CVD)负担的最新情况,特别关注冠心病(CHD)和中风。心血管疾病仍然是欧洲最常见的死亡原因,在整个欧洲大陆造成的死亡人数几乎是癌症的两倍。虽然有明确的证据表明,在过去5-10年中,冠心病和中风的死亡率大幅下降,但欧洲国家之间在目前的死亡率和死亡率下降的速度方面仍然存在很大的不平等。同样,有数据可查的国家之间的治疗率,特别是手术干预率也相差很大,表明它们之间存在着一系列不平等。这也是我们在该系列中首次使用2013年欧洲标准人口(ESP)来计算年龄标准化死亡率(ASDR)。这一新标准导致ASDR大约是1976年ESP对心血管疾病(如CHD)的两倍,但根据ASDR,各国的相对排名变化不大。
This article provides an update for 2015 on the burden of cardiovascular disease (CVD), with a particular focus on coronary heart disease (CHD) and stroke, across the countries of Europe. Cardiovascular disease is still the most common cause of death within Europe, causing almost two times as many deaths as cancer across the continent. Although there is clear evidence, where data are available, that mortality from CHD and stroke has decreased substantially over the last 5-10 years, there are still large inequalities found between European countries, in both current rates of death and the rate at which these decreases have occurred. Similarly, rates of treatment, particularly surgical intervention, differ widely between those countries for which data are available, indicating a range of inequalities between them. This is also the first time in the series that we use the 2013 European Standard Population (ESP) to calculate age-standardized death rates (ASDRs). This new standard results in ASDRs around two times as large as the 1976 ESP for CVD conditions such as CHD but changes little the relative rankings of countries according to ASDR.