{"id":"https://openalex.org/W7225757867","doi":"https://doi.org/10.1097/ms9.0000000000005648","title":"Demographics and disparities in cardiomyopathy and ischemic heart disease mortality among U.S. adults >65 years: CDC WONDER 1999\u20132024 analysis","display_name":"Demographics and disparities in cardiomyopathy and ischemic heart disease mortality among U.S. adults >65 years: CDC WONDER 1999\u20132024 analysis","publication_year":2026,"publication_date":"2026-10-27","ids":{"openalex":"https://openalex.org/W7225757867","doi":"https://doi.org/10.1097/ms9.0000000000005648","pmid":"https://pubmed.ncbi.nlm.nih.gov/43017674","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13754330"},"language":"en","primary_location":{"id":"doi:10.1097/ms9.0000000000005648","doi":"https://doi.org/10.1097/ms9.0000000000005648","is_oa":true,"landing_page_url":"https://doi.org/10.1097/ms9.0000000000005648","pdf_url":null,"source":{"id":"https://openalex.org/S4210226177","display_name":"Annals of Medicine and Surgery","issn_l":"2049-0801","issn":["2049-0801"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Medicine & Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1097/ms9.0000000000005648","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5106700773","display_name":"Yumna Fatima","orcid":"https://orcid.org/0009-0005-1366-0483","observed_orcids":["https://orcid.org/0009-0005-1366-0483","https://orcid.org/0009-0000-4012-5113"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Yumna Fatima","raw_affiliation_strings":["Department of Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan"],"raw_orcid":"https://orcid.org/0009-0005-1366-0483","affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5057653016","display_name":"Muhammad Umar Qasim","orcid":"https://orcid.org/0000-0002-8063-9140","observed_orcids":["https://orcid.org/0000-0002-8063-9140","https://orcid.org/0009-0009-7926-6146"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Muhammad Qasim","raw_affiliation_strings":["Department of Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan"],"raw_orcid":"https://orcid.org/0009-0009-7926-6146","affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5140774764","display_name":"Muhammad Suhaib Hanif","orcid":"https://orcid.org/0009-0001-0470-3243","observed_orcids":["https://orcid.org/0009-0001-0470-3243"]},"institutions":[{"id":"https://openalex.org/I39727005","display_name":"Dow University of Health Sciences","ror":"https://ror.org/01h85hm56","country_code":"PK","type":"education","lineage":["https://openalex.org/I39727005"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Muhammad S. Hanif","raw_affiliation_strings":["Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan"],"raw_orcid":"https://orcid.org/0009-0001-0470-3243","affiliations":[{"raw_affiliation_string":"Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan","institution_ids":["https://openalex.org/I39727005"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5108960285","display_name":"Mohammad Aitzaz Hassan","orcid":"https://orcid.org/0009-0006-4333-5793","observed_orcids":["https://orcid.org/0009-0006-4333-5793"]},"institutions":[{"id":"https://openalex.org/I172324550","display_name":"Gomal University","ror":"https://ror.org/0241b8f19","country_code":"PK","type":"education","lineage":["https://openalex.org/I172324550"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Mohammad A. Hassan","raw_affiliation_strings":["Department of Medicine, Gomal Medical College, Dera Ismail Khan (D.I. Khan), Khyber Pakhtunkhwa, Pakistan"],"raw_orcid":"https://orcid.org/0009-0006-4333-5793","affiliations":[{"raw_affiliation_string":"Department of Medicine, Gomal Medical College, Dera Ismail Khan (D.I. Khan), Khyber Pakhtunkhwa, Pakistan","institution_ids":["https://openalex.org/I172324550"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5127778820","display_name":"Izma Kamran Ali","orcid":"https://orcid.org/0009-0008-9873-1683","observed_orcids":["https://orcid.org/0009-0008-9873-1683"]},"institutions":[{"id":"https://openalex.org/I39727005","display_name":"Dow University of Health Sciences","ror":"https://ror.org/01h85hm56","country_code":"PK","type":"education","lineage":["https://openalex.org/I39727005"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Izma K. Ali","raw_affiliation_strings":["Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan"],"raw_orcid":"https://orcid.org/0009-0008-9873-1683","affiliations":[{"raw_affiliation_string":"Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan","institution_ids":["https://openalex.org/I39727005"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114391120","display_name":"sadia Tameez-ud-din","orcid":"https://orcid.org/0009-0008-6383-7728","observed_orcids":["https://orcid.org/0009-0008-6383-7728"]},"institutions":[{"id":"https://openalex.org/I152236710","display_name":"Foundation University Islamabad","ror":"https://ror.org/0130a6s10","country_code":"PK","type":"education","lineage":["https://openalex.org/I152236710"]},{"id":"https://openalex.org/I2801712768","display_name":"Foundation University Medical College","ror":"https://ror.org/020jkns84","country_code":"PK","type":"education","lineage":["https://openalex.org/I2801712768"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Sadia Tameez-Ud-Din","raw_affiliation_strings":["Department of Internal Medicine, Foundation University Medical College, Islamabad, Pakistan"],"raw_orcid":"https://orcid.org/0009-0008-6383-7728","affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Foundation University Medical College, Islamabad, Pakistan","institution_ids":["https://openalex.org/I152236710","https://openalex.org/I2801712768"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119403594","display_name":"Iman Osman Abufatima","orcid":"https://orcid.org/0009-0007-8896-9463","observed_orcids":["https://orcid.org/0009-0007-8896-9463"]},"institutions":[{"id":"https://openalex.org/I145354842","display_name":"University of Medical Sciences and Technology","ror":"https://ror.org/01rztx461","country_code":"SD","type":"education","lineage":["https://openalex.org/I145354842"]}],"countries":["SD"],"is_corresponding":false,"raw_author_name":"Iman Osman Abufatima","raw_affiliation_strings":["Department of Medicine, University of Medical Sciences and Technology, Khartoum, Sudan"],"raw_orcid":"https://orcid.org/0009-0007-8896-9463","affiliations":[{"raw_affiliation_string":"Department of Medicine, University of Medical Sciences and Technology, Khartoum, Sudan","institution_ids":["https://openalex.org/I145354842"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122893156","display_name":"Sohaima Kamal","orcid":"https://orcid.org/0009-0006-9914-7636","observed_orcids":["https://orcid.org/0009-0006-9914-7636"]},"institutions":[{"id":"https://openalex.org/I39727005","display_name":"Dow University of Health Sciences","ror":"https://ror.org/01h85hm56","country_code":"PK","type":"education","lineage":["https://openalex.org/I39727005"]}],"countries":["PK"],"is_corresponding":false,"raw_author_name":"Sohaima Kamal","raw_affiliation_strings":["Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan"],"raw_orcid":"https://orcid.org/0009-0006-9914-7636","affiliations":[{"raw_affiliation_string":"Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan","institution_ids":["https://openalex.org/I39727005"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5122879895","display_name":"Taha Alam","orcid":"https://orcid.org/0009-0002-1214-4258","observed_orcids":["https://orcid.org/0009-0002-1214-4258"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Taha Alam","raw_affiliation_strings":["Department of Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan"],"raw_orcid":"https://orcid.org/0009-0002-1214-4258","affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Shaheed Mohtarma Benazir Bhutto Medical College Lyari, Karachi, Pakistan","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":5,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":{"value":1850,"currency":"USD","value_usd":1850},"apc_paid":{"value":1850,"currency":"USD","value_usd":1850},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"88","issue":"11","first_page":"7320","last_page":"7328"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12935","display_name":"Healthcare Systems and Public Health","score":0.9653000235557556,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12935","display_name":"Healthcare Systems and Public Health","score":0.9653000235557556,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13522","display_name":"Cardiovascular Health and Risk Factors","score":0.010999999940395355,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10235","display_name":"Health disparities and outcomes","score":0.005499999970197678,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/ischemic-heart-disease-mortality","display_name":"ischemic heart disease mortality","score":0.8920000195503235},{"id":"https://openalex.org/keywords/ischemic-cardiomyopathy","display_name":"ischemic cardiomyopathy","score":0.9700000286102295},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.9549999833106995},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.6970000267028809},{"id":"https://openalex.org/keywords/racial-disparities","display_name":"racial disparities","score":0.7419999837875366},{"id":"https://openalex.org/keywords/sex-differences","display_name":"sex differences","score":0.7990000247955322},{"id":"https://openalex.org/keywords/geographic-disparities","display_name":"geographic disparities","score":0.9010000228881836},{"id":"https://openalex.org/keywords/urban-rural-disparities","display_name":"urban-rural disparities","score":0.699999988079071},{"id":"https://openalex.org/keywords/mortality-trends","display_name":"mortality trends","score":0.7200000286102295},{"id":"https://openalex.org/keywords/place-of-death","display_name":"place of death","score":0.8690000176429749},{"id":"https://openalex.org/keywords/in-hospital-mortality","display_name":"in-hospital mortality","score":0.6470000147819519},{"id":"https://openalex.org/keywords/hospice-deaths","display_name":"hospice deaths","score":0.828000009059906},{"id":"https://openalex.org/keywords/cardiovascular-mortality","display_name":"cardiovascular mortality","score":0.5339999794960022}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9334999918937683},{"id":"https://openalex.org/C2780084366","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demographics","level":2,"score":0.6277999877929688},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.5569000244140625},{"id":"https://openalex.org/C149923435","wikidata":"https://www.wikidata.org/wiki/Q37732","display_name":"Demography","level":1,"score":0.5407000184059143},{"id":"https://openalex.org/C2779134260","wikidata":"https://www.wikidata.org/wiki/Q12136","display_name":"Disease","level":2,"score":0.5360000133514404},{"id":"https://openalex.org/C2778797674","wikidata":"https://www.wikidata.org/wiki/Q847583","display_name":"Cardiomyopathy","level":3,"score":0.5164999961853027},{"id":"https://openalex.org/C138816342","wikidata":"https://www.wikidata.org/wiki/Q189603","display_name":"Public health","level":2,"score":0.48080000281333923},{"id":"https://openalex.org/C151956035","wikidata":"https://www.wikidata.org/wiki/Q1132755","display_name":"Logistic regression","level":2,"score":0.42640000581741333},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.4007999897003174},{"id":"https://openalex.org/C3018284874","wikidata":"https://www.wikidata.org/wiki/Q389735","display_name":"Cardiovascular health","level":3,"score":0.3799000084400177},{"id":"https://openalex.org/C29374701","wikidata":"https://www.wikidata.org/wiki/Q1931388","display_name":"Cause of death","level":3,"score":0.35370001196861267},{"id":"https://openalex.org/C2250968","wikidata":"https://www.wikidata.org/wiki/Q1512929","display_name":"Health equity","level":3,"score":0.33410000801086426},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.33320000767707825},{"id":"https://openalex.org/C2780074459","wikidata":"https://www.wikidata.org/wiki/Q389735","display_name":"Heart disease","level":2,"score":0.32850000262260437},{"id":"https://openalex.org/C205545832","wikidata":"https://www.wikidata.org/wiki/Q17156455","display_name":"Young adult","level":2,"score":0.3095000088214874},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.30660000443458557},{"id":"https://openalex.org/C2775932942","wikidata":"https://www.wikidata.org/wiki/Q12075432","display_name":"Ischemic cardiomyopathy","level":4,"score":0.3018999993801117},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.29919999837875366},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.29820001125335693},{"id":"https://openalex.org/C39853841","wikidata":"https://www.wikidata.org/wiki/Q161078","display_name":"Urbanization","level":2,"score":0.2976999878883362},{"id":"https://openalex.org/C2993083740","wikidata":"https://www.wikidata.org/wiki/Q7897815","display_name":"Geographic variation","level":3,"score":0.2888000011444092},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.28870001435279846},{"id":"https://openalex.org/C2987315675","wikidata":"https://www.wikidata.org/wiki/Q1773974","display_name":"Disease control","level":2,"score":0.28040000796318054},{"id":"https://openalex.org/C2780573756","wikidata":"https://www.wikidata.org/wiki/Q977433","display_name":"Wonder","level":2,"score":0.26269999146461487},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.2606000006198883},{"id":"https://openalex.org/C2780664029","wikidata":"https://www.wikidata.org/wiki/Q5282120","display_name":"Disease burden","level":3,"score":0.2506999969482422}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1097/ms9.0000000000005648","doi":"https://doi.org/10.1097/ms9.0000000000005648","is_oa":true,"landing_page_url":"https://doi.org/10.1097/ms9.0000000000005648","pdf_url":null,"source":{"id":"https://openalex.org/S4210226177","display_name":"Annals of Medicine and Surgery","issn_l":"2049-0801","issn":["2049-0801"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Medicine & Surgery","raw_type":"journal-article"},{"id":"pmid:43017674","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43017674","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of medicine and surgery (2012)","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1097/ms9.0000000000005648","doi":"https://doi.org/10.1097/ms9.0000000000005648","is_oa":true,"landing_page_url":"https://doi.org/10.1097/ms9.0000000000005648","pdf_url":null,"source":{"id":"https://openalex.org/S4210226177","display_name":"Annals of Medicine and Surgery","issn_l":"2049-0801","issn":["2049-0801"],"is_oa":true,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","poland-70","russia-white-list-2"],"host_organization":"https://openalex.org/P4310318547","host_organization_name":"Wolters Kluwer","host_organization_lineage":["https://openalex.org/P4310318547"],"host_organization_lineage_names":["Wolters Kluwer"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Medicine & Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":1.0,"id":"https://metadata.un.org/sdg/3"},{"display_name":"Reduced inequalities","score":0.8974000215530396,"id":"https://metadata.un.org/sdg/10"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":false,"grobid_xml":false},"content_urls":null,"referenced_works_count":25,"referenced_works":["https://openalex.org/W1939947548","https://openalex.org/W1987955155","https://openalex.org/W2057086540","https://openalex.org/W2069242643","https://openalex.org/W2069307178","https://openalex.org/W2075099491","https://openalex.org/W2093188374","https://openalex.org/W2565770216","https://openalex.org/W2950663303","https://openalex.org/W2988277970","https://openalex.org/W3002659584","https://openalex.org/W3013611868","https://openalex.org/W3043773740","https://openalex.org/W3096854549","https://openalex.org/W3129452670","https://openalex.org/W3201856856","https://openalex.org/W3212887755","https://openalex.org/W4221007291","https://openalex.org/W4291377760","https://openalex.org/W4380836570","https://openalex.org/W4385800173","https://openalex.org/W4386475674","https://openalex.org/W4398249589","https://openalex.org/W4408356996","https://openalex.org/W4409542330"],"related_works":["https://openalex.org/W4412016947","https://openalex.org/W4406794225","https://openalex.org/W7213550126","https://openalex.org/W4404359454","https://openalex.org/W7225596465","https://openalex.org/W4416118438","https://openalex.org/W4221007291","https://openalex.org/W4414117404","https://openalex.org/W4417004906","https://openalex.org/W4404323420"],"abstract_inverted_index":{"Background:":[0],"Ischemic":[1],"heart":[2],"disease":[3],"(IHD)":[4],"and,":[5],"at":[6,195],"its":[7],"progression,":[8],"ischemic":[9],"cardiomyopathy":[10,44],"are":[11],"leading":[12],"causes":[13],"of":[14,70,89,132,180,182,210],"cardiovascular":[15,228],"mortality":[16,92,125,145],"globally.":[17],"Despite":[18],"progress":[19],"in":[20,45,50,137,147,174,177,187,193,198],"prevention":[21],"and":[22,32,58,65,97,110,161,190,197,208,217,226],"treatment,":[23],"large":[24],"disparities":[25,156,202],"still":[26],"exist":[27],"by":[28,152],"age,":[29],"gender,":[30],"race,":[31],"geography,":[33],"especially":[34],"among":[35],"older":[36,46],"adults.":[37],"Methods:":[38],"We":[39],"analyzed":[40],"deaths":[41,189,194],"related":[42],"to":[43,102,122,224],"adults":[47],"with":[48,80,116,168,184],"IHD":[49,81],"the":[51,143,159,165,178,213],"United":[52],"States":[53],"(1999-2024),":[54],"focusing":[55],"on":[56,231],"demographic":[57,109],"regional":[59],"differences.":[60],"Centers":[61],"for":[62,215],"Disease":[63],"Control":[64],"Prevention":[66],"WONDER":[67],"Multiple":[68],"Cause":[69],"Death":[71],"data":[72],"were":[73,95],"used,":[74],"including":[75],"individuals":[76],"aged":[77],"\u226565":[78],"years":[79],"listed":[82],"as":[83,128,130],"a":[84,117,185],"primary":[85],"or":[86],"contributing":[87],"cause":[88],"death.":[90],"Age-adjusted":[91],"rates":[93],"(AAMRs)":[94],"calculated,":[96],"Joinpoint":[98],"regression":[99],"was":[100,126,176],"used":[101],"calculate":[103],"annual":[104],"percent":[105],"changes":[106],"(APCs)":[107],"across":[108],"geographic":[111,206],"strata.":[112],"Results:":[113],"=":[114],"0.004),":[115],"plateau":[118],"observed":[119],"from":[120],"2018":[121],"2024.":[123],"Male":[124],"twice":[127],"high":[129],"that":[131],"females":[133],"(18.7":[134],"vs.":[135],"10.0":[136],"2024).":[138],"NH":[139],"Black":[140],"populations":[141],"had":[142],"highest":[144],"rate":[146],"1999":[148],"(42.7),":[149],"which":[150],"narrowed":[151],"2024":[153],"(17.4);":[154],"however,":[155],"continued.":[157],"Geographically,":[158],"South":[160],"non-metropolitan":[162],"areas":[163],"exhibited":[164],"greatest":[166],"mortality,":[167],"slower":[169],"reductions.":[170],"One":[171],"significant":[172],"shift":[173],"trends":[175],"type":[179],"place":[181],"death,":[183],"decrease":[186],"hospital":[188],"an":[191],"increase":[192],"home":[196],"hospices.":[199],"Conclusion:":[200],"Persistent":[201],"between":[203],"sexes,":[204],"races,":[205],"regions,":[207],"levels":[209],"urbanization":[211],"underscore":[212],"need":[214],"specific":[216],"targeted":[218],"public":[219],"health":[220,229],"interventions,":[221],"equal":[222],"access":[223],"care,":[225],"refocusing":[227],"initiatives":[230],"high-risk":[232],"participants.":[233],"Graphical":[234],"abstract":[235],"available":[236],"at:":[237],"https://links.lww.com/MS9/B434.":[238]},"counts_by_year":[],"updated_date":"2026-11-13T13:42:25.865203","created_date":"2026-11-11T00:00:00"}