Evidence map›Paper›PMID 37580146›Full record

ArticleNeurology2023

The Lives Lost to Inequities: Avertable Deaths From Neurologic Diseases in the Past Decade.

Steven H Woolf, Derek A Chapman, Jong Hyung Lee, Karen C Johnston, Richard T Benson, Edwin Trevathan, Wally R Smith, Darrell J Gaskin

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Health disparities in neurology.Nature reviews. Neurology · 2025
    Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Steven H WoolfFrom the Center on Society and Health (S.H.W., D.A.C.), Division of Epidemiology (D.A.C., J.H.L.), Department of Family Medicine and Population Health, and Division of General Internal Medicine (W.R.S.), Virginia Commonwealth University, Richmond; Department of Neurology (K.C.J.), University of Virginia, Charlottesville; Office of Global Health and Health Disparities (R.T.B.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; Vanderbilt Institute for Global Health (E.T.), Departments of Pediatrics and Neurology, Vanderbilt University, Nashville, TN; and Department of Health Policy and Management (D.J.G.), Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. steven.woolf@vcuhealth.org.
Derek A ChapmanFrom the Center on Society and Health (S.H.W., D.A.C.), Division of Epidemiology (D.A.C., J.H.L.), Department of Family Medicine and Population Health, and Division of General Internal Medicine (W.R.S.), Virginia Commonwealth University, Richmond; Department of Neurology (K.C.J.), University of Virginia, Charlottesville; Office of Global Health and Health Disparities (R.T.B.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; Vanderbilt Institute for Global Health (E.T.), Departments of Pediatrics and Neurology, Vanderbilt University, Nashville, TN; and Department of Health Policy and Management (D.J.G.), Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Jong Hyung LeeFrom the Center on Society and Health (S.H.W., D.A.C.), Division of Epidemiology (D.A.C., J.H.L.), Department of Family Medicine and Population Health, and Division of General Internal Medicine (W.R.S.), Virginia Commonwealth University, Richmond; Department of Neurology (K.C.J.), University of Virginia, Charlottesville; Office of Global Health and Health Disparities (R.T.B.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; Vanderbilt Institute for Global Health (E.T.), Departments of Pediatrics and Neurology, Vanderbilt University, Nashville, TN; and Department of Health Policy and Management (D.J.G.), Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Karen C JohnstonFrom the Center on Society and Health (S.H.W., D.A.C.), Division of Epidemiology (D.A.C., J.H.L.), Department of Family Medicine and Population Health, and Division of General Internal Medicine (W.R.S.), Virginia Commonwealth University, Richmond; Department of Neurology (K.C.J.), University of Virginia, Charlottesville; Office of Global Health and Health Disparities (R.T.B.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; Vanderbilt Institute for Global Health (E.T.), Departments of Pediatrics and Neurology, Vanderbilt University, Nashville, TN; and Department of Health Policy and Management (D.J.G.), Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Richard T BensonFrom the Center on Society and Health (S.H.W., D.A.C.), Division of Epidemiology (D.A.C., J.H.L.), Department of Family Medicine and Population Health, and Division of General Internal Medicine (W.R.S.), Virginia Commonwealth University, Richmond; Department of Neurology (K.C.J.), University of Virginia, Charlottesville; Office of Global Health and Health Disparities (R.T.B.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; Vanderbilt Institute for Global Health (E.T.), Departments of Pediatrics and Neurology, Vanderbilt University, Nashville, TN; and Department of Health Policy and Management (D.J.G.), Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.ORCID 0000-0002-0551-7717
Edwin TrevathanFrom the Center on Society and Health (S.H.W., D.A.C.), Division of Epidemiology (D.A.C., J.H.L.), Department of Family Medicine and Population Health, and Division of General Internal Medicine (W.R.S.), Virginia Commonwealth University, Richmond; Department of Neurology (K.C.J.), University of Virginia, Charlottesville; Office of Global Health and Health Disparities (R.T.B.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; Vanderbilt Institute for Global Health (E.T.), Departments of Pediatrics and Neurology, Vanderbilt University, Nashville, TN; and Department of Health Policy and Management (D.J.G.), Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.ORCID 0000-0003-2370-5970
Wally R SmithFrom the Center on Society and Health (S.H.W., D.A.C.), Division of Epidemiology (D.A.C., J.H.L.), Department of Family Medicine and Population Health, and Division of General Internal Medicine (W.R.S.), Virginia Commonwealth University, Richmond; Department of Neurology (K.C.J.), University of Virginia, Charlottesville; Office of Global Health and Health Disparities (R.T.B.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; Vanderbilt Institute for Global Health (E.T.), Departments of Pediatrics and Neurology, Vanderbilt University, Nashville, TN; and Department of Health Policy and Management (D.J.G.), Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Darrell J GaskinFrom the Center on Society and Health (S.H.W., D.A.C.), Division of Epidemiology (D.A.C., J.H.L.), Department of Family Medicine and Population Health, and Division of General Internal Medicine (W.R.S.), Virginia Commonwealth University, Richmond; Department of Neurology (K.C.J.), University of Virginia, Charlottesville; Office of Global Health and Health Disparities (R.T.B.), National Institute of Neurological Disorders and Stroke, National Institutes of Health, Bethesda, MD; Vanderbilt Institute for Global Health (E.T.), Departments of Pediatrics and Neurology, Vanderbilt University, Nashville, TN; and Department of Health Policy and Management (D.J.G.), Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.ORCID 0000-0002-0822-1583
National Institutes of Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesMortality rates for neurologic diseases are increasing in the United States, with large disparities across geographical areas and populations. Racial and ethnic populations, notably the non-Hispanic (NH) Black population, experience higher mortality rates for many causes of death, but the magnitude of the disparities for neurologic diseases is unclear. The objectives of this study were to calculate mortality rates for neurologic diseases by race and ethnicity and-to place this disparity in perspective-to estimate how many US deaths would have been averted in the past decade if the NH Black population experienced the same mortality rates as other groups.

methodsMortality rates for deaths attributed to neurologic diseases, as defined by the International Classification of Diseases, were calculated for 2010 to 2019 using death and population data obtained from the Centers for Disease Control and Prevention and the US Census Bureau. Avertable deaths were calculated by indirect standardization: For each calendar year of the decade, age-specific death rates of NH White persons in 10 age groups were multiplied by the NH Black population in each age group. A secondary analysis used Hispanic and NH Asian populations as the reference groups.

resultsIn 2013, overall age-adjusted mortality rates for neurologic diseases began increasing, with the NH Black population experiencing higher rates than NH White, NH American Indian and Alaska Native, Hispanic, and NH Asian populations (in decreasing order). Other populations with higher mortality rates for neurologic diseases included older adults, the male population, and adults older than 25 years without a high school diploma. The gap in mortality rates for neurologic diseases between the NH Black and NH White populations widened from 4.2 individuals per 100,000 in 2011 to 7.0 per 100,000 in 2019. Over 2010 to 2019, had the NH Black population experienced the neurologic mortality rates of NH White, Hispanic, or NH Asian populations, 29,986, 88,407, or 117,519 deaths, respectively, would have been averted. DISCUSSION: Death rates for neurologic diseases are increasing. Disproportionately higher neurologic mortality rates in the NH Black population are responsible for a large number of excess deaths, making research and policy efforts to address the systemic causes increasingly urgent.

Indexed as

Black PeopleHealthcare DisparitiesHealth Status DisparitiesNervous System DiseasesAgedAmerican Indian or Alaska NativeAsianBlack or African AmericanEthnicityFemaleHispanic or LatinoHumansMaleUnited StatesWhite People

Identifiers

PMID37580146
PMCPMC10605951
OpenAlexW4385688137

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.