Evidence map›Paper›PMID 40735001›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2025

Temporal Trends in Cardiovascular Mortality in Underlying Viral Hepatitis: A Retrospective Analysis of Gender, Racial/Ethnic, and Regional Disparities.

Wania Sultan, Haider Ashfaq, Hamza Ashraf, Ahmad Khan, Ayman Omair Hashmi, Muhammad Omar Larik, Maheen Zahid, Yasir Majeed, Pratik Bhattarai, Ashujot K Dang and 2 more

Abstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

12 authors.

Wania SultanDepartment of Medicine Dow Medical College Karachi Pakistan.
Haider AshfaqDepartment of Medicine Allama Iqbal Medical College Lahore Pakistan.ORCID https://orcid.org/0009-0002-4372-9929
Hamza AshrafDepartment of Medicine Allama Iqbal Medical College Lahore Pakistan.
Ahmad KhanDepartment of Medicine Khyber Medical University Peshawar Pakistan.
Ayman Omair HashmiDepartment of Obstetrics and Gynecology Indus Hospital Karachi Pakistan.
Muhammad Omar LarikDepartment of Medicine Dow International Medical College Karachi Pakistan.ORCID https://orcid.org/0000-0002-2328-6801
Maheen ZahidDepartment of Medicine Liaquat University of Medical and Health Sciences Jamshoro Pakistan.
Yasir MajeedDepartment of Medicine King Edward Medical University Lahore Pakistan.
Pratik BhattaraiDepartment of Medicine Manipal College of Medical Sciences Pokhara Nepal.
Ashujot K DangDepartment of Medicine University of California Riverside School of Medicine Riverside California USA.ORCID https://orcid.org/0009-0008-4246-4205
Ahmed Ali AzizDepartment of Medicine Integris Baptist Medical Center Oklahoma City Oklahoma USA.
Hafiz Muhammad Sharjeel ArshadDivision of Gastroenterology Southern Illinois University School of Medicine Springfield Illinois USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to investigate contemporary trends in mortality related to cardiovascular disease and viral hepatitis. Methods: We conducted a retrospective analysis using data from the CDC-WONDER dataset. Our study cohort consisted of adults aged ≥ 15 years, where both cardiovascular disease and viral hepatitis were identified as an underlying or contributory cause of death between 1999 and 2020. Crude and age-adjusted mortality rates (AAMR) per 1 000 000 population were extracted. Joinpoint regression analysis was utilized to calculate annual percentage change (APC) of each trend. Results: The overall AAMR exhibited a notable increase from 15.2 in 1999 to 24.9 in 2020. However, a recent decline was observed from 2013 to 2020 (APC: -2.1; 95% confidence interval [CI]: -3.4 to 0.65). African Americans experienced the highest mortality rate, surpassing that of Whites by more than twofold (AAMR: 20.3). Middle-aged adults (35-54 years) faced the greatest mortality burden among all other age groups. Urban-rural disparities were significant, with urban areas showing substantially higher AAMRs compared to rural areas. Notably, urban AAMR decreased between 2013 and 2020 (APC: -2.7). Conclusion: The observed decrease in mortality related to cardiovascular disease and viral hepatitis over the past decade can be attributed to several factors, including heightened awareness and screening efforts, the introduction of novel and improved direct-acting antiviral therapies, and the implementation of integrated public health models.

Indexed as

cardiovascular mortalityCDC‐WONDERhepatitis Bhepatitis Cviral hepatitis

Identifiers

PMID40735001
PMCPMC12301567

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.