Department of Medicine, Mount Auburn Hospital, Harvard Medical School, Cambridge, MA 02138, USA
Oxford University Clinical Academic Graduate School, John Radcliffe Hospital, Oxford, UK.
BMJ. 2018 Nov 28;363:k4680. doi: 10.1136/bmj.k4680.
To compare age standardised death rates for respiratory disease mortality between the United Kingdom and other countries with similar health system performance.
Observational study.
World Health Organization Mortality Database, 1985-2015.
Residents of the UK, Austria, Belgium, Denmark, Finland, France, Germany, Greece, Ireland, Italy, Luxembourg, the Netherlands, Portugal, Spain, Sweden, Australia, Canada, the United States, and Norway (also known as EU15+ countries).
Mortality from all respiratory disease and infectious, neoplastic, interstitial, obstructive, and other respiratory disease. Differences between countries were tested over time by mixed effect regression models, and trends in subcategories of respiratory related diseases assessed by a locally weighted scatter plot smoother.
Between 1985 and 2015, overall mortality from respiratory disease in the UK and EU15+ countries decreased for men and remained static for women. In the UK, the age standardised death rate (deaths per 100 000 people) for respiratory disease mortality in the UK fell from 151 to 89 for men and changed from 67 to 68 for women. In EU15+ countries, the corresponding changes were from 108 to 69 for men and from 35 to 37 in women. The UK had higher mortality than most EU15+ countries for obstructive, interstitial, and infectious subcategories of respiratory disease in both men and women.
Mortality from overall respiratory disease was higher in the UK than in EU15+ countries between 1985 and 2015. Mortality was reduced in men, but remained the same in women. Mortality from obstructive, interstitial, and infectious respiratory disease was higher in the UK than in EU15+ countries.
比较英国与其他医疗体系绩效相似国家的呼吸系统疾病死亡率的年龄标准化死亡率。
观察性研究。
世界卫生组织死亡率数据库，1985-2015 年。
英国、奥地利、比利时、丹麦、芬兰、法国、德国、希腊、爱尔兰、意大利、卢森堡、荷兰、葡萄牙、西班牙、瑞典、澳大利亚、加拿大、美国和挪威（也称为欧盟 15 国+）的居民。
所有呼吸系统疾病以及传染性、肿瘤性、间质性、阻塞性和其他呼吸系统疾病的死亡率。通过混合效应回归模型检验各国随时间的差异，并通过局部加权散点平滑图评估呼吸系统相关疾病的亚类的趋势。
1985 年至 2015 年间，英国和欧盟 15 国+男性的呼吸系统疾病总死亡率下降，而女性则保持稳定。在英国，男性的呼吸系统疾病死亡率（每 10 万人死亡人数）从 151 降至 89，女性从 67 降至 68。在欧盟 15 国+，相应的变化分别为男性从 108 降至 69，女性从 35 降至 37。英国男性和女性的阻塞性、间质性和传染性呼吸系统疾病亚类的死亡率均高于大多数欧盟 15 国+。
1985 年至 2015 年间，英国的总体呼吸系统疾病死亡率高于欧盟 15 国+。男性死亡率降低，但女性保持不变。英国的阻塞性、间质性和传染性呼吸系统疾病死亡率高于欧盟 15 国+。
