Shifting abdominal aortic aneurysm mortality trends in The Netherlands

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Shifting abdominal aortic aneurysm mortality trends in The Netherlands Bastiaan G.L. Nelissen, MD, Joost A. Herwaarden, MD, PhD, Gerard Pasterkamp, MD, PhD, Frans L. Moll, MD, PhD, Ilonca Vaartjes, PhD Journal of Vascular Surgery Volume 61, Issue 3, Pages 642-647.e2 (March 2015) DOI: 10.1016/j.jvs.2014.10.006 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 Abdominal aortic aneurysm (AAA) standardized mortality rates in The Netherlands per 100,000 from 1980 to 2010. The year of standardization is 2010. Subgroups are made for rupture and nonrupture in men and women. For each group, a locally weighted regression curve was added for smoothing the variability in measurements. Journal of Vascular Surgery 2015 61, 642-647.e2DOI: (10.1016/j.jvs.2014.10.006) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 Ratio of male-to-female abdominal aortic aneurysm (AAA) deaths in The Netherlands from 1980 to 2010 (points), with a linear regression line (r = −0.74, R2 = 0.54, P < .01). Journal of Vascular Surgery 2015 61, 642-647.e2DOI: (10.1016/j.jvs.2014.10.006) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 A, Joinpoint regression analysis of ruptured abdominal aortic aneurysm (AAA) mortality rates in The Netherlands per 100,000. Mortality rates are divided in three age groups (55 to 69 years, 70 to 84 years, and ≥85 years). Changes in trend as observed by the Joinpoint software are for age 55 to 69, found in year 1990 and 2003; for age 70 to 84, joinpoints are found in year 1985 and 2003; and for age ≥85, a joinpoint was found in 1989. B, Joinpoint regression analysis of nonruptured AAA mortality rates in The Netherlands. Mortality rates are divided in three age groups (55 to 69 years, 70 to 84 years, and ≥85 years). Changes in trend as observed by the Joinpoint software are for age 55 to 69 and 70 to 84 were not found, and for age ≥85 years, joinpoints were found in 1998 and 2002. Journal of Vascular Surgery 2015 61, 642-647.e2DOI: (10.1016/j.jvs.2014.10.006) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Supplementary Fig (online only) Smoking was analyzed for men and women in two age groups: (top) 50 to 64 years and (bottom) ≥60 years. Data were provided by Stivoro, the Dutch expert center for tobacco prevention in The Netherlands. For both groups, a locally weighted regression curve was added for smoothing the variability in measurements. Journal of Vascular Surgery 2015 61, 642-647.e2DOI: (10.1016/j.jvs.2014.10.006) Copyright © 2015 Society for Vascular Surgery Terms and Conditions