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Mortality Versus Quality of Life

  • R. Rychlik
Conference paper

Abstract

In all countries which, by virtue of their economic development, have been able increasingly to utilize scientific findings to the advantage of their inhabitants, the general death rate (mortality), or crude death rate, has steadily declined over the course of this century. Constantly accelerating technical progress has drawn medicine’s attention to this new technology itself and has, in a sense, made medicine dependent upon it as far as its power of judgment is concerned. This progress, which was made possible by a very mechanical and physiological way of looking at diseases, has also led to a distrust or neglect of information which is not produced by an analytical laboratory. This way of looking at things was supported by the success of formal experimental studies, without recognizing that artificially created study conditions no longer had anything to do with the real, uncontrolled process of patient care. Mortality, as a ratio of the number of deaths to the total population over a fixed period of time, thus soon became a standard measure for medical findings and types of treatment. As long ago as 1948, the World Health Organization (WHO) defined health as a state of physical, psychological, and social well-being and not only as an absence of illness. Over the past few years, there has been an increasingly intensive discussion on the evaluation criteria for medical measures, which has improved the WHO definition in many respects. The exclusive consideration of symptoms and rate of survival was criticized, and, in accordance with the WHO definition of health, a consideration, not only of patients’ physical, but also their psychological and social, well-being, i. e., their quality of life in the broadest sense, was called for.

Keywords

Cardiovascular Mortality Mortality Trend Cardiovascular Disease Mortality Chaemic Heart Disease Exclusive Consideration 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Amery A, Birkenhaeger W, Brixko P, Bulpitt C, Clement D, de Leeuw P, de Plaen JF, Deruyttere M, De Schaepdryver A, Dollery C et al. (1986) Influence of antihypertensive drug treatment on morbidity and mortality in patients over the age of 60 years. European Working Party on high blood pressure in the elderly (EWPHE) results: sub-group analysis on entry stratification. J Hypertens [Suppl] 4 (6): 642–647Google Scholar
  2. 2.
    Anderson KM, Castelli WP, Levy D (1987) Cholesterol and mortality. 30 years of follow-up from the Framingham study. JAMA 257 (16): 2176–2180PubMedCrossRefGoogle Scholar
  3. 3.
    Beaglehole R, Bonita R, Jackson R, Stewart A (1986) Cardiovascular mortality in New Zealand and Australia 1968–1983: how can the diverging trends be explained? NZ Med J 99 (794): 1–3Google Scholar
  4. 4.
    Beaglehole R, Ronita R, Stewart A (1988) Cardiovascular disease mortality trends in the western Pacific, 1968–1984. NZ Med J 101 (849): 441–443Google Scholar
  5. 5.
    Berkel J, de Waard F (1983) Mortality pattern and life expectancy of seventh-day adventists in the Netherlands. Int J Epidemiol 12 (4): 455–459PubMedCrossRefGoogle Scholar
  6. 6.
    Brenner MH (1987) Economic instability, unemployment rates, behavioral risks, and mortality rates in Scotland, 1952–1983. Int J Health Serv 17 (3): 475–487PubMedCrossRefGoogle Scholar
  7. 7.
    Brissonnette LG, Fareed DS (1985) Cardiovascular diseases as a cause of death in the island of Mauritius, 1972–1980. World Health Stat Q 38 (2): 163–175PubMedGoogle Scholar
  8. 8.
    Bullinger M, Poppel E (1988) Lebensqualitat in der Medizin: Schlagwort oder Forschungsansatz? Dtsch Arztebl 11: 679–680Google Scholar
  9. 9.
    Carr-Hill RA (1987) Mortality and social class (letter). Lancet 2 (8554): 338PubMedCrossRefGoogle Scholar
  10. 10.
    Charlton JR, Bauer R, Thakhore A, Silver R, Aristidou M (1987) Unemployment and mortality: a small area analysis. J Epidemiol Community Health 41 (2): 107–113PubMedCrossRefGoogle Scholar
  11. 11.
    Duh RW, Asal NR (1984) Mortality among laundry and dry cleaning workers in Oklahoma. Am J Public Health 74 (11): 1278–1280PubMedCrossRefGoogle Scholar
  12. 12.
    Fanning D (1988) A mortality study of lead workers, 1926–1985. Arch Environ Health 43 (3): 247–251PubMedCrossRefGoogle Scholar
  13. 13.
    Fedullo AF, Swinburne AJ (1983) Relationship of patient age to cost and survival in a medical ICU. Crit Care Med 11 (3): 155–159PubMedCrossRefGoogle Scholar
  14. 14.
    Feinleib M, Wilson RW (1985) Trends in health in the United States. Environ Health Perspect 62: 267–276PubMedCrossRefGoogle Scholar
  15. 15.
    Foggin P, Godon D (1986) Cardiovascular mortality as it relates to the geographic distribution of employment in non-metropolitan Quebec. Soc Sci Med 22 (5): 559–569PubMedCrossRefGoogle Scholar
  16. 16.
    Heyden S, Fodor GJ (1988) Does regular exercise prolong life expectancy? Sports Med 6 (2): 63–71PubMedCrossRefGoogle Scholar
  17. 17.
    Kaplan GA, Salonen JT, Cohen RD, Brand RJ, Syme SL, Puska P (1988) Social connections and mortality from all causes and from cardiovascular disease: prospective evidence from eastern Finland. Am J Epidemiol 128 (2): 370–380PubMedGoogle Scholar
  18. 18.
    Lapidus L, Bengtsson C (1986) Socioeconomic factors and physical activity in relation to cardiovascular disease and death. A 12-year follow-up of participants in a population study of women in Gothenburg, Sweden. Br Heart J 55 (3): 295–301PubMedCrossRefGoogle Scholar
  19. 19.
    Ordog GJ, Benaron S, Bhasin V, Wasserberger J, Balasubramanium S (1987) Serum digoxin levels and mortality in 5,100 patients. Ann Emerg Med 16 (1): 32–39PubMedCrossRefGoogle Scholar
  20. 20.
    Orth-Gomer K, Johnson JV (1987) Social network interaction and mortality. A six-year follow-up study of a random sample of the Swedish population. J Chronic Dis 40 (10): 949–957PubMedCrossRefGoogle Scholar
  21. 21.
    Paffenbarger RS Jr, Hyde RT, Hsieh CC, Wing AL (1986) Physical activity, other lifestyle patterns, cardiovascular disease and longevity. Acta Med Scand [Suppl] 711: 85–91Google Scholar
  22. 22.
    Paffenbarger RS Jr, Hyde RT, Wing AL, Hsieh CC (1986) Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med 314 (10): 605–613PubMedCrossRefGoogle Scholar
  23. 23.
    Patrick DL, Erickson P (1988) Assessing health-related quality of life for clinical decision making. In: Walker SR, Rosser RM (eds) Quality of life: assessment and application. Kluver AcademicGoogle Scholar
  24. 24.
    Pearce NE, Davis PB, Smith AH, Foster FH (1984) Mortality and social class in New Zealand. III: male mortality by ethnic group. NZ Med J 97 (748): 31–35Google Scholar
  25. 25.
    Pickering TG (1983) Treatment of mild hypertension and the reduction of cardiovascular mortality: the ‘of or by’ dilemma. JAMA 249 (3): 399–400PubMedCrossRefGoogle Scholar
  26. 26.
    Verlangieri AJ, Kapeghian JC, el-Dean S, Bush M (1985) Fruit and vegetable consumption and cardiovascular mortality. Med Hypotheses 16 (1): 7–15PubMedCrossRefGoogle Scholar
  27. 27.
    Welin L, Tibblin G, Svaerdsudd K, Tibblin B, Ander-Peciva S, Larsson B, Wilhelmsen L (1985) Prospective study of social influences on mortality. The study of men born in 1913 and 1923. Lancet 1 (8434): 915–918PubMedCrossRefGoogle Scholar
  28. 28.
    Wing S (1984) The role of medicine in the decline of hypertension-related mortality. Int J Health Serv 14 (4): 649–666PubMedCrossRefGoogle Scholar
  29. 29.
    Wingard DL (1984) The sex differential in morbidity, mortality, and lifestyle. Annu Rev Public Health 5: 433–458PubMedCrossRefGoogle Scholar
  30. 30.
    Wingard DL, Berkman LF (1983) Mortality risk associated with sleeping patterns among adults. Sleep 6 (2): 102–107PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1991

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  • R. Rychlik

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