title: Analysis of cerebrovascular mortality trends in Spain from 1980 to 2011.
abstract: BACKGROUND
  In recent decades, mortality rates for cerebrovascular diseases (CVD) have declined significantly in many countries. This study analyses changes in CVD mortality rates in Spain (1980-2011) to determine if previously observed trends remain.
  
  
  METHODS
  Data on CVD mortality rates and the population data needed for the analysis were provided by Spain's National Statistics Institute. We calculated age-specific mortality rate, age-standardised overall mortality, and age-truncated mortality (35-64 years) using the direct method and standard European population structure. Joinpoint analysis was used to estimate the percentage of annual change in rates and identify significant changes in trends.
  
  
  RESULTS
  CVD mortality rate decreased considerably and continuously over the last 32 years in all age groups and in both sexes in Spain. For both sexes, joinpoint analysis identifies a final period with more marked decline: 2005-2011 in women (-6.3%) and 2007-2011 in men (-7.2%).
  
  
  CONCLUSIONS
  CVD mortality rates displayed a marked and continuous decline in Spain between 1980 and 2011. Due to the ageing of the population, doctors expect an increase in CVD prevalence and therefore its magnitude in terms of disability and healthcare costs, which poses a challenge to our health system.
authors.affiliation: Unidad de Gestión Clínica de Salud Pública, Prevención y Promoción de la Salud, Hospital de Valme, Área de Gestión Sanitaria Sur de Sevilla, Sevilla, España.
authors.forename: A
authors.initials: A
authors.lastname: Cayuela
authors.affiliation: Facultad de Medicina, Universidad de Sevilla, Sevilla, España.
authors.forename: L
authors.initials: L
authors.lastname: Cayuela
authors.affiliation: Unidad de Ictus, Unidad de Gestión Clínica de Neurociencias, Hospital Universitario Virgen del Rocío, Sevilla, España. Electronic address: imesmar@gmail.com.
authors.forename: I
authors.initials: I
authors.lastname: Escudero-Martínez
authors.affiliation: Centro de Salud Pino Montano A, Distrito Sevilla, Sevilla, España.
authors.forename: S
authors.initials: S
authors.lastname: Rodríguez-Domínguez
authors.affiliation: Servicio de Neurorradiología Intervencionista, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: A
authors.initials: A
authors.lastname: González
authors.affiliation: Unidad de Ictus, Unidad de Gestión Clínica de Neurociencias, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: F
authors.initials: F
authors.lastname: Moniche
authors.affiliation: Unidad de Ictus, Unidad de Gestión Clínica de Neurociencias, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: M D
authors.initials: MD
authors.lastname: Jiménez
authors.affiliation: Vall d'Hebron Institut de Recerca, Hospital Universitari Vall d'Hebron, Barcelona, España; Instituto de Biomedicina de Sevilla, Hospital Universitario Virgen del Rocío, Sevilla, España.
authors.forename: J
authors.initials: J
authors.lastname: Montaner
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002561:Cerebrovascular Disorders / Q000401:mortality*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D013030:Spain / Q000453:epidemiology; D055815:Young Adult
keywords: Análisis de regresión; Cerebrovascular diseases; Enfermedad cerebrovascular; Epidemiology; Epidemiología; España; Mortalidad; Mortality; Regression analysis; Spain; Tendencia; Trends