PMID- 29870833
OWN - NLM
STAT- MEDLINE
DCOM- 20180924
LR  - 20181004
IS  - 1476-5616 (Electronic)
IS  - 0033-3506 (Linking)
VI  - 161
DP  - 2018 Aug
TI  - Cerebrovascular and hypertensive diseases as multiple causes of death in Brazil 
      from 2004 to 2013.
PG  - 36-42
LID - S0033-3506(18)30139-2 [pii]
LID - 10.1016/j.puhe.2018.04.006 [doi]
AB  - OBJECTIVES: The proportion of deaths attributed to hypertensive diseases (HYPDs) 
      was only 50% of that registered for cerebrovascular diseases (CBVDs) in 2013 in 
      Brazil. This article aims to evaluate mortality related to HYPDs and CBVDs as 
      multiple causes of death, in Brazil from 2004 to 2013. STUDY DESIGN: Analysis of 
      historical series of secondary data obtained from Brazilian official registries. 
      METHODS: Data about the deaths were obtained from the Mortality Information 
      System of the Brazilian Ministry of Health, available on the DATASUS website. 
      CBVDs and HYPDs were evaluated according to their mentions as the underlying 
      cause of death or entry in any line of the death certificates (DCs), according to 
      their International Statistical Classification of Diseases and Related Health 
      Problems, 10th Revision codes. RESULTS: When CBVDs were the underlying causes of 
      death, HYPDs were mentioned in 40.9% of the DCs. When HYPDs were the underlying 
      causes of death, CBVDs were mentioned in only 5.0%. When CBVDs were mentioned 
      without HYPDs, they were selected as the underlying cause of death 74.4% of the 
      time. When HYPDs were mentioned in DCs without CBVDs, HYPDs were selected 30.0% 
      of the time. In 2004, the frequency of any mention of HYPDs relative to the 
      frequency of HYPDs cited as underlying causes increased fourfold and was followed 
      by a plateau until 2013. In contrast, the frequency of any mention of CBVDs 
      relative to the frequency of CBVDs as underlying causes decreased in the same 
      period. Because this study was based on DC records, it was limited by the way 
      these documents were completed, which may have included lack of record of the 
      causes related to the sequence that culminated in death. CONCLUSION: When deaths 
      related to HYPDs were evaluated as multiple causes of death, they were mentioned 
      up to four times more often than when they were selected as underlying causes of 
      death. This reinforces the need for better control of hypertension to prevent 
      deaths.
CI  - Copyright (c) 2018 The Royal Society for Public Health. Published by Elsevier Ltd. 
      All rights reserved.
FAU - Villela, P B
AU  - Villela PB
AD  - Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rua Rodolpho 
      Paulo Rocco 255, Ilha do Fundao, Rio de Janeiro, RJ 21941-913, Brazil. Electronic 
      address: pbvillela@gmail.com.
FAU - Klein, C H
AU  - Klein CH
AD  - Oswaldo Cruz Foundation, Department of Epidemiology, Rio de Janeiro, Brazil.
FAU - Oliveira, G M M
AU  - Oliveira GMM
AD  - Federal University of Rio de Janeiro, Edson Saad Heart Institute, Rua Rodolpho 
      Paulo Rocco 255, Ilha do Fundao, Rio de Janeiro, RJ 21941-913, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20180602
PL  - Netherlands
TA  - Public Health
JT  - Public health
JID - 0376507
SB  - IM
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Brazil/epidemiology
MH  - Cause of Death/trends
MH  - Cerebrovascular Disorders/*mortality
MH  - Death Certificates
MH  - Female
MH  - Humans
MH  - Hypertension/*mortality
MH  - Male
MH  - Middle Aged
OTO - NOTNLM
OT  - Cardiovascular diseases
OT  - Causality
OT  - Cerebrovascular disorders
OT  - Hypertension
OT  - Mortality
OT  - Underlying cause of death
EDAT- 2018/06/06 06:00
MHDA- 2018/09/25 06:00
CRDT- 2018/06/06 06:00
PHST- 2017/12/06 00:00 [received]
PHST- 2018/03/05 00:00 [revised]
PHST- 2018/04/13 00:00 [accepted]
PHST- 2018/06/06 06:00 [pubmed]
PHST- 2018/09/25 06:00 [medline]
PHST- 2018/06/06 06:00 [entrez]
AID - S0033-3506(18)30139-2 [pii]
AID - 10.1016/j.puhe.2018.04.006 [doi]
PST - ppublish
SO  - Public Health. 2018 Aug;161:36-42. doi: 10.1016/j.puhe.2018.04.006. Epub 2018 Jun 
      2.