Time trends in ischaemic heart disease incidence and mortality over three decades (1990–2019) in 20 Western European countries: systematic analysis of the Global Burden of Disease Study 2019

Vancheri, Federico, Tate, Anne Rosemary, Henein, Michael, Backlund, Lars, Donfrancesco, Chiara, Palmieri, Luigi and Strender, Lars-Erik (2021) Time trends in ischaemic heart disease incidence and mortality over three decades (1990–2019) in 20 Western European countries: systematic analysis of the Global Burden of Disease Study 2019. European Journal of Preventive Cardiology. pp. 1-8. ISSN 2047-4873

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Abstract

Aims
To investigate and compare changes in the rates of ischaemic heart disease (IHD) incidence and mortality between 1990 and 2019 in 20 high-income Western European countries with similar public health systems and low cardiovascular risk.

Methods and results
The 2020 updated version of the Global Burden of Disease database was searched. Variability and differences in IHD incidence and mortality rates (per 100 000) between countries over time, were calculated. A piecewise linear (join point) regression model was used to identify the slopes of these trends and the points in time at which significant changes in the trends occur. Ischaemic heart disease incidence and mortality rates varied widely between countries but decreased for all between 1990 and 2019. The relative change was greater for mortality than for incidence. Ischaemic heart disease incidence rates declined by approximately 36% between 1990 and 2019, while mortality declined by approximately 60%. Breakpoint analysis showed that the largest decreases in incidence and mortality occurred between 1990 and 2009 (−32%, −52%, respectively), with a much slower decrease after that (−5.9%, −17.6%, respectively), and even a slight increase for some countries in recent years. The decline in both incidence and mortality was lower in the Mediterranean European countries compared to the Nordic and Central European regions.

Conclusions
In the Western European countries studied, the decline in age-standardized IHD incidence over three decades was slower than the decline in age-standardized IHD mortality. Decreasing trends of both IHD incidence and mortality has substantially slowed, and for some countries flattened, in more recent years.

Item Type: Article
Keywords: Ischaemic heart disease, Incidence, Mortality, Breakpoint analysis, Time trend
Schools and Departments: School of Engineering and Informatics > Informatics
Research Centres and Groups: Creative Technology
Depositing User: Natalia Beloff
Date Deposited: 07 Sep 2021 08:47
Last Modified: 05 Oct 2021 10:56
URI: http://sro.sussex.ac.uk/id/eprint/101550

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