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Centre for Policy on Ageing | |
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Modelling the decline in coronary heart disease deaths in England and Wales, 1981-2000
— comparing contributions from primary prevention and secondary prevention | | Author(s) | Belgin Unal, Julia Alison Critchley, Simon Capewell |
| Journal title | British Medical Journal, vol 331, no 7517, 17 September 2005 |
| Pages | pp 614-617 |
| Source | http://www.bmj.com |
| Keywords | Heart disease ; Preventative medicine ; Death rate [statistics] ; Longitudinal surveys. |
| Annotation | The IMPACT model was used to synthesise data for England and Wales describing coronary heart disease (CHD) patient numbers, uptake of specific treatments, trends in major cardiovascular risk factors, and the mortality benefits of these specific risk factor changes in healthy people and in CHD patients. CHD mortality has more than halved since 1981 in the UK, resulting in 68,230 fewer deaths in 2000. Some 43,370 fewer CHD deaths were attributable to reductions in smoking, cholesterol and blood pressure in the whole population. Some 36,625 (61%) of these fewer deaths occurred in people without recognised CHD, and 8,745 (19%) in CHD patients. Compared with secondary prevention, primary prevention achieved a fourfold larger reduction in deaths. Given that current government initiatives favour risk factor reductions in CHD patients (secondary prevention), but population based primary prevention (risk factor reduction in apparently healthy people) might be more powerful, future CHD policies should prioritise population-wide tobacco control and healthier diets. (RH). |
| Accession Number | CPA-050926220 A |
| Classmark | CQH: LK2: S5: 3J * |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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