Underreporting of Alcohol-Related Mortality from Cirrhosis is Declining in Sweden and Denmark
Abstract
Death rates for alcoholic cirrhosis ran parallel to alcohol consumption in Sweden and Denmark from 1961 to 1986, according to official statistics. Reported death rates for alcoholic cirrhosis and for non-alcoholic cirrhosis increased linearly from 1965 to 1976 in Sweden and from 1967 to 1973 in Denmark. This suggests that constant proportions of deaths from real alcoholic cirrhosis are misclassified in official statistics as due to non-alcoholic cirrhosis during these time periods. Assuming that the mortality from real non-alcoholic cirrhosis is constant (c), a statistical model for estimating both c and the misclassification rates for real alcoholic cirrhosis (p) is proposed. In the Sweden population and in Danish males c was about 5 deaths per 100,000 adults annually. The model was not applicable to Danish females because their mortality from non-alcoholic cirrhosis decreased. The misclassification rate p was about 55% in both Swedish and Danish males and 70% in Swedish females during the above time periods. Moreover, during the past decade p has decreased to 30% in Swedish and Danish males.
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This under-reporting of alcoholic liver cirrhosis has persisted in later studies.
“This under‐reporting of alcoholic liver cirrhosis has persisted in later studies 294, 295, 296; this seems to be the case for all disease categories fully attributable to alcohol use 296, 297 including, but not limited to, the disclosure of alcohol use disorders.”
From The relationship between different dimensions of alcohol use and the burden of disease—an update (2017) · cites this paper as [294]
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The relationship between different dimensions of alcohol use and the burden of disease—an update
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- Authors
- Prytz, H., & Anderson, H.
- Affiliations
- Lund University (SE)
- ORCID
- Anderson, H.
- Venue
- Scandinavian Journal of Gastroenterology
- Publisher
- Informa UK Limited
- Published
- 1988-01
- Volume
- 23
- Issue
- 9
- Pages
- 1035-1043
- ISSN
- 0036-5521 (ISSN-L)
- 1502-7708
- OpenAlex
- W2013320408
- Cited by
- 8
- References
- 19
- Citations by year
- 2018: 1 · 2017: 3
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Scandinavian Journal of Gastroenterology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Health Sciences › Medicine › Epidemiology › Healthcare Systems and Public Health
- Keywords
- alcoholic cirrhosis, non-alcoholic cirrhosis, alcohol-related mortality, underreporting, mortality trends, alcohol consumption, sex differences in mortality, Sweden, Denmark
- MeSH terms
- Data Interpretation, Statistical, Denmark, Female, Humans, Liver Cirrhosis, Liver Cirrhosis, Alcoholic, Male, Sex Factors, Sweden, Models, Statistical
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