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All (14) (0 to 10 of 14 results)
- 1. Multiple causes of death ArchivedArticles and reports: 82-003-X19970023235Geography: CanadaDescription:
This article illustrates analytical uses of multiple-cause-of-death data, which reflect all causes entered on the death certificate, not only the single, underlying cause. Heart diseases are used as an example.
Release date: 1997-10-07 - 2. The risks of childbearing at older ages ArchivedArticles and reports: 82-003-X19970023237Geography: CanadaDescription:
This article investigates whether, compared with younger women, those aged 30-34 and 35 and older experienced a higher risk of adverse pregnancy outcomes and maternal complications, and whether their infants faced an increased risk of perinatal complications and congenital anomalies.
Release date: 1997-10-07 - Articles and reports: 91F0015M1997003Geography: Canada, Province or territoryDescription:
For historical reasons, the best known life tables and those most often used are period tables. They are built using death rates by age for a short period of observation (often a single year) and have as their purpose to represent the status of mortality for this period. The survivors and deaths appearing in their columns are in a way abstractions rather than reality. It is thus erroneous to believe that the life table for a given year (for example, 1995) serves in any way whatever to predict the rate at which those born that year will pass away and, hence, of the average length of the life that they have just begun. With rare exceptions, the average number of years lived by individuals has always been longer than the life expectancy found in the life table constructed for the year of their birth. This is due to the fact that period tables are established using the risks of death by age prevailing in that year. But the ceaseless battle against death reduces these risks year after year for these ages and, by growing older, people benefit from these successive gains.
To reconstitute (or foresee) the rate at which the members of a cohort have (or will) really pass away, it is necessary to deploy very long series of death rates by age and to possess reliable indicators of missing data, and then to adjust them to establish the actual experience of the persons in a cohort. Built in exactly the same way as period tables, these tables are naturally called cohort tables, but comparing observations of their parameters yields conclusions of a different kind.
Release date: 1997-10-01 - Articles and reports: 82-003-X19970013055Geography: CanadaDescription:
This aritcle analyzes abdominal aortic aneurysm (AAA) surgery rates by sex for inpatients of Canadian hospitals. Possible reasons for the observed gender differences in surgery rates are discussed.
Release date: 1997-07-28 - 5. Who doesn't get a mammogram? ArchivedArticles and reports: 82-003-X19970013056Geography: CanadaDescription: This article examines the characteristics associated with getting or not getting a mammogram, focusing on women aged 50-59.Release date: 1997-07-28
- 6. Update on breast cancer mortality, 1995 ArchivedArticles and reports: 82-003-X19970013057Geography: CanadaDescription: This article updates recently published information on Canadian breast cancer mortality, highlighting a lower rate in 1995, a marked decline in the rate since 1990, and possible factors contributing to this trend.Release date: 1997-07-28
- 7. Monthly and daily patterns of death ArchivedArticles and reports: 82-003-X19970013059Geography: CanadaDescription:
Using Canadian mortality data from 1974 to 1995, this article examines seasonal and daily patterns of death by cause.
Release date: 1997-07-28 - 8. Births and Deaths ArchivedTable: 84-210-XDescription:
The statistical tables in the first part of this document relate to the numbers and rates of live births and stillbirths of at least twenty weeks gestation; total, general and age specific fertility rates; live births by age of mother and order of live birth; male and female birth weights by age of mother and gestation period at the time of birth; and live births by census division and counties in the province(s).
In the second part of this document, the statistical tables, for Canada, the ten provinces and the two territories, relate to the numbers and rates of deaths by marital status, age and sex; infant, neonatal, postnatal and perinatal deaths; maternal deaths; and stillbirths of at least twenty weeks gestation at the time of birth.
Release date: 1997-05-15 - Articles and reports: 11F0019M1997099Geography: CanadaDescription:
Context : Lung cancer has been the leading cause of cancer deaths in Canadian males for many years, and since 1994, this has been the case for Canadian femalesas well. It is therefore important to evaluate the resources required for its diagnosis and treatment. This article presents an estimate of the direct medical costsassociated with the diagnosis and treatment of lung cancer calculated through the use of a micro-simulation model. For disease incidence, 1992 was chosen as thereference year, whereas costs are evaluated according to the rates that prevailed in 1993.Methods : A model for lung cancer has been incorporated into the Population Health Model (POHEM). The parameters of the model were drawn in part fromStatistics Canada's Canadian Cancer Registry (CCR), which provides information on the incidence and histological classification of lung cancer cases in Canada.The distribution of cancer stage at diagnosis was estimated by using information from two provincial cancer registries. A team of oncologists derived "typical" treatment approaches reflective of current practice, and the associated direct costs were calculated for these approaches. Once this information and the appropriatesurvival curves were incorporated into the POHEM model, overall costs of treatment were estimated by means of a Monte Carlo simulation.Results: It is estimated that overall, the direct medical costs of lung cancer diagnosis and treatment were just over $528 million. The cost per year of life gained as aresult of treatment of the disease was approximately $19,450. For the first time in Canada, it was possible to estimate the five year costs following diagnosis, bystage of the disease at the time of diagnosis. It was possible to estimate the cost per year of additional life gained for three alternative treatments of non small-cell lungcancer (NSCLC). Sensitivity analyses showed that these costs varied between $1,870 and $6,860 per year of additional life gained, which compares favourablywith the costs that the treatment of other diseases may involve.Conclusions: Contrary to widespread perceptions, it appears that the treatment of lung cancer is effective from an economic standpoint. In addition, the use of amicro-simulation model such as POHEM not only makes it possible to incorporate information from various sources in a coherent manner but also offers thepossibility of estimating the effect of alternative medical procedures from the standpoint of financial pressures on the health care system.
Release date: 1997-04-22 - 10. Depression: An undertreated disorder? ArchivedArticles and reports: 82-003-X19960043021Geography: CanadaDescription:
In 1994, an estimated 6% of Canadians aged 18 and over - 1.1 million adults - experienced a Major Depressive Episode (MDE). Although depression is amenable to treatment, fewer than half (43%) the people who met the criteria of having experienced an MDE in the past year (approximately 487,000) reported talking to a health professional about their emotional or mental health. Furthermore, only 26% of those who had an MDE reported four or more such consultations. As expected, depression that was not chronic was more likely to be untreated. In addition, MDE sufferers whose physical health was good and those who had not recently experienced a negative life event were less likely to be treated. However, after controlling for these factors, a multivariate model suggests that lower educational attainment and inadequate income acted as barriers to treatment. Relatively few contacts with a general practitioner substantially reduced the odds of being treated. Also, men and married people who were depressed were less likely to receive treatment. With data from Statistics Canada's 1994-95 National Population Health Survey (NPHS), this article examines the characteristics of people who met the criteria for having had an MDE, but who discontinued or did not receive treatment. The selection of explanatory variables was informed by an established theoretical framework of individual determinants of health service utilization, proposed by Andersen and Newman. Logistic regression was used to predict the probability of not being treated among people who experienced an MDE.
Release date: 1997-04-21
Data (2)
Data (2) ((2 results))
- 1. Births and Deaths ArchivedTable: 84-210-XDescription:
The statistical tables in the first part of this document relate to the numbers and rates of live births and stillbirths of at least twenty weeks gestation; total, general and age specific fertility rates; live births by age of mother and order of live birth; male and female birth weights by age of mother and gestation period at the time of birth; and live births by census division and counties in the province(s).
In the second part of this document, the statistical tables, for Canada, the ten provinces and the two territories, relate to the numbers and rates of deaths by marital status, age and sex; infant, neonatal, postnatal and perinatal deaths; maternal deaths; and stillbirths of at least twenty weeks gestation at the time of birth.
Release date: 1997-05-15 - 2. Canadian Cancer Statistics ArchivedTable: 82F0008XDescription:
The special ten year anniversary edition of Canadian cancer statistics 1997 represents a collaborative effort between Statistics Canada, the National Cancer Institute of Canada, Health Canada, the Canadian Cancer Society, and provincial/territorial cancer registries. This 71 page monograph contains estimates of cancer incidence and mortality for 1997, historical (actual and estimated) data from 1969 to 1997, and selected indicators on the burden of cancer. Estimates were produced by modelling actual cancer incidence and mortality data by province for selected cancer sites. The special topic this year is a comparison of the burden of cancer in Canada in 1997 to that reported in the first edition in 1987.
Release date: 1997-03-06
Analysis (12)
Analysis (12) (0 to 10 of 12 results)
- 1. Multiple causes of death ArchivedArticles and reports: 82-003-X19970023235Geography: CanadaDescription:
This article illustrates analytical uses of multiple-cause-of-death data, which reflect all causes entered on the death certificate, not only the single, underlying cause. Heart diseases are used as an example.
Release date: 1997-10-07 - 2. The risks of childbearing at older ages ArchivedArticles and reports: 82-003-X19970023237Geography: CanadaDescription:
This article investigates whether, compared with younger women, those aged 30-34 and 35 and older experienced a higher risk of adverse pregnancy outcomes and maternal complications, and whether their infants faced an increased risk of perinatal complications and congenital anomalies.
Release date: 1997-10-07 - Articles and reports: 91F0015M1997003Geography: Canada, Province or territoryDescription:
For historical reasons, the best known life tables and those most often used are period tables. They are built using death rates by age for a short period of observation (often a single year) and have as their purpose to represent the status of mortality for this period. The survivors and deaths appearing in their columns are in a way abstractions rather than reality. It is thus erroneous to believe that the life table for a given year (for example, 1995) serves in any way whatever to predict the rate at which those born that year will pass away and, hence, of the average length of the life that they have just begun. With rare exceptions, the average number of years lived by individuals has always been longer than the life expectancy found in the life table constructed for the year of their birth. This is due to the fact that period tables are established using the risks of death by age prevailing in that year. But the ceaseless battle against death reduces these risks year after year for these ages and, by growing older, people benefit from these successive gains.
To reconstitute (or foresee) the rate at which the members of a cohort have (or will) really pass away, it is necessary to deploy very long series of death rates by age and to possess reliable indicators of missing data, and then to adjust them to establish the actual experience of the persons in a cohort. Built in exactly the same way as period tables, these tables are naturally called cohort tables, but comparing observations of their parameters yields conclusions of a different kind.
Release date: 1997-10-01 - Articles and reports: 82-003-X19970013055Geography: CanadaDescription:
This aritcle analyzes abdominal aortic aneurysm (AAA) surgery rates by sex for inpatients of Canadian hospitals. Possible reasons for the observed gender differences in surgery rates are discussed.
Release date: 1997-07-28 - 5. Who doesn't get a mammogram? ArchivedArticles and reports: 82-003-X19970013056Geography: CanadaDescription: This article examines the characteristics associated with getting or not getting a mammogram, focusing on women aged 50-59.Release date: 1997-07-28
- 6. Update on breast cancer mortality, 1995 ArchivedArticles and reports: 82-003-X19970013057Geography: CanadaDescription: This article updates recently published information on Canadian breast cancer mortality, highlighting a lower rate in 1995, a marked decline in the rate since 1990, and possible factors contributing to this trend.Release date: 1997-07-28
- 7. Monthly and daily patterns of death ArchivedArticles and reports: 82-003-X19970013059Geography: CanadaDescription:
Using Canadian mortality data from 1974 to 1995, this article examines seasonal and daily patterns of death by cause.
Release date: 1997-07-28 - Articles and reports: 11F0019M1997099Geography: CanadaDescription:
Context : Lung cancer has been the leading cause of cancer deaths in Canadian males for many years, and since 1994, this has been the case for Canadian femalesas well. It is therefore important to evaluate the resources required for its diagnosis and treatment. This article presents an estimate of the direct medical costsassociated with the diagnosis and treatment of lung cancer calculated through the use of a micro-simulation model. For disease incidence, 1992 was chosen as thereference year, whereas costs are evaluated according to the rates that prevailed in 1993.Methods : A model for lung cancer has been incorporated into the Population Health Model (POHEM). The parameters of the model were drawn in part fromStatistics Canada's Canadian Cancer Registry (CCR), which provides information on the incidence and histological classification of lung cancer cases in Canada.The distribution of cancer stage at diagnosis was estimated by using information from two provincial cancer registries. A team of oncologists derived "typical" treatment approaches reflective of current practice, and the associated direct costs were calculated for these approaches. Once this information and the appropriatesurvival curves were incorporated into the POHEM model, overall costs of treatment were estimated by means of a Monte Carlo simulation.Results: It is estimated that overall, the direct medical costs of lung cancer diagnosis and treatment were just over $528 million. The cost per year of life gained as aresult of treatment of the disease was approximately $19,450. For the first time in Canada, it was possible to estimate the five year costs following diagnosis, bystage of the disease at the time of diagnosis. It was possible to estimate the cost per year of additional life gained for three alternative treatments of non small-cell lungcancer (NSCLC). Sensitivity analyses showed that these costs varied between $1,870 and $6,860 per year of additional life gained, which compares favourablywith the costs that the treatment of other diseases may involve.Conclusions: Contrary to widespread perceptions, it appears that the treatment of lung cancer is effective from an economic standpoint. In addition, the use of amicro-simulation model such as POHEM not only makes it possible to incorporate information from various sources in a coherent manner but also offers thepossibility of estimating the effect of alternative medical procedures from the standpoint of financial pressures on the health care system.
Release date: 1997-04-22 - 9. Depression: An undertreated disorder? ArchivedArticles and reports: 82-003-X19960043021Geography: CanadaDescription:
In 1994, an estimated 6% of Canadians aged 18 and over - 1.1 million adults - experienced a Major Depressive Episode (MDE). Although depression is amenable to treatment, fewer than half (43%) the people who met the criteria of having experienced an MDE in the past year (approximately 487,000) reported talking to a health professional about their emotional or mental health. Furthermore, only 26% of those who had an MDE reported four or more such consultations. As expected, depression that was not chronic was more likely to be untreated. In addition, MDE sufferers whose physical health was good and those who had not recently experienced a negative life event were less likely to be treated. However, after controlling for these factors, a multivariate model suggests that lower educational attainment and inadequate income acted as barriers to treatment. Relatively few contacts with a general practitioner substantially reduced the odds of being treated. Also, men and married people who were depressed were less likely to receive treatment. With data from Statistics Canada's 1994-95 National Population Health Survey (NPHS), this article examines the characteristics of people who met the criteria for having had an MDE, but who discontinued or did not receive treatment. The selection of explanatory variables was informed by an established theoretical framework of individual determinants of health service utilization, proposed by Andersen and Newman. Logistic regression was used to predict the probability of not being treated among people who experienced an MDE.
Release date: 1997-04-21 - 10. How far to the nearest physician? ArchivedArticles and reports: 82-003-X19960043022Geography: CanadaDescription:
Meeting the need for physician care outside of urban centres has long been a health policy concern. The challenges of providing such services in these areas stem from relatively fewer physicians and greater travel distances. In 1993, nearly all (99%) residents of large urban centres (with one million or more people) were less than 5 km from the nearest doctor. But outside of urban centres, only 56% of residents were situated that close to a physician. As well, proximity to physicians varied with income in less urbanized and rural areas, but not in more urbanized areas. And while Canadians in the southernmost parts of the country enjoyed very short distances to a physician, in northern latitudes, physicians tended to be much farther away. For instance, in 1993, at 65-69o north latitude, with 3,974 people for every physician, nearly two-thirds of the population (64%) was 100 km or more from the nearest doctor. By contrast, below 45o north latitude, which includes Halifax, Toronto and all of southwestern Ontario, the population to physician ratio was 476, and 91% of the population was within 5 km of a physician. Using the Canadian Medical Association's 1993 address registry of physicians, this article analyses the distance to the nearest physician (57,291 physicians) from a representative point within each of Canada's 45,995 census Enumeration Areas. Distance to the nearest physician by their specialty is also considered.
Release date: 1997-04-21
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