Evidence map›Paper›PMID 38762653›Full record

ArticleNature communications2024

Spatial disparities in the mortality burden of the covid-19 pandemic across 569 European regions (2020-2021).

Florian Bonnet, Pavel Grigoriev, Markus Sauerberg, Ina Alliger, Michael Mühlichen, Carlo-Giovanni Camarda

Abstract read
In one paragraph

Article in Nature communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
  2. Article
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  4. Paid and unpaid productivity losses across 28 European countries due to excess deaths and COVID-19 deaths from 2020 to 2023.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Spatial Differences in Avoidable Mortality Across 581 European Districts, 2002-2019.European journal of population = Revue europeenne de demographie · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Review
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  15. Article
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  18. 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

6 authors.

Florian BonnetFrench Institute for Demographic Studies (INED), Aubervilliers, France. florian.bonnet@ined.fr.ORCID http://orcid.org/0000-0001-6125-3317
Pavel GrigorievFederal Institute for Population Research (BiB), Wiesbaden, Germany.ORCID http://orcid.org/0000-0003-1419-9885
Markus SauerbergFederal Institute for Population Research (BiB), Wiesbaden, Germany.ORCID http://orcid.org/0000-0001-9524-446X
Ina AlligerFederal Institute for Population Research (BiB), Wiesbaden, Germany.
Michael MühlichenFederal Institute for Population Research (BiB), Wiesbaden, Germany.ORCID http://orcid.org/0000-0002-7396-069X
Carlo-Giovanni CamardaFrench Institute for Demographic Studies (INED), Aubervilliers, France.

Funding

EC | EU Framework Programme for Research and Innovation H2020 | H2020 Priority Excellent Science | H2020 European Research Council (H2020 Excellent Science - European Research Council) 851485
6 · The paper itself

Abstract

Since its emergence in December 2019, the COVID-19 pandemic has resulted in a significant increase in deaths worldwide. This article presents a detailed analysis of the mortality burden of the COVID-19 pandemic across 569 regions in 25 European countries. We produce age and sex-specific excess mortality and present our results using Age-Standardised Years of Life Lost in 2020 and 2021, as well as the cumulative impact over the two pandemic years. Employing a forecasting approach based on CP-splines that considers regional diversity and provides confidence intervals, we find notable losses in 362 regions in 2020 (440 regions in 2021). Conversely, only seven regions experienced gains in 2020 (four regions in 2021). We also estimate that eight regions suffered losses exceeding 20 years of life per 1000 population in 2020, whereas this number increased to 75 regions in 2021. The contiguity of the regions investigated in our study also reveals the changing geographical patterns of the pandemic. While the highest excess mortality values were concentrated in the early COVID-19 outbreak areas during the initial pandemic year, a clear East-West gradient appeared in 2021, with regions of Slovakia, Hungary, and Latvia experiencing the highest losses. This research underscores the importance of regional analyses for a nuanced comprehension of the pandemic's impact.

Indexed as

COVID-19PandemicsSARS-CoV-2AdolescentAdultAgedAged, 80 and overEuropeFemaleHumansMaleMiddle AgedMortalityYoung Adult

Identifiers

PMID38762653
PMCPMC11102496

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.