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Forecasting coronary heart disease incidence, mortality, and cost

The Coronary Heart Disease Policy Model

Bibliographic Data

ID11029773
AuthorsMilton C Weinstein (Massachusetts Department of Public Health), P G Coxson, Pam Coxson, L W Williams (0009-0002-0136-7501), Theodore M Pass, William B Stason, L Goldman (0000-0002-2420-1582)
Year1987
Volume77
Issue11
Pages1417-1426
Publication date1987-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.77.11.1417
PMID3661794
OpenAlexW2093380756
LanguageEN
Citations received26
References cited31

A computer simulation model was developed to project the future mortality, morbidity, and cost of coronary heart disease (CHD) in the United States population. The model contains a demographic-epidemiologic (DE) submodel, which stimulates the distribution of coronary risk factors and the conditional incidence of CHD in a demographically evolving population; a "bridge" submodel, which determines the outcome of the initial CHD event; and a disease history (DH) submodel, which simulates subsequent events in persons with a previous CHD event. The user of the model may simulate the effects of interventions, either preventive (i.e., risk factor modification) or therapeutic, upon mortality, morbidity, and cost for up to a 30-year period. If there were no future changes in risk factors or the efficacy of therapies after 1980, baseline projections indicate that the aging of the population, and especially the maturation of the post-World War II baby-boom generation, would increase CHD prevalence and annual incidence, mortality, and costs by about 40-50 per cent by the year 2010. Unprecedented reductions in risk factors would be required to offset these demographic effects on the absolute incidence of CHD. The specific forecasts could be inaccurate, however, as a consequence of erroneous assumptions or misestimated baseline data, and the model awaits validation based on actual future data

Coronary heart disease · Disease · Environmental health · Incidence (geometry) · Population · demographic modeling and climate adaptation · Demography · Health disparities and outcomes · Health Systems, Economic Evaluations, Quality of Life · Internal Medicine · Medicine

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Unique citing works26
Citations per year0,7
Citation span1989 - 2022 (34)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 20

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