Rheumatic Heart Disease-Attributable Mortality at Ages 5–69 Years in Fiji: A Five-Year, National, Population-Based Record-Linkage Cohort Study
Identifieur interne : 002A61 ( Ncbi/Merge ); précédent : 002A60; suivant : 002A62Rheumatic Heart Disease-Attributable Mortality at Ages 5–69 Years in Fiji: A Five-Year, National, Population-Based Record-Linkage Cohort Study
Auteurs : Tom Parks [Royaume-Uni] ; Joseph Kado [Fidji] ; Anne E. Miller [Australie] ; Brenton Ward [Australie] ; Rachel Heenan [Australie] ; Samantha M. Colquhoun [Australie] ; Till W. B Rnighausen [États-Unis] ; Mariana Mirabel [France] ; David E. Bloom [États-Unis] ; Robin L. Bailey [Royaume-Uni] ; Isimeli N. Tukana [Fidji] ; Andrew C. Steer [Australie]Source :
- PLoS Neglected Tropical Diseases [ 1935-2727 ] ; 2015.
Descripteurs français
- KwdFr :
- MESH :
- mortalité : Rhumatisme cardiaque.
- épidémiologie : Fidji.
- Adolescent, Adulte, Adulte d'âge moyen, Analyse de survie, Enfant, Enfant d'âge préscolaire, Femelle, Humains, Jeune adulte, Mâle, Méthodes épidémiologiques, Sujet âgé, États-Unis d'Amérique, Études de cohortes.
- Wicri :
- geographic : Fidji.
English descriptors
- KwdEn :
- MESH :
- geographic , epidemiology : Fiji.
- mortality : Rheumatic Heart Disease.
- Adolescent, Adult, Aged, Child, Child, Preschool, Cohort Studies, Epidemiologic Methods, Female, Humans, Male, Middle Aged, Survival Analysis, United States, Young Adult.
Abstract
Rheumatic heart disease (RHD) is considered a major public health problem in developing countries, although scarce data are available to substantiate this. Here we quantify mortality from RHD in Fiji during 2008–2012 in people aged 5–69 years.
Using 1,773,999 records derived from multiple sources of routine clinical and administrative data, we used probabilistic record-linkage to define a cohort of 2,619 persons diagnosed with RHD, observed for all-cause mortality over 11,538 person-years. Using relative survival methods, we estimated there were 378 RHD-attributable deaths, almost half of which occurred before age 40 years. Using census data as the denominator, we calculated there were 9.9 deaths (95% CI 9.8–10.0) and 331 years of life-lost (YLL, 95% CI 330.4–331.5) due to RHD per 100,000 person-years, standardised to the portion of the WHO World Standard Population aged 0–69 years. Valuing life using Fiji’s per-capita gross domestic product, we estimated these deaths cost United States Dollar $6,077,431 annually. Compared to vital registration data for 2011–2012, we calculated there were 1.6-times more RHD-attributable deaths than the number reported, and found our estimate of RHD mortality exceeded all but the five leading reported causes of premature death, based on collapsed underlying cause-of-death diagnoses.
Rheumatic heart disease is a leading cause of premature death as well as an important economic burden in this setting. Age-standardised death rates are more than twice those reported in current global estimates. Linkage of routine data provides an efficient tool to better define the epidemiology of neglected diseases.
Url:
DOI: 10.1371/journal.pntd.0004033
PubMed: 26371755
PubMed Central: 4570761
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PMC:4570761Le document en format XML
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<term>Cohort Studies</term>
<term>Epidemiologic Methods</term>
<term>Female</term>
<term>Fiji (epidemiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Rheumatic Heart Disease (mortality)</term>
<term>Survival Analysis</term>
<term>United States</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Fidji (épidémiologie)</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Méthodes épidémiologiques</term>
<term>Rhumatisme cardiaque (mortalité)</term>
<term>Sujet âgé</term>
<term>États-Unis d'Amérique</term>
<term>Études de cohortes</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Fiji</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Rheumatic Heart Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Rhumatisme cardiaque</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Fidji</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Epidemiologic Methods</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Survival Analysis</term>
<term>United States</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Méthodes épidémiologiques</term>
<term>Sujet âgé</term>
<term>États-Unis d'Amérique</term>
<term>Études de cohortes</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Fidji</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title>
<p>Rheumatic heart disease (RHD) is considered a major public health problem in developing countries, although scarce data are available to substantiate this. Here we quantify mortality from RHD in Fiji during 2008–2012 in people aged 5–69 years.</p>
</sec>
<sec id="sec002"><title>Methods and Findings</title>
<p>Using 1,773,999 records derived from multiple sources of routine clinical and administrative data, we used probabilistic record-linkage to define a cohort of 2,619 persons diagnosed with RHD, observed for all-cause mortality over 11,538 person-years. Using relative survival methods, we estimated there were 378 RHD-attributable deaths, almost half of which occurred before age 40 years. Using census data as the denominator, we calculated there were 9.9 deaths (95% CI 9.8–10.0) and 331 years of life-lost (YLL, 95% CI 330.4–331.5) due to RHD per 100,000 person-years, standardised to the portion of the WHO World Standard Population aged 0–69 years. Valuing life using Fiji’s per-capita gross domestic product, we estimated these deaths cost United States Dollar $6,077,431 annually. Compared to vital registration data for 2011–2012, we calculated there were 1.6-times more RHD-attributable deaths than the number reported, and found our estimate of RHD mortality exceeded all but the five leading reported causes of premature death, based on collapsed underlying cause-of-death diagnoses.</p>
</sec>
<sec id="sec003"><title>Conclusions</title>
<p>Rheumatic heart disease is a leading cause of premature death as well as an important economic burden in this setting. Age-standardised death rates are more than twice those reported in current global estimates. Linkage of routine data provides an efficient tool to better define the epidemiology of neglected diseases.</p>
</sec>
</div>
</front>
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</back>
</TEI>
<double pmid="26371755"><pmc><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Rheumatic Heart Disease-Attributable Mortality at Ages 5–69 Years in Fiji: A Five-Year, National, Population-Based Record-Linkage Cohort Study</title>
<author><name sortKey="Parks, Tom" sort="Parks, Tom" uniqKey="Parks T" first="Tom" last="Parks">Tom Parks</name>
<affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>University of Oxford, Oxford, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>University of Oxford, Oxford</wicri:regionArea>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
<settlement type="city">Oxford</settlement>
</placeName>
<orgName type="university">Université d'Oxford</orgName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>London School of Hygiene and Tropical Medicine, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kado, Joseph" sort="Kado, Joseph" uniqKey="Kado J" first="Joseph" last="Kado">Joseph Kado</name>
<affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>Fiji Islands Ministry of Health, Suva, Fiji</addr-line>
</nlm:aff>
<country xml:lang="fr">Fidji</country>
<wicri:regionArea>Fiji Islands Ministry of Health, Suva</wicri:regionArea>
<wicri:noRegion>Suva</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Miller, Anne E" sort="Miller, Anne E" uniqKey="Miller A" first="Anne E." last="Miller">Anne E. Miller</name>
<affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Townsville General Hospital, Douglas, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Townsville General Hospital, Douglas</wicri:regionArea>
<wicri:noRegion>Douglas</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ward, Brenton" sort="Ward, Brenton" uniqKey="Ward B" first="Brenton" last="Ward">Brenton Ward</name>
<affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Murdoch Children’s Research Institute, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Murdoch Children’s Research Institute, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Heenan, Rachel" sort="Heenan, Rachel" uniqKey="Heenan R" first="Rachel" last="Heenan">Rachel Heenan</name>
<affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Murdoch Children’s Research Institute, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Murdoch Children’s Research Institute, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Royal Children’s Hospital, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Royal Children’s Hospital, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Colquhoun, Samantha M" sort="Colquhoun, Samantha M" uniqKey="Colquhoun S" first="Samantha M." last="Colquhoun">Samantha M. Colquhoun</name>
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</nlm:aff>
<country xml:lang="fr">Australie</country>
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<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
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</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for International Child Health, University of Melbourne, Melbourne</wicri:regionArea>
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<settlement type="city">Melbourne</settlement>
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<orgName type="university">Université de Melbourne</orgName>
</affiliation>
</author>
<author><name sortKey="B Rnighausen, Till W" sort="B Rnighausen, Till W" uniqKey="B Rnighausen T" first="Till W." last="B Rnighausen">Till W. B Rnighausen</name>
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</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard School of Public Health, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mirabel, Mariana" sort="Mirabel, Mariana" uniqKey="Mirabel M" first="Mariana" last="Mirabel">Mariana Mirabel</name>
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</nlm:aff>
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<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bloom, David E" sort="Bloom, David E" uniqKey="Bloom D" first="David E." last="Bloom">David E. Bloom</name>
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</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard School of Public Health, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bailey, Robin L" sort="Bailey, Robin L" uniqKey="Bailey R" first="Robin L." last="Bailey">Robin L. Bailey</name>
<affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>London School of Hygiene and Tropical Medicine, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Tukana, Isimeli N" sort="Tukana, Isimeli N" uniqKey="Tukana I" first="Isimeli N." last="Tukana">Isimeli N. Tukana</name>
<affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>Fiji Islands Ministry of Health, Suva, Fiji</addr-line>
</nlm:aff>
<country xml:lang="fr">Fidji</country>
<wicri:regionArea>Fiji Islands Ministry of Health, Suva</wicri:regionArea>
<wicri:noRegion>Suva</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Steer, Andrew C" sort="Steer, Andrew C" uniqKey="Steer A" first="Andrew C." last="Steer">Andrew C. Steer</name>
<affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Murdoch Children’s Research Institute, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Murdoch Children’s Research Institute, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Royal Children’s Hospital, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Royal Children’s Hospital, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="aff007"><addr-line>Centre for International Child Health, University of Melbourne, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for International Child Health, University of Melbourne, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
<settlement type="city">Melbourne</settlement>
</placeName>
<orgName type="university">Université de Melbourne</orgName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PMC</idno>
<idno type="pmid">26371755</idno>
<idno type="pmc">4570761</idno>
<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4570761</idno>
<idno type="RBID">PMC:4570761</idno>
<idno type="doi">10.1371/journal.pntd.0004033</idno>
<date when="2015">2015</date>
<idno type="wicri:Area/Pmc/Corpus">002912</idno>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Rheumatic Heart Disease-Attributable Mortality at Ages 5–69 Years in Fiji: A Five-Year, National, Population-Based Record-Linkage Cohort Study</title>
<author><name sortKey="Parks, Tom" sort="Parks, Tom" uniqKey="Parks T" first="Tom" last="Parks">Tom Parks</name>
<affiliation wicri:level="4"><nlm:aff id="aff001"><addr-line>University of Oxford, Oxford, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>University of Oxford, Oxford</wicri:regionArea>
<placeName><settlement type="city">Oxford</settlement>
<region type="country">Angleterre</region>
<region type="comté" nuts="2">Oxfordshire</region>
<settlement type="city">Oxford</settlement>
</placeName>
<orgName type="university">Université d'Oxford</orgName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>London School of Hygiene and Tropical Medicine, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Kado, Joseph" sort="Kado, Joseph" uniqKey="Kado J" first="Joseph" last="Kado">Joseph Kado</name>
<affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>Fiji Islands Ministry of Health, Suva, Fiji</addr-line>
</nlm:aff>
<country xml:lang="fr">Fidji</country>
<wicri:regionArea>Fiji Islands Ministry of Health, Suva</wicri:regionArea>
<wicri:noRegion>Suva</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Miller, Anne E" sort="Miller, Anne E" uniqKey="Miller A" first="Anne E." last="Miller">Anne E. Miller</name>
<affiliation wicri:level="1"><nlm:aff id="aff004"><addr-line>Townsville General Hospital, Douglas, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Townsville General Hospital, Douglas</wicri:regionArea>
<wicri:noRegion>Douglas</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Ward, Brenton" sort="Ward, Brenton" uniqKey="Ward B" first="Brenton" last="Ward">Brenton Ward</name>
<affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Murdoch Children’s Research Institute, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Murdoch Children’s Research Institute, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Heenan, Rachel" sort="Heenan, Rachel" uniqKey="Heenan R" first="Rachel" last="Heenan">Rachel Heenan</name>
<affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Murdoch Children’s Research Institute, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Murdoch Children’s Research Institute, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Royal Children’s Hospital, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Royal Children’s Hospital, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Colquhoun, Samantha M" sort="Colquhoun, Samantha M" uniqKey="Colquhoun S" first="Samantha M." last="Colquhoun">Samantha M. Colquhoun</name>
<affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Murdoch Children’s Research Institute, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Murdoch Children’s Research Institute, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="aff007"><addr-line>Centre for International Child Health, University of Melbourne, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for International Child Health, University of Melbourne, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
<settlement type="city">Melbourne</settlement>
</placeName>
<orgName type="university">Université de Melbourne</orgName>
</affiliation>
</author>
<author><name sortKey="B Rnighausen, Till W" sort="B Rnighausen, Till W" uniqKey="B Rnighausen T" first="Till W." last="B Rnighausen">Till W. B Rnighausen</name>
<affiliation wicri:level="2"><nlm:aff id="aff008"><addr-line>Harvard School of Public Health, Boston, Massachusetts, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard School of Public Health, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Mirabel, Mariana" sort="Mirabel, Mariana" uniqKey="Mirabel M" first="Mariana" last="Mirabel">Mariana Mirabel</name>
<affiliation wicri:level="3"><nlm:aff id="aff009"><addr-line>Institut National de la Santé et de la Recherche Médicale, Paris, France</addr-line>
</nlm:aff>
<country xml:lang="fr">France</country>
<wicri:regionArea>Institut National de la Santé et de la Recherche Médicale, Paris</wicri:regionArea>
<placeName><region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bloom, David E" sort="Bloom, David E" uniqKey="Bloom D" first="David E." last="Bloom">David E. Bloom</name>
<affiliation wicri:level="2"><nlm:aff id="aff008"><addr-line>Harvard School of Public Health, Boston, Massachusetts, United States of America</addr-line>
</nlm:aff>
<country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Harvard School of Public Health, Boston, Massachusetts</wicri:regionArea>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Bailey, Robin L" sort="Bailey, Robin L" uniqKey="Bailey R" first="Robin L." last="Bailey">Robin L. Bailey</name>
<affiliation wicri:level="3"><nlm:aff id="aff002"><addr-line>London School of Hygiene and Tropical Medicine, London, United Kingdom</addr-line>
</nlm:aff>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>London School of Hygiene and Tropical Medicine, London</wicri:regionArea>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
<region type="région" nuts="1">Grand Londres</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Tukana, Isimeli N" sort="Tukana, Isimeli N" uniqKey="Tukana I" first="Isimeli N." last="Tukana">Isimeli N. Tukana</name>
<affiliation wicri:level="1"><nlm:aff id="aff003"><addr-line>Fiji Islands Ministry of Health, Suva, Fiji</addr-line>
</nlm:aff>
<country xml:lang="fr">Fidji</country>
<wicri:regionArea>Fiji Islands Ministry of Health, Suva</wicri:regionArea>
<wicri:noRegion>Suva</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Steer, Andrew C" sort="Steer, Andrew C" uniqKey="Steer A" first="Andrew C." last="Steer">Andrew C. Steer</name>
<affiliation wicri:level="3"><nlm:aff id="aff005"><addr-line>Murdoch Children’s Research Institute, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Murdoch Children’s Research Institute, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="3"><nlm:aff id="aff006"><addr-line>Royal Children’s Hospital, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Royal Children’s Hospital, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
</placeName>
</affiliation>
<affiliation wicri:level="4"><nlm:aff id="aff007"><addr-line>Centre for International Child Health, University of Melbourne, Melbourne, Australia</addr-line>
</nlm:aff>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Centre for International Child Health, University of Melbourne, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
<settlement type="city">Melbourne</settlement>
</placeName>
<orgName type="university">Université de Melbourne</orgName>
</affiliation>
</author>
</analytic>
<series><title level="j">PLoS Neglected Tropical Diseases</title>
<idno type="ISSN">1935-2727</idno>
<idno type="eISSN">1935-2735</idno>
<imprint><date when="2015">2015</date>
</imprint>
</series>
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</teiHeader>
<front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title>
<p>Rheumatic heart disease (RHD) is considered a major public health problem in developing countries, although scarce data are available to substantiate this. Here we quantify mortality from RHD in Fiji during 2008–2012 in people aged 5–69 years.</p>
</sec>
<sec id="sec002"><title>Methods and Findings</title>
<p>Using 1,773,999 records derived from multiple sources of routine clinical and administrative data, we used probabilistic record-linkage to define a cohort of 2,619 persons diagnosed with RHD, observed for all-cause mortality over 11,538 person-years. Using relative survival methods, we estimated there were 378 RHD-attributable deaths, almost half of which occurred before age 40 years. Using census data as the denominator, we calculated there were 9.9 deaths (95% CI 9.8–10.0) and 331 years of life-lost (YLL, 95% CI 330.4–331.5) due to RHD per 100,000 person-years, standardised to the portion of the WHO World Standard Population aged 0–69 years. Valuing life using Fiji’s per-capita gross domestic product, we estimated these deaths cost United States Dollar $6,077,431 annually. Compared to vital registration data for 2011–2012, we calculated there were 1.6-times more RHD-attributable deaths than the number reported, and found our estimate of RHD mortality exceeded all but the five leading reported causes of premature death, based on collapsed underlying cause-of-death diagnoses.</p>
</sec>
<sec id="sec003"><title>Conclusions</title>
<p>Rheumatic heart disease is a leading cause of premature death as well as an important economic burden in this setting. Age-standardised death rates are more than twice those reported in current global estimates. Linkage of routine data provides an efficient tool to better define the epidemiology of neglected diseases.</p>
</sec>
</div>
</front>
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<author><name sortKey="Tukana, Isimeli N" sort="Tukana, Isimeli N" uniqKey="Tukana I" first="Isimeli N" last="Tukana">Isimeli N. Tukana</name>
<affiliation wicri:level="1"><nlm:affiliation>Fiji Islands Ministry of Health, Suva, Fiji.</nlm:affiliation>
<country xml:lang="fr">Fidji</country>
<wicri:regionArea>Fiji Islands Ministry of Health, Suva</wicri:regionArea>
<wicri:noRegion>Suva</wicri:noRegion>
</affiliation>
</author>
<author><name sortKey="Steer, Andrew C" sort="Steer, Andrew C" uniqKey="Steer A" first="Andrew C" last="Steer">Andrew C. Steer</name>
<affiliation wicri:level="4"><nlm:affiliation>Murdoch Children's Research Institute, Melbourne, Australia; Royal Children's Hospital, Melbourne, Australia; Centre for International Child Health, University of Melbourne, Melbourne, Australia.</nlm:affiliation>
<country xml:lang="fr">Australie</country>
<wicri:regionArea>Murdoch Children's Research Institute, Melbourne, Australia; Royal Children's Hospital, Melbourne, Australia; Centre for International Child Health, University of Melbourne, Melbourne</wicri:regionArea>
<placeName><settlement type="city">Melbourne</settlement>
<region type="état">Victoria (État)</region>
<settlement type="city">Melbourne</settlement>
</placeName>
<orgName type="university">Université de Melbourne</orgName>
</affiliation>
</author>
</analytic>
<series><title level="j">PLoS neglected tropical diseases</title>
<idno type="eISSN">1935-2735</idno>
<imprint><date when="2015" type="published">2015</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Epidemiologic Methods</term>
<term>Female</term>
<term>Fiji (epidemiology)</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Rheumatic Heart Disease (mortality)</term>
<term>Survival Analysis</term>
<term>United States</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Fidji (épidémiologie)</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Méthodes épidémiologiques</term>
<term>Rhumatisme cardiaque (mortalité)</term>
<term>Sujet âgé</term>
<term>États-Unis d'Amérique</term>
<term>Études de cohortes</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en"><term>Fiji</term>
</keywords>
<keywords scheme="MESH" qualifier="mortality" xml:lang="en"><term>Rheumatic Heart Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="mortalité" xml:lang="fr"><term>Rhumatisme cardiaque</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Fidji</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Aged</term>
<term>Child</term>
<term>Child, Preschool</term>
<term>Cohort Studies</term>
<term>Epidemiologic Methods</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Survival Analysis</term>
<term>United States</term>
<term>Young Adult</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Analyse de survie</term>
<term>Enfant</term>
<term>Enfant d'âge préscolaire</term>
<term>Femelle</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Mâle</term>
<term>Méthodes épidémiologiques</term>
<term>Sujet âgé</term>
<term>États-Unis d'Amérique</term>
<term>Études de cohortes</term>
</keywords>
<keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>Fidji</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Rheumatic heart disease (RHD) is considered a major public health problem in developing countries, although scarce data are available to substantiate this. Here we quantify mortality from RHD in Fiji during 2008-2012 in people aged 5-69 years.</div>
</front>
</TEI>
</pubmed>
</double>
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