Mortality from liver disease in the West Midlands, 1993-2000: observational study

doi:10.1136/bmj.325.7359.312

BMJ 2002;325:312-313 ( 10 August )

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Mortality from liver disease in the West Midlands, 1993-2000: observational study

N C Fisher, consultant physician and gastroenterologist ^a, J Hanson, public health information specialist ^b, A Phillips, director of public health ^c, J N Rao, consultant in public health medicine ^d, E T Swarbrick, consultant physician and gastroenterologist ^e.

^a Department of Gastroenterology, Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Dudley, West Midlands DY1 2HQ, ^b Dudley Health Authority, Dudley DY12 2DD, ^c Wolverhampton Health Authority, Wolverhampton WV13 0XE, ^d Sandwell Health Authority, West Bromwich B70 9LD, ^e University of Wolverhampton, Division of Clinical Sciences, New Cross Hospital, Wolverhampton WV10 0QP

Correspondence to: N Fisher Neil.Fisher@dudleygoh-tr.wmids.nhs.uk

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

Advanced liver failure carries a poor prognosis, and its prevalence may be reflected by mortality statistics in the form ofdeath certifications for liver disease. In the United Kingdommortality from cirrhosis and other liver diseases increased slowlyfrom the 1970s to the early 1990s.¹ We aimed to ascertain thecurrent mortality from liver disease in the West Midlands regionof the UnitedKingdom.

Methods and results

The study was set in three adjacent metropolitan boroughs in the West Midlands with a total population of 837 000. Around8.4% of residents are of south Asian origin (Indian, Pakistani,or Bangladeshi; 1991 census). Deaths from liver disease were identifiedfrom public health mortality files supplied by the Office forNational Statistics, which we searched using ICD-9 (internationalclassification of diseases, 9th revision) reference codes 570-573,and from files supplied by the registrar of the local health authority.South Asian origin and religion were identified from subjects'. . . [Full text of this article]

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