Cherla Avi, Kyriopoulos Ilias, Pearcy Pauline, Tsangalidou Zoi, Hajrulahovic Haris, Theodorakis Pavlos, Andersson Charlotte E, Mehra Mandeep R, Mossialos Elias
Department of Health Policy, London School of Economics and Political Science, London, UK.
Department of Statistics, Oxford University, Oxford, UK.
Lancet Reg Health Eur. 2024 Sep 27;47:101079. doi: 10.1016/j.lanepe.2024.101079. eCollection 2024 Dec.
Certain causes of death can be avoided with access to timely prevention and treatment. We quantified trends in avoidable deaths from cardiovascular diseases for European Union (EU) countries from 1995 to 2020 and examined variations by demographics, disease characteristics, and geography.
Retrospective secondary data analysis of avoidable cardiovascular mortality using the WHO Mortality Database. Avoidable causes of death were identified from the OECD and Eurostat list (which uses an age threshold of 75 years). Regression models were used to identify changes in the trends of age-standardized mortality rates and potential years of life lost.
From 1995 to 2020, 11.4 million deaths from cardiovascular diseases in Europe were avoidable, resulting in 213.1 million potential life years lost. Avoidable deaths were highest among males (7.5 million), adults 65-74 years (6.8 million), and with the leading cause of death being ischemic heart disease (6.1 million). From its peak in 1995 until 2020, avoidable mortality from cardiovascular diseases has decreased by 57% across the EU. The difference in avoidable cardiovascular diseases mortality between females and males, and between Eastern and Western Europe has reduced greatly, however gaps continue to persist.
Avoidable mortality from cardiovascular diseases has decreased substantially among EU countries, although improvement has not been uniform across diseases, demographic groups or regions. These trends suggest additional policy interventions are needed to ensure that improvements in mortality are continued.
World Health Organization, Regional Office for Europe.
某些死因可通过及时预防和治疗得以避免。我们对1995年至2020年欧盟国家心血管疾病可避免死亡的趋势进行了量化，并研究了人口统计学、疾病特征和地理方面的差异。
使用世界卫生组织死亡率数据库对可避免的心血管疾病死亡率进行回顾性二次数据分析。从经合组织和欧盟统计局的清单（使用75岁的年龄阈值）中确定可避免的死因。使用回归模型来确定年龄标准化死亡率趋势和潜在寿命损失年数的变化。
1995年至2020年期间，欧洲有1140万例心血管疾病死亡可避免，导致2.131亿潜在生命年损失。可避免死亡在男性中最多（750万），65 - 74岁成年人中（680万），主要死因是缺血性心脏病（610万）。从1995年的峰值到2020年，欧盟范围内心血管疾病可避免死亡率下降了57%。女性和男性之间以及东欧和西欧之间可避免的心血管疾病死亡率差异大幅缩小，但差距仍然存在。
欧盟国家中心血管疾病可避免死亡率大幅下降，尽管不同疾病、人口群体或地区的改善情况并不一致。这些趋势表明需要额外的政策干预措施来确保死亡率持续改善。
世界卫生组织欧洲区域办事处。
