Chagas disease-related mortality in Colombia from 1979 to 2018: temporal and spatial trends.
Abstract INTRODUCTIOn: Studies on Chagas disease-related mortality assist in decision-making in health policies. We analyzed the epidemiological characteristics, temporal trends, and regional differences in Chagas disease-related mortality in Colombia from 1979 to 2018. METHODS: A time-series study...
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ftdoajarticles:oai:doaj.org/article:a25117b3cd6e462fb2b6011e15be5b98 2023-05-15T15:12:06+02:00 Chagas disease-related mortality in Colombia from 1979 to 2018: temporal and spatial trends. Mario Javier Olivera Julián Felipe Porras-Villamil Juan Carlos Villar Eliana Váquiro Herrera Giancarlo Buitrago 2021-02-01T00:00:00Z https://doi.org/10.1590/0037-8682-0768-2020 https://doaj.org/article/a25117b3cd6e462fb2b6011e15be5b98 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100313&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0768-2020 https://doaj.org/article/a25117b3cd6e462fb2b6011e15be5b98 Revista da Sociedade Brasileira de Medicina Tropical, Vol 54 (2021) Chagas disease Mortality Epidemiology Time trends Colombia Arctic medicine. Tropical medicine RC955-962 article 2021 ftdoajarticles https://doi.org/10.1590/0037-8682-0768-2020 2022-12-31T02:52:37Z Abstract INTRODUCTIOn: Studies on Chagas disease-related mortality assist in decision-making in health policies. We analyzed the epidemiological characteristics, temporal trends, and regional differences in Chagas disease-related mortality in Colombia from 1979 to 2018. METHODS: A time-series study was conducted using death records and population data from the National Administrative Department of Statistics, using categorizations from the International Classification of Disease (ICD)-9 and ICD-10 systems. All deaths with Chagas disease as an underlying or associated cause of death were included. Crude and age-sex standardized mortality rates per 100,000 inhabitants and the annual percent change (APC) were calculated. RESULTS: Of the 7,287,461 deaths recorded in Colombia during 1979-2018, 3,276 (0.04%) deaths were related to Chagas disease-2,827 (86.3%) as an underlying cause and 449 (13.7%) as an associated cause. The average annual age-sex standardized mortality rate was 0.211 (95% confidence interval [CI]: 0.170-0.252) deaths/100,000 inhabitants, with a significant upward trend (APC = 6.60%; 95% CI: 5.9-7.3). The highest Chagas disease-related death rates were in males (0.284 deaths/100,000 inhabitants), those ≥65 years old (1.296 deaths/100,000 inhabitants), and residents of the Orinoco region (1.809 deaths/100,000 inhabitants). There was a significant increase in mortality in the Orinoco (APC = 8.28%; 95% CI: 6.4-10.2), Caribbean (APC = 5.06%; 95% CI: 3.6-6.5), and Andean (APC = 4.63%; 95% CI: 3.9-5.3) regions. CONCLUSIONS: Chagas disease remains a major public health issue in Colombia with high mortality rates in older age groups, a wide geographic distribution, regional differences, and the potential to increase. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 54 |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Chagas disease Mortality Epidemiology Time trends Colombia Arctic medicine. Tropical medicine RC955-962 |
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Chagas disease Mortality Epidemiology Time trends Colombia Arctic medicine. Tropical medicine RC955-962 Mario Javier Olivera Julián Felipe Porras-Villamil Juan Carlos Villar Eliana Váquiro Herrera Giancarlo Buitrago Chagas disease-related mortality in Colombia from 1979 to 2018: temporal and spatial trends. |
topic_facet |
Chagas disease Mortality Epidemiology Time trends Colombia Arctic medicine. Tropical medicine RC955-962 |
description |
Abstract INTRODUCTIOn: Studies on Chagas disease-related mortality assist in decision-making in health policies. We analyzed the epidemiological characteristics, temporal trends, and regional differences in Chagas disease-related mortality in Colombia from 1979 to 2018. METHODS: A time-series study was conducted using death records and population data from the National Administrative Department of Statistics, using categorizations from the International Classification of Disease (ICD)-9 and ICD-10 systems. All deaths with Chagas disease as an underlying or associated cause of death were included. Crude and age-sex standardized mortality rates per 100,000 inhabitants and the annual percent change (APC) were calculated. RESULTS: Of the 7,287,461 deaths recorded in Colombia during 1979-2018, 3,276 (0.04%) deaths were related to Chagas disease-2,827 (86.3%) as an underlying cause and 449 (13.7%) as an associated cause. The average annual age-sex standardized mortality rate was 0.211 (95% confidence interval [CI]: 0.170-0.252) deaths/100,000 inhabitants, with a significant upward trend (APC = 6.60%; 95% CI: 5.9-7.3). The highest Chagas disease-related death rates were in males (0.284 deaths/100,000 inhabitants), those ≥65 years old (1.296 deaths/100,000 inhabitants), and residents of the Orinoco region (1.809 deaths/100,000 inhabitants). There was a significant increase in mortality in the Orinoco (APC = 8.28%; 95% CI: 6.4-10.2), Caribbean (APC = 5.06%; 95% CI: 3.6-6.5), and Andean (APC = 4.63%; 95% CI: 3.9-5.3) regions. CONCLUSIONS: Chagas disease remains a major public health issue in Colombia with high mortality rates in older age groups, a wide geographic distribution, regional differences, and the potential to increase. |
format |
Article in Journal/Newspaper |
author |
Mario Javier Olivera Julián Felipe Porras-Villamil Juan Carlos Villar Eliana Váquiro Herrera Giancarlo Buitrago |
author_facet |
Mario Javier Olivera Julián Felipe Porras-Villamil Juan Carlos Villar Eliana Váquiro Herrera Giancarlo Buitrago |
author_sort |
Mario Javier Olivera |
title |
Chagas disease-related mortality in Colombia from 1979 to 2018: temporal and spatial trends. |
title_short |
Chagas disease-related mortality in Colombia from 1979 to 2018: temporal and spatial trends. |
title_full |
Chagas disease-related mortality in Colombia from 1979 to 2018: temporal and spatial trends. |
title_fullStr |
Chagas disease-related mortality in Colombia from 1979 to 2018: temporal and spatial trends. |
title_full_unstemmed |
Chagas disease-related mortality in Colombia from 1979 to 2018: temporal and spatial trends. |
title_sort |
chagas disease-related mortality in colombia from 1979 to 2018: temporal and spatial trends. |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2021 |
url |
https://doi.org/10.1590/0037-8682-0768-2020 https://doaj.org/article/a25117b3cd6e462fb2b6011e15be5b98 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 54 (2021) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100313&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0768-2020 https://doaj.org/article/a25117b3cd6e462fb2b6011e15be5b98 |
op_doi |
https://doi.org/10.1590/0037-8682-0768-2020 |
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Revista da Sociedade Brasileira de Medicina Tropical |
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54 |
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