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Life-years gained from modern cardiological treatments and population risk factor changes in England and Wales, 1981-2000

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  • Ünal, B.
  • Critchley, J.A.
  • Fidan, D.
  • Capewell, S.

Abstract

Objectives. We estimated life-years gained from cardiological treatments and cardiovascular risk factor changes in England and Wales between 1981 and 2000. Methods. We used the IMPACT model to integrate data on the number of coronary heart disease patients, treatment uptake and effectiveness, risk factor trends, and median survival in coronary heart disease patients. Results. Compared with 1981, there were 68230 fewer coronary deaths in 2000. Approximately 925415 life-years were gained among people aged 25-84 years (range: 745195-1138655). Cardiological treatments for patients accounted for approximately 194145 life-years gained (range: 142505-259225), and population risk factor changes accounted for approximately 731270 life-years gained (range; 602695-879430). Conclusions. Modest reductions in major risk factors led to gains in life-years 4 times higher than did cardiological treatments. Effective policies to promote healthy diets and physical activity might achieve even greater gains.

Suggested Citation

  • Ünal, B. & Critchley, J.A. & Fidan, D. & Capewell, S., 2005. "Life-years gained from modern cardiological treatments and population risk factor changes in England and Wales, 1981-2000," American Journal of Public Health, American Public Health Association, vol. 95(1), pages 103-108.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.029579_0
    DOI: 10.2105/AJPH.2003.029579
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    Cited by:

    1. Beard, N.F., 2014. "Feeding the British Public: a Centenary Review of Food and Drink Manufacturing," Centre for Agricultural Strategy - Papers and Reports 337544, University of Reading.
    2. James A. Brander, 2010. "Presidential Address: Innovation in retrospect and prospect," Canadian Journal of Economics/Revue canadienne d'économique, John Wiley & Sons, vol. 43(4), pages 1087-1121, November.
    3. Yingying Jiang & Haijun Guo & Weiwei Zhang & Connie C. R. Gan & Fan Mao & Maigeng Zhou & Hai Phung & Dung Phung & Jianqun Dong & Cordia Chu, 2022. "Gaps and Directions in Addressing Non-Communicable and Chronic Diseases in China: A Policy Analysis," IJERPH, MDPI, vol. 19(15), pages 1-9, August.
    4. Helen Mason & Azza Shoaibi & Rula Ghandour & Martin O'Flaherty & Simon Capewell & Rana Khatib & Samer Jabr & Belgin Unal & Kaan Sözmen & Chokri Arfa & Wafa Aissi & Habiba Ben Romdhane & Fouad Fouad & , 2014. "A Cost Effectiveness Analysis of Salt Reduction Policies to Reduce Coronary Heart Disease in Four Eastern Mediterranean Countries," PLOS ONE, Public Library of Science, vol. 9(1), pages 1-10, January.
    5. Carina Aguilar Martín & Alessandra Queiroga Gonçalves & Carlos López-Pablo & José Fernández-Sáez & Emma Forcadell Drago & Zojaina Hernández Rojas & Josep Maria Pepió Vilaubí & Dolores Rodríguez Cumpli, 2019. "Ten-Year Follow-Up of Clinical Governance Implementation in Primary Care: Improving Screening, Diagnosis and Control of Cardiovascular Risk Factors," IJERPH, MDPI, vol. 16(21), pages 1-11, November.
    6. Meredith Wilcox & Helen Mason & Fouad Fouad & Samer Rastam & Radwan Ali & Timothy Page & Simon Capewell & Martin O’Flaherty & Wasim Maziak, 2015. "Cost-effectiveness analysis of salt reduction policies to reduce coronary heart disease in Syria, 2010–2020," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 60(1), pages 23-30, January.

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