Evidence map›Paper›PMID 39282605›Full record

ArticleInternational journal of cardiology. Cardiovascular risk and prevention2024

Demographic trends and disparities in mortality related to coexisting heart failure and diabetes mellitus among older adults in the United States between 1999 and 2020: A retrospective population-based cohort study from the CDC WONDER database.

Humza Saeed, M B B S Abdullah, Irum Naeem, Amna Zafar, Bilal Ahmad, Taimur Ul Islam, Syed Saaid Rizvi, Nikita Kumari, Syed Ghazi Ali Kirmani, Fatima Mansoor and 4 more

Abstract read
In one paragraph

Article in International journal of cardiology. Cardiovascular risk and prevention, 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. Review
  2. Article
  3. Observational
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  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Trends and disparities in mortality due to hypertensive disease and coexisting obesity in the USA: 1999-2023.The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2025
    Article
  11. Article
  12. Review
  13. Article
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  16. Review
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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

14 authors.

Humza SaeedRawalpindi Medical University, Rawalpindi, Punjab, Pakistan.
M B B S AbdullahRawalpindi Medical University, Rawalpindi, Punjab, Pakistan.
Irum NaeemKing Edward Medical University, Lahore, Punjab, Pakistan.
Amna ZafarKing Edward Medical University, Lahore, Punjab, Pakistan.
Bilal AhmadDG Khan Medical College, Dera Ghazi Khan, Punjab, Pakistan.
Taimur Ul IslamShifa college of medicine, Shifa Tameer e Millat University, Islamabad, Pakistan.
Syed Saaid RizviSindh Medical College, Jinnah Sindh Medical University, Karachi, Pakistan.
Nikita KumariSindh Medical College, Jinnah Sindh Medical University, Karachi, Pakistan.
Syed Ghazi Ali KirmaniAllama Iqbal Medical College, Lahore, Punjab, Pakistan.
Fatima MansoorKarachi Medical and Dental College, Karachi, Pakistan.
Amir HassanBronglais General Hospital, Aberystwyth, UK.
Adarsh RajaDepartment of Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan.
Mohamed DaoudBogomolets Medical University, Kyiv, Ukraine.
Aman GoyalDepartment of Internal Medicine, Seth GS Medical College and KEM Hospital, Mumbai, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Heart Failure (HF) and Diabetes Mellitus (DM) often coexist, and each condition independently increases the likelihood of developing the other. While there has been concern regarding the increasing burden of disease for both conditions individually over the last decade, a comprehensive examination of mortality trends and demographic and regional disparities needs to be thoroughly explored in the United States (US). Methods: This study analyzed death certificates from the CDC WONDER database, focusing on mortality caused by the co-occurrence of HF and DM in adults aged 75 and older from 1999 to 2020. Age-adjusted mortality rates (AAMRs) and annual percent changes (APCs) were computed and categorized by year, gender, race, census region, state, and metropolitan status. Results: A total of 663,016 deaths were reported in patients with coexisting HF and DM. Overall, AAMR increased from 154.1 to 186.1 per 100,000 population between 1999 and 2020, with a notable significant increase from 2018 to 2020 (APC: 11.30). Older men had consistently higher AAMRs than older women (185 vs. 135.4). Furthermore, we found that AAMRs were highest among non-Hispanic (NH) American Indian or Alaskan natives and lowest in NH Asian or Pacific Islanders (214.4 vs. 104.1). Similarly, AAMRs were highest in the Midwestern region and among those dwelling in non-metropolitan areas. Conclusions: Mortality from HF and DM has risen significantly in recent years, especially among older men, NH American Indian or Alaska Natives, and those in non-metropolitan areas. Urgent policies need to be developed to address these disparities and promote equitable healthcare access.

Indexed as

CoexistenceCOVID-19DiabetesHeart failureMortalityOlder adults

Identifiers

PMID39282605
PMCPMC11395761

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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.