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Proportion of the Decline in Cardiovascular Mortality Disease Due to Prevention Versus Treatment: Public Health Versus Clinical Care

Posted: 18 Apr 2011  

Earl S. Ford

Centers for Disease Control and Prevention (CDC)

Simon Capewell

University of Liverpool

Date Written: April 2011

Abstract

Mortality rates from coronary heart disease (CHD), which had risen during the twentieth century in many countries, started declining in some countries during the 1960s. Once initial skepticism about the validity of the observed trends dissipated, researchers attempted to generate explanations about the events that had transpired using a variety of techniques, including ecological examinations of the trends in risk factors for CHD and changes in management of CHD, multivariate risk equations, and increasingly sophisticated modeling techniques. Improvements in risk factors as well as changes in cardiac treatments have both contributed to the reductions in CHD mortality, although estimates of their contributions have varied among countries. Models suggest that additional large reductions in CHD mortality are feasible by either improving the distribution of risk factors in the population or raising the percentage of patients receiving evidence-based treatments.

Suggested Citation

Ford, Earl S. and Capewell, Simon, Proportion of the Decline in Cardiovascular Mortality Disease Due to Prevention Versus Treatment: Public Health Versus Clinical Care (April 2011). Annual Review of Public Health, Vol. 32, pp. 5-22, 2011. Available at SSRN: https://ssrn.com/abstract=1810243 or http://dx.doi.org/10.1146/annurev-publhealth-031210-101211

Earl S. Ford (Contact Author)

Centers for Disease Control and Prevention (CDC) ( email )

1600 Clifton Rd., NE
Atlanta, GA 30333
United States

Simon Capewell

University of Liverpool ( email )

Liverpool, L69 7ZA
United Kingdom

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