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Gesundheit – gemeinsam. Kooperationstagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (GMDS), Deutschen Gesellschaft für Sozialmedizin und Prävention (DGSMP), Deutschen Gesellschaft für Epidemiologie (DGEpi), Deutschen Gesellschaft für Medizinische Soziologie (DGMS) und der Deutschen Gesellschaft für Public Health (DGPH)

08.09. - 13.09.2024, Dresden

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Regional deprivation on stroke incidence, treatment and mortality in Germany

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  • Matthias Belau - Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg Eppendorf, Hamburg, Germany
  • Heiko Becher - Heidelberg University Hospital, Heidelberg Institute of Global Health, Heidelberg, Germany
  • Maya Riefflin - Institute of Medical Biometry and Epidemiology, University Medical Center Hamburg Eppendorf, Hamburg, Germany
  • Dirk Bartig - Department of Neurology, St. Josef Hospital Bochum, Ruhr University Bochum, Bochum, Germany
  • Lars Schwettmann - Department of Health Services Research, School of Medicine and Health Sciences, Carl von Ossietzky University of Oldenburg, Oldenburg, Germany
  • Christopher Jan Schwarzbach - Department of Neurology, Hospital of the City Ludwigshafen, Ludwigshafen, Germany
  • Armin Grau - Department of Neurology, Hospital of the City Ludwigshafen, Ludwigshafen, Germany

Gesundheit – gemeinsam. Kooperationstagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (GMDS), Deutschen Gesellschaft für Sozialmedizin und Prävention (DGSMP), Deutschen Gesellschaft für Epidemiologie (DGEpi), Deutschen Gesellschaft für Medizinische Soziologie (DGMS) und der Deutschen Gesellschaft für Public Health (DGPH). Dresden, 08.-13.09.2024. Düsseldorf: German Medical Science GMS Publishing House; 2024. DocAbstr. 8

doi: 10.3205/24gmds521, urn:nbn:de:0183-24gmds5219

Veröffentlicht: 6. September 2024

© 2024 Belau et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

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Text

Background: Regional deprivation has been shown to be an important determinant of stroke risk. However, little is known about regional differences in stroke incidence and mortality in Germany.

Methods: We evaluated data from the Diagnosis Related Groups statistics (2016-2019) and the German Federal Register of Physicians (2019). We used negative binomial regression analysis to examine the association between the German Index of Multiple Deprivation 2015, covering 401 districts and district-free cities in Germany, and stroke incidence, treatment, and mortality.

Results: The adjusted rate ratios of stroke incidence and mortality with the highest deprivation level compared with the least deprived area were 1.161 (95% CI [1.143, 1.179]) and 1.193 (95% CI [1.148, 1.239]), respectively. In addition, this study showed that the density of physicians was higher in district-free cities than in districts.

Conclusions: Our findings suggest that regional deprivation is associated with stroke incidence and mortality, and call for a more targeted approach to stroke prevention in deprived regions.

Competing interests: Armin Grau is a member of the German Bundestag and a member of the editorial board of Neurological Research and Practice, where the corresponding article [1] is published.

The authors declare that an ethics committee vote is not required.

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References

1.
Belau MH, Becher H, Riefflin M, Bartig D, Schwettmann L, Schwarzbach CJ, Grau A. The impact of regional deprivation on stroke incidence, treatment, and mortality in Germany. Neurol Res Pract. 2023 Feb 9;5(1):6. DOI: 10.1186/s42466-023-00232-0 Externer Link