Extract

O379

Explaining the massive declines in coronary heart disease mortality rates in Iceland, 1981 − 2006

T Aspelund1, V Gudnason1, B Magnusdottir1, K Andersen2, G Sigurdsson3, J Critchley4, M O'Flaherty5, S Capewell5

1Icelandic Heart Association, Kopavogur, Iceland, 2Unversity of Iceland, Reykjavik, Iceland, 3University Hospital, Reykjavik, Iceland, 4University of Newcastle, Newcasle, United Kingdom, 5University of Liverpool, Liverpool, United Kingdom

Topic: Cardiovascular epidemiology

Background: coronary heart disease mortality rates have been decreasing in Iceland since the 1980s. We used the validated IMPACT model to examine how much of the decrease in Iceland between 1981 and 2006 could be attributed to medical and surgical treatments and how much to changes in cardiovascular risk factors.

Methods: the previously validated IMPACT mortality model was used to combine and analyse data on uptake and effectiveness of cardiological treatments and risk factor trends in the entire Iceland population. The main data sources were official statistics, national quality registers, published trials and meta-analyses, clinical audits and a series of national population surveys. Sensitivity analyses were then conducted.

You do not currently have access to this article.

Comments

0 Comments
Submit a comment
You have entered an invalid code
Thank you for submitting a comment on this article. Your comment will be reviewed and published at the journal's discretion. Please check for further notifications by email.