Journal of Clinical Epidemiology
Volume 52, Issue 2 , Pages 157-166 , February 1999

The Validity of the Routine Mortality Statistics on Coronary Heart Disease in Finland: Comparison with the FINMONICA MI Register Data for the Years 1983–1992

  • Markku Mähönen

      Affiliations

    • National Public Health Institute, Department of Epidemiology and Health Promotion, Helsinki, Finland
    • Corresponding Author InformationAddress correspondence to: Markku Mähönen, MD, National Public Health Institute, Department of Epidemiology and Health Promotion, Mannerheimintie 166 00300 Helsinki, Finland
  • ,
  • Veikko Salomaa

      Affiliations

    • National Public Health Institute, Department of Epidemiology and Health Promotion, Helsinki, Finland
  • ,
  • Jorma Torppa

      Affiliations

    • National Public Health Institute, Department of Epidemiology and Health Promotion, Helsinki, Finland
  • ,
  • Heikki Miettinen

      Affiliations

    • Kuopio University Hospital, Department of Medicine, Kuopio, Finland
  • ,
  • Kalevi Pyörälä

      Affiliations

    • Kuopio University Hospital, Department of Medicine, Kuopio, Finland
  • ,
  • Pirjo Immonen-Räihä

      Affiliations

    • Turku Town Hospital, Turku, Finland
  • ,
  • Matti Niemelä

      Affiliations

    • Loimaa District Hospital, Loimaa, Finland
  • ,
  • Matti Ketonen

      Affiliations

    • North Karelia Central Hospital, Joensuu, Finland
  • ,
  • Matti Arstila

      Affiliations

    • Turku University Hospital, Department of Medicine, Turku, Finland
  • ,
  • Esko Kaarsalo

      Affiliations

    • Loimaa District Hospital, Loimaa, Finland
  • ,
  • Seppo Lehto

      Affiliations

    • Kuopio University Hospital, Department of Medicine, Kuopio, Finland
  • ,
  • Harri Mustaniemi

      Affiliations

    • North Karelia Central Hospital, Joensuu, Finland
  • ,
  • Pertti Palomäki

      Affiliations

    • Kuopio University Hospital, Department of Medicine, Kuopio, Finland
  • ,
  • Pekka Puska

      Affiliations

    • National Public Health Institute, Department of Epidemiology and Health Promotion, Helsinki, Finland
  • ,
  • Tapio Vuorenmaa

      Affiliations

    • Turku University Hospital, Department of Medicine, Turku, Finland
  • ,
  • Jaakko Tuomilehto

      Affiliations

    • National Public Health Institute, Department of Epidemiology and Health Promotion, Helsinki, Finland

,Accepted 1 September 1998.

References 

  1. Havlik R, Feinleib M, Eds. Proceedings of the conference on the decline in coronary heart disease mortality 1979 (NIH publication no. 79-1610). Washington, DC: National Institutes of Health, US Department of Health, Education and Welfare.
  2. Pisa Z, Uemura K. Trends of mortality from ischaemic heart disease an other cardiovascular diseases in 27 countries, 1968–1977. World Health Stat Q. 1982;35:11–47
  3. Thom TJ, Epstein FH, Feldman JJ, Leaverton PE. Trends in total mortality and mortality from heart disease in 26 countries from 1950 to 1978. Int J Epidemiol. 1985;14:510–520
  4. Thom TJ. International mortality from heart disease (rates and trends). Int J Epidemiol. 1989;18:S20–S28
  5. Uemura K, Pisa Z. Trends in cardiovascular disease mortality in industrialised countries since 1950. World Health Stat Q. 1988;41:155–178
  6. Epstein FH, Krueger DE. The changing incidence of coronary heart disease. In:  Jones AM editors. Modern Trends in Cardiology. London: Butterworths; 1969;
  7. Burnand B, Feinstein AR. The role of diagnostic inconsistency in changing rates of occurrence for coronary heart disease. J Clin Epidemiol. 1992;45:929–940
  8. Stehbens WE. An appraisal of the epidemic rise of coronary heart disease and its decline. Lancet. 1987;i:606–611
  9. World Health Organization, Regional Office of Europe. Myocardial infarction community registers. Public Health in Europe 5. WHO, Copenhagen 1977.
  10. WHO MONICA Project, prepared by Tunstall-Pedoe H, Kuulasmaa K, Amouyel P, Arveiler D, Rajakangas A-M, Pajak A. Myocardial infarction and coronary deaths in the World Health Organization MONICA Project. Registration procedures, Events rates and case fatality in 38 populations from 21 countries in 4 continents. Circulation 1994; 90: 583–612.
  11. Pyörälä K, Salonen JT, Valkonen T. Trends in coronary heart disease mortality and morbidity and related factors in Finland. Cardiology. 1985;72:35–51
  12. Vartiainen E, Puska P, Pekkanen J, Tuomilehto J, Jousilahti P. Changes in risk factors explain changes in mortality from ischemic heart disease in Finland. Br Med J. 1994;309:23–27
  13. Puska P, Nissinen A, Tuomilehto J, Salonen JT, Koskela K, McAlister A, et al. The community-based strategy to prevent coronary heart disease (Conclusions from the ten years of the North Karelia Project). Ann Rev Public Health. 1985;6:147–193
  14. Tuomilehto J, Geboers J, Salonen JT, Nissinen A, Kuulasmaa K, Puska P. Decline in cardiovascular mortality in North Karelia and other parts of Finland. Br Med J. 1986;293:1068–1071
  15. Kannel WB, Thom TJ. Declining cardiovascular mortality. Circulation. 1984;70:331–336
  16. Tuomilehto J, Arstila M, Kaarsalo E, Kankaanpää J, Ketonen M, Kuulasmaa K, et al. Acute myocardial infarction in Finland—Baseline data from the FINMONICA AMI Register in 1983–1985. Eur Heart J. 1992;13:577–587
  17. Waterhouse J, Muir C, Corree P, Eds. Cancer Incidence in Five Continents. Vol III. (IARC Scientific Publication N. 15). Lyon, France: International Agency for Research on Cancer; 1976.
  18. Penttilä A, Ahonen A. Arteriosclerotic and other degenerative heart diseases in Finland. Scand J Soc Med. 1975;3:69–74
  19. Rapola JM, Virtamo J, Korhonen P, Haapakoski J, Hartman AM, Edwards BK, et al. Validity of diagnoses of major coronary events in national registers of hospital diagnoses and deaths in Finland. Eur J Epidemiol. 1997;13:133–138
  20. Dobson AJ, Gibberd RW, Leeder SR. Death certification and coding for ischemic heart disease in Australia. Am J Epidemiol. 1983;117:397–405
  21. Martin CA, Hobbs MST, Armstrong BK. Estimation of myocardial infarction mortality from routinely collected data in western Australia. J Chron Dis. 1987;40:661–669
  22. Jackson R, Graham P, Beaglehole R, De Boer G. Validation of coronary heart disease death certificate diagnoses. N Z Med J. 1988;101:658–660
  23. Szczesniewska D, Kurjata P, Broda G, Polakowska M, Kupsc W. Comparison of official mortality statistics with data obtained from myocardial infarction and stroke registers. Rev Epidemiol Sante Publique. 1990;38:435–439
  24. Guibert RL, Wigle DT, Williams JI. Decline of acute myocardial infarction death rates not due to cause of death coding. Can J Public Health. 1989;80:418–422
  25. Folsom AR, Gomez-Marin O, Gillum RF, Kottke TE, Lohman W, Jacobs DR. Out-of-hospital coronary death in an urban population—Validation of death certificate diagnosis. The Minnesota Heart Survey. Am J Epidemiol. 1987;125:1012–1018
  26. Juel K, Sjol A. Decline in mortality from heart disease in Denmark (Some methodological problems). J Clin Epidemiol. 1995;48:467–472
  27. Pankow JS, McGovern PG, Sprafka JM, Jacobs DR, Blackburn H. Trends in coded causes of death following definite myocardial infarction and the role of competing risks (The Minnesota Heart Survey (MHS)). J Clin Epidemiol. 1994;47:1051–1060

PII: S0895-4356(98)00145-0

Journal of Clinical Epidemiology
Volume 52, Issue 2 , Pages 157-166 , February 1999