RT Journal Article
SR Electronic
T1 Mortality among patients with hypertension from 1995 to 2005: a population-based study
JF Canadian Medical Association Journal
JO CMAJ
FD Canadian Medical Association
SP 1436
OP 1440
DO 10.1503/cmaj.080096
VO 178
IS 11
A1 Tu, Karen
A1 Chen, Zhongliang
A1 Lipscombe, Lorraine L.
A1 ,
YR 2008
UL http://www.cmaj.ca/content/178/11/1436.abstract
AB Background: We have reported that the prevalence of diagnosed hypertension increased by 60% from 1995 to 2005 in Ontario. In the present study, we asked whether this increase is explained by a decrease in the mortality rate. Methods: We performed a population-based cohort study using linked administrative data for Ontario, a Canadian province with over 12 million residents. We identified prevalent cases of hypertension using a validated case-definition algorithm for hypertension, and we examined trends in mortality from 1995 to 2005 among adults aged 20 years and older with hypertension. Results: The age- and sex-adjusted mortality among patients with hypertension decreased from 11.3 per 1000 people in 1995 to 9.6 per 1000 in 2005 (p < 0.001), which is a relative reduction of 15.5%. We found that the relative decrease in age-adjusted mortality was higher among men than among women (–22.2% v. –7.3%, p < 0.001). Interpretation: Mortality rates among patients with hypertension have decreased. Along with an increasing incidence, decreased mortality rates may contribute to the increased prevalence of diagnosed hypertension. Sex-related discrepancies in the reduction of mortality warrant further investigation.