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Am J Epidemiol 2003; 157:771-773.
Copyright © 2003 by Johns Hopkins Bloomberg School of Public Health

ORIGINAL CONTRIBUTIONS

Invited Commentary: Trends in Coronary Heart Disease Mortality—Location, Location, Location

Wayne D. Rosamond

From the Department of Epidemiology, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC.

Received for publication January 30, 2003; accepted for publication February 4, 2003.

The first 150 words of the full text of this article appear below.

The well-documented decline in coronary heart disease (CHD) mortality in the United States of approximately 3 percent per year over the past 30 years is one of the most remarkable developments in improving public health in the modern era. Determining the relative contribution of treatment versus primary prevention in achieving this decline is an important medical and epidemiologic issue. This endeavor is not about assigning credit but is a discovery of ways to accelerate the decline and reach those segments of the population that have not yet benefited from the reduction.

In real estate, the maxim "location, location, location" is a commentary on the preeminence that setting has in determining the value of a home. Likewise, the "location" of CHD deaths in the community—in-hospital or out-of-hospital—helps elucidate the role and the potential of medical treatment versus primary prevention in reducing CHD death. Temporal trends in in-hospital deaths often are associated . . . [Full Text of this Article]


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Am. J. Epidemiol. 2003 157: 763-770. [Abstract] [FREE Full Text]