International Journal of Epidemiology, Vol 18, S38-S45, Copyright © 1989 by International Epidemiological Association
J Tuomilehto and K Kuulasmaa
In the WHO MONICA Project mortality and morbidity from acute myocardial
infarction is being monitored in 39 Collaborating Centres in 26 countries
for a period of 10 years. The myocardial infarction registration procedures
have been standardized and suspect coronary events are classified into
diagnostic categories according to common criteria. This paper presents
ischaemic heart disease mortality figures, based on routine statistics for
the study populations and discusses cross-sectional comparability of
morbidity data from event registration. Because of differences in
availability of data used for diagnostic classification of events (such as
autopsy data) the proportions of different diagnostic categories vary from
centre to centre. There are, therefore, problems in cross-sectional
comparison of morbidity data between the centres. The primary target of
event registration in the project is to monitor morbidity changes within
centres during the ten-year period. This goal should not be affected by the
problems described in this paper.
ARTICLES
WHO MONICA Project: assessing CHD mortality and morbidity
Department of Epidemiology, National Public Health Institute, Helsinki, Finland.
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